使用牙间隙刷对牙菌斑及牙周炎症的影响  

Effects of interdentalbrushes on plaque and parameters of periodontal in:mmation:a systematic review

作　　者：金爱琼[1] 张磊[2] 

机构地区：[1]深圳市第二人民医院口腔科,广东深圳518035 [2]深圳大学生物医药研究所,广东深圳518057

出　　处：《临床口腔医学杂志》2011年第4期223-227,共5页Journal of Clinical Stomatology

摘　　要：目的:评估使用牙间隙刷作为刷牙辅助手段去除牙菌斑和改善牙周炎症的效果,并与其它牙间隙清洁方法比较。方法检索Medline-PubMed文献库(1969-2009),对标题和摘要进行关键词筛查,选择符合入选标准的文献。牙周炎症参数涉及菌斑、牙龈炎、牙龈出血和牙周袋。结果:从202篇初筛文献中最终选出满足入选标准的文献9篇,提取数据,得到相关参数的平均值和标准差。根据数据完整性的不同,在使用牙间隙刷与仅用牙刷或牙刷加牙签之间进行描述性比较,在牙间隙刷与牙线之间进行Meta分析(荟萃分析)。结论:作为刷牙辅助手段,使用牙间隙刷比仅用牙刷能去除更多牙菌斑,牙间隙刷对菌斑指数、牙龈出血指数和牙周袋探诊深度均有显著改善作用;与使用牙线相比,大多数研究显示使用牙间隙刷对菌斑指数的改善效应更显著。Objective：To assess the effect of using interdental brushes（IDB） as an adjunct to toothbrushing compared with toothbrushing alone or other interdental oral hygiene devices on plaque and clinical parameters of periodontal inflammation.Method：MEDLINE-PubMed（1969～2009） was searched to identify appropriate studies.Clinical parameters of periodontal inflammation such as plaque,gingivitis,bleeding and pockets were selected as outcome variables.Result：Independent screening of the titles and abstracts of 202 MEDLINE-PubMed papers resulted in 9 papers that met the eligibility criteria.Mean values and standard deviations were collected by data extraction.Descriptive comparisons are presented for brushing alone or brushing and woodsticks.Meta-analysis was also performed for the floss comparison.Conclusion：As an adjunct to brushing,IDB removes more dental plaque than brushing alone.Studies showed a positive signiflcant difference using IDB with respect to the plaque scores,bleeding scores and probing pocket depth.The majority of the studies presented a positive signiflcant difference in plaque index when using IDB compared with floss.

关 键 词：系统评价 牙间隙刷 牙间隙清洁用品 牙菌斑 

分 类 号：R781.4[医药卫生—口腔医学]