机械性邻面菌斑控制措施对牙周非手术治疗效果影响的系统评价  

Effects of mechanical adjacent surface plaque control measures on periodontal nonsurgical treatment:a systematic review

作　　者：黄晓慧 祁本婷 杨洁[1] 刘玉[1] 孙卫斌[1] Huang Xiaohui;Qi Benting;Yang Jie;Liu Yu;Sun Weibin(Dept.of Periodontology,Nanjing Stomatology Hospital,Medical School of Nanjing University,Nanjing 210008,China)

机构地区：[1]南京大学医学院附属口腔医院牙周科,南京210008

出　　处：《国际口腔医学杂志》2021年第6期656-663,共8页International Journal of Stomatology

基　　金：国家自然科学基金面上项目(51772144);南京市医学科技发展资金(QRX17080)。

摘　　要：目的评估常见的机械性邻面菌斑控制措施对牙周炎患者邻面菌斑控制的效果,为临床口腔医生选择对患者合适的邻面菌斑控制措施提供有效的循证医学证据。方法计算机检索Pubmed、EMbase、Cochrane、Web of Science、CNKI、CBM、万方数据库中发表1980年3月至2020年4月的文章,对符合纳入标准的文献进行系统评价并进行可能的定量分析。结果最终纳入13项研究。分析提示:与牙线组比较,牙间隙刷组对菌斑指数有显著改善效应(P<0.00001)。结论对于牙周炎患者使用邻面菌斑控制措施能去除更多的牙菌斑,作为刷牙的辅助手段,使用牙间隙刷比使用牙线能去除更多的牙菌斑。Objective Numerous studies have been conducted on plaque control measures in the interdental space,in‐cluding on dental floss,interdental brush,toothpicks,and dental water jet.The knowledge and skills of dentists should be upgraded to provide patients with excellent plaque control measures.This systematic review evaluated the effectiveness of mechanical plaque control measures on adjacent plaque control of patients with periodontitis and discussed effective evi‐dence-based dental interventions so dentists can apply appropriate adjacent plaque control measures for their patients.Methods Articles published in PubMed,EMbase,Cochrane,Web of Science,CNKI,CBM,and Wanfang database were searched from March 1980 to April 2020.Articles that involved mechanical adjacent plaque control in patients with peri‐odontitis were included in this study.Participants and interventions:patients who were diagnosed with periodontal disease and who were administered with adjacent plaque control measures during periodontal treatment were selected.The articles that met the inclusion criteria were systematically evaluated.Possible quantitative analyses were performed.Results Thir‐teen studies were finally included for the analysis.Results showed that compared with dental floss,interdental brush signifi‐cantly improved plaque index(P<0.00001).The sample size was small,and the range of publication time was broad.Con⁃clusion The use of adjacent plaque control measures for patients with periodontitis can remove more dental plaques.As an auxiliary means of brushing the teeth,interdental brushes can remove more plaques than flossing alone.

关 键 词：牙周炎 牙菌斑 机械性邻面菌斑控制 系统评价 

分 类 号：R781.4[医药卫生—口腔医学]