口腔疾病防治 ›› 2022, Vol. 30 ›› Issue (5): 338-344.DOI: 10.12016/j.issn.2096-1456.2022.05.005

• 临床研究 • 上一篇    下一篇

内窥镜辅助龈下刮治及根面平整术治疗牙周炎临床效果的系统评价

徐若男1,2(), 魏奕茹1,2, 刘珂1, 古丽努尔·阿吾提1,2()   

  1. 1.新疆医科大学第一附属医院(附属口腔医院)牙周粘膜科,新疆维吾尔自治区 乌鲁木齐(830054)
    2.新疆维吾尔自治区口腔医学研究所,新疆维吾尔自治区 乌鲁木齐(830054)
  • 收稿日期:2021-10-14 修回日期:2021-12-01 出版日期:2022-05-20 发布日期:2022-02-17
  • 通讯作者: 古丽努尔·阿吾提
  • 作者简介:徐若男,住院医师,硕士,Email: 2206284415@qq.com
  • 基金资助:
    新疆维吾尔自治区自然科学基金项目(2011211A071);新疆维吾尔自治区卫生与健康适宜技术推广项目(SYTG-202115)

Endoscope-assisted subgingival scaling and root planing in the treatment of periodontitis: systematic evaluation of effects

XU Ruonan1,2(), WEI Yiru1,2, LIU Ke1, GULINUER Awuti1,2()   

  1. 1. Department of Periodontal and Mucosal, the First Affiliated Hospital of Xinjiang Medical University (the Affiliated Stomatology Hospital of Xinjiang Medical University), Urumqi 830054, China
    2. Stomatology Disease Institute of Xinjiang Uyghur Autonomous Region, Urumqi 830054, China
  • Received:2021-10-14 Revised:2021-12-01 Online:2022-05-20 Published:2022-02-17
  • Contact: GULINUER Awuti
  • Supported by:
    Nature Science Foundation of Xinjiang Uyghur Autonomous Region(2011211A071);Xinjiang Uyghur Autonomous Region Health and Health Appropriate Technology Promotion Project(SYTG-202115)

摘要:

目的 评价内窥镜辅助龈下刮治及根面平整术(subgingival scaling and root planning,SRP)治疗牙周炎的临床效果。方法 检索PubMed、EMbase、The Cochrane Library、Web of Science、中国知网、万方公共数据库、VIP数据库,搜索有关内窥镜辅助SRP的随机对照试验(randomized controlled trials,RCT),检索时限均从建库至2021年9月15日。纳入研究的结局指标包括:菌斑指数(plaque index,PLI)、探诊深度(probing depth,PD)、附着丧失(attachment loss,AL)、出血指数(bleeding index,BI)。应用Review Manager 5.4和Stata12.0软件进行Meta分析。结果 共检索到文献111篇,经筛选后纳入5篇定量研究。Meta分析结果显示,对4 mm ≤ PD<6 mm的位点,治疗后3个月与6个月,内窥镜辅助组与单纯SRP组间的PD值均无显著性差异(P>0.05);PD ≥ 6 mm的位点在治疗后3个月与6个月,各位点内窥镜辅助组PD值较单纯SRP组更小,两组差异均有统计学意义(P<0.05),而两组间的PLI、AL、BI无显著性差异(P>0.05)。结论 辅助使用内窥镜与单纯SRP相比,在深牙周袋(PD ≥ 6 mm)患者中具有更好地减小PD的作用,但对于PLI、AL、BI等临床指标,两种方法治疗效果无差异。

关键词: 内窥镜, 牙周炎, 龈下刮治, 根面平整术, 菌斑指数, 探诊深度, 附着丧失, 出血指数, 随机对照试验, Meta分析, 系统评价

Abstract:

Objective To evaluate the clinical effect of endoscopic-assisted subgingival scaling and root planning (SRP) in the treatment of periodontitis. Methods PubMed, EMBASE, The Cochrane Library, Web of Science, CNKI, WanFang Data, and VIP databases were searched for randomized controlled trials (RCTs) related to endoscopy-assisted SRP. The search time limit was from the establishment of the database to September 15, 2021. The outcome indicators included in the study included the plaque index (PLI), probing depth (PD), attachment loss (AL), and bleeding index (BI). Review Manager 5.4 and Stata 12.0 software were used for the meta-analysis. Results A total of 111 studies were retrieved, and 5 quantitative studies were included after screening. Meta-analysis showed that for sites with 4 mm ≤ PD < 6 mm, 3 and 6 months after treatment, there was no significant difference in the PD value between the endoscope assisted group and the simple SRP group (P > 0.05); for sites with PD ≥ 6 mm, the PD value of the endoscope assisted group was smaller than that of the simple SRP group 3 and 6 months after treatment. The difference between the two groups was statistically significant (P < 0.05), but there was no significant difference in PLI, Al or BI between the two groups (P > 0.05). Conclusion Compared with simple SRP, the auxiliary use of endoscopy has a better effect on reducing PD in deep periodontal pockets (PD ≥ 6 mm). However, for clinical indicators such as PLI, AL, and BI, there was no difference between the therapeutic effects of the two methods.

Key words: endoscopy, periodontitis, subgingival scaling, root planning, plaque index, probing depth, attachment loss, bleeding index, randomized controlled trials, Meta analysis, systematic review

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