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Use of chlorhexidine chip after scaling and root planning on periodontal disease: A systematic review and meta-analysis

机译:在牙周病缩放和根刨后使用氯己定芯片:系统评价和荟萃分析

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ObjectiveThis systematic review aims to assess the efficacy chlorhexidine chip as an adjunctive therapy of scaling and root planning on periodontal disease treatment.Material and methodsThis study follow the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines (PRISMA) and was registered in the PROSPERO database (CRD42019148221). The search was performed in PubMed/MEDLINE, Scopus, and Cochrane databases until April 2020. The PICO question was: “Is the chlorhexidine chip (CHX) effective as an adjunctive therapy of scaling and root planning on periodontal disease treatment?”. Inclusion criteria involved: randomized controlled clinical trials, with a minimum of 15 patients included on the sample and each patient has two sites of probing depth of ≥5?mm; The minimum follow up was at least 1?months of follow-up and the outcomes present in the studies probing depth (PD), plaque index (PI) and clinical attachment level (CAL) after scaling and root planning (SRP).ResultsAfter searching the databases, 13 articles were selected for qualitative and 8 for quantitative analysis. Were included 427 patients, with a mean age of 45.6?years. The results shown that the association of chlorhexidine chips to scaling and root planning reduce periodontal pocket depths (P?
机译:客观的系统审查旨在评估疗效氯己定芯片作为牙周病治疗的缩放和根本规​​划的辅助治疗。材料和方法研究遵循最优惠的报告项目,用于系统评价和荟萃分析指南(PRISMA),并在Prospero中注册数据库(CRD42019148221)。该搜索是在PubMed / Medline,Scopus和Cochrane数据库中进行的,直到4月202020年。微微问题是:“氯己定芯片(CHX)是牙周病治疗缩放和根本规​​划的辅助治疗吗?”。涉及纳入标准:随机对照临床试验,采样中最少包括15名患者,每位患者有两个探测深度≥5Ω·毫米的位置;最小后续的后续至少是1?几个月的后续行动以及在缩放和根部规划后的研究探测深度(PD),斑块指数(PI)和临床附着级别(CAL)中存在的结果(SRP).Resultsafter搜索为定性和8选择了数据库,13篇文章进行定量分析。包括427名患者,平均年龄为45.6岁?年。结果表明,氯己定芯片与缩放和根部规划的关联减少了牙周袋深度(P?<〜0.00001; MD?0.77 [CI吗?1.0至0.55]; I2?=?23%,P?=?0.24) ,在临床附着水平上获得(p?<?0.0001; MD?0.57 [0.86至0.86至0.27]; I2?= 33%,p?= 0.18p?<?0.0001),减少斑块指数( p?=?0.04; md?0.23 [ci吗?0.45至约0.45至0.45]; I2?= 91%,p?<?0.00001)。结论,我们可以得出结论,与缩放和根本规​​划相关联时,氯己定芯片促进了显着改善牙周病的减少。

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