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《Journal of Evidence》2019,19(2):131-139
ObjectivesThe aims of this article are to identify all the published systematic reviews (SRs) and meta-analyses (MAs) that studied the relationship between periodontal and systemic diseases and to assess their quality using 2 scales (the Overview Quality Assessment Questionnaire [OQAQ] and A Measurement Tool to Assess Systematic Reviews [AMSTAR] checklist).MethodsFor SRs and MAs to be included, they should have investigated one of the following systemic diseases: pulmonary conditions, cardiac conditions, endocrine conditions, cancer, blood disorders, psychological conditions, anxiety, depression, mood disorders, and several other diseases. Two investigators screened MEDLINE via PubMed, Embase, Scopus, Web of Science, and the Cochrane Database of Systematic Reviews. The tools used to evaluate quality were the AMSTAR scale and OQAQ. The protocol was prospectively registered in PROSPERO (CRD42018102208).ResultsThe search strategy found 691 unique articles, 42 of which met the eligibility criteria and were included in this review. Diabetes mellitus was the most investigated disease (14 out of 42 studies), followed by obesity (11 studies) and cardiovascular diseases (5 studies). A total of 40 reviews reported on the characteristics of included studies, and, as per the AMSTAR scale, 39 reviews had an a priori design. The number of reviews that fulfilled the status of publication criterion was the lowest (7 reviews only), followed by the number used in the assessment of publication bias (11 reviews). The number of high-quality reviews was higher with the OQAQ than with the AMSTAR checklist (33 vs 25 studies), but the AMSTAR showed a higher number of medium-quality reviews than the OQAQ (14 vs 6 studies). Both showed the same number of low-quality reviews.ConclusionsHigh-quality SRs and MAs are crucial to understanding the relationship between systemic and periodontal diseases. Medical practitioners must be able to inform patients about oral health and specific periodontal health concerns. 相似文献
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《Journal of prosthodontic research》2019,63(3):354-360
PurposeTo investigated the effect of vibratory stimulus on masseter muscles during oral fine motor biting tasks.MethodsSixteen healthy individuals (age: 24.5 ± 2.4 years) participated in experiment I during which the participants were asked to “hold and split” half a roasted peanut placed on a force transducer with their front teeth. The participant performed ten series with ten trials of the “hold and split” behavioral task while vibratory stimulus was applied on the masseter muscle every alternate series. Further, fourteen participants participated (age: 25.2 ± 4.8 years) in experiment II during which they performed a series each of the behavioral task at baseline, an adjusted baseline without and with vibration as well as with and without visual feedback. Hold and split forces along with the variability of hold force and duration and force rate during the split were measured.ResultsThe results of the study showed an increase in the magnitude of the hold force (P = 0.002), force rate during the split (P < 0.001) and a significant decrease in the duration of split (P < 0.001) due to the vibratory stimulus. However, there was no significant effect of the vibratory stimulus on the variability of hold forces (P = 0.879) or mean split force (P = 0.683) during the “hold and split” behavioral task. The results of experiment II also showed an increase in hold force due to the vibratory stimulus (P < 0.001).ConclusionsVibratory stimulus to the masseter muscles impairs the oral force control during a standardized biting task and provide further insight into the sensorimotor regulation of the masticatory system. 相似文献
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目的 探讨血流动力学检测在老年性牙周病患者中的价值。方法 采用R8Oa锥板旋转式血粘度测试仪 ,测定老年性牙周病患者的血流动力学指标。结果 老年性牙周病患者的血流动力学指标与正常对照组差异有显著性 (P <0 .0 5 ~ 0 .0 0 1)。全血低切粘度、全血低切还原粘度、全血低切相对粘度极显著高于正常对照组 ;全血中切粘度、卡松粘度、红细胞刚性指数、红细胞聚集指数 ,差异有高度显著性 ;红细胞压积、纤维蛋白原、全血高切粘度差异也存在着显著性。然而 ,全血高切还原粘度、血浆粘度、红细胞变形指数虽也增高 ,但无统计学差异 (P>0 .0 5 )。结论 老年性牙周病患者的病程中存在着严重的血流动力学改变。 相似文献
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Christopher J. Holmgren Esmonde F. Corbet L. P. Lim 《Community dentistry and oral epidemiology》1994,22(5):396-402
Abstract The aim of this study was to describe the periodontal conditions in 372 35–44-yr-old and 537 noninstitutionalized 65–74-yr-old Hong Kong Chinese who were examined clinically for loss of attachment, recession, probing depth, calculus, and bleeding after probing. Community Periodontal Index (CPI) data and treatment need indications were compiled from index teeth or their substitutes. The prevalence of loss of attachment varied considerably in both cohorts according to the definition of the threshold (≥6, ≥9, and ≥12 mm, respectively). The mean numbers of teeth with loss of attachment at the ≥6-mm threshold and at higher thresholds were small. In both age cohorts, about one-fifth of subjects had probing depths ≥6-mm, while al the ≥9-mm threshold only 2–3% were so affected. Although recession was an important component of loss of attachment in the younger cohort, in the older cohort the prevalence and extent of recession were greater than for probing depths at thresholds ≥4 mm. All subjects had one or more teeth with calculus, bleeding, or both, most teeth being so affected. Eighty-four of the 537 65–74-yr-old subjects were excluded either because of edentulousness or because extractions indicated for the remaining teeth would have rendered the subjects edentulous. The distribution of subjects according to their highest CPI score was remarkably similar for the two cohorts. No subjects in either age group were assessed as “healthy” (CPI code 0) or had “bleeding only” (code 1) as their highest score. While most subjects scored CPI code 2 or 3 us their highest score, only 17% of the younger and 15% of the older cohort scored Community Periodontal Index of Treatment Needs (CPITN) code 4. Differences in the mean number of sextants affected by CPI codes between the two cohorts were mainly due to a greater number of excluded sextants in the older cohort. CPI findings for 35–44-yr-olds differed little from those reported in 1984. 相似文献
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目的评价不同治疗方法对慢性牙周炎的临床效果。方法对90例慢性牙周炎患者,随机分成三组:龈上洁治术 抗生素组(A组),单纯龈上洁治术组(B组)和单纯抗生素组(C组)。分别给予不同的治疗,在治疗后1周、2周和4周记录牙周袋探诊深度(PPD)、探诊附着水平(PAL)、菌斑指数(PLI)、龈沟出血指数(SBI)。结果治疗1周和2周后各指标显著减轻(P<0.05),2周比1周减轻更明显(P<0.05),4周与2周比较无明显差异(P>0.05),A组各指标减轻比B组显著(P<0.05);B组比C组疗效显著(P<0.05)。结论A组作用优于B组(P<0.05),B组优于C组(P<0.05)。 相似文献
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Carlos Heitor Cunha Moreira Fabricio Batistin Zanatta Raquel Antoniazzi Priscila Ceolin Meneguetti Cassiano Kuchenbecker R?sing 《Journal of applied oral science : revista FOB》2007,15(5):437-441
When dealing with patients with periodontal disease of variable severities, dentists must often choose between treating and restoring the involved tooth or indicating its extraction. Different criteria have been adopted in this decision-making process. The purpose of this study was to evaluate the criteria adopted by dentists to indicate the extraction of teeth with periodontitis. Dentists were interviewed at their private practices in three cities of the state of Rio Grande do Sul, Brazil. The evaluated criteria included severity of attachment loss, tooth mobility, furcation involvement, prosthetic planning, periodontal-endodontic lesion, possible systemic involvement due to the presence of periodontitis, referral to a periodontist for evaluation, radiographic bone loss greater than 50%, presence of extensive caries, socio-economic and cultural status of the patient, among others. The most often adopted criteria to indicate the extraction of periodontally affected teeth were the presence of mobility (37.5%), severity of attachment loss (24.3%) and radiographic bone loss greater than 50% (21.2%). The results of the present study demonstrated the difficulties faced by dentists to indicate the extraction of teeth with severe attachment loss, in addition to the establishment of an adequate prognosis. Aspects associated with the past disease were still the most often reported to indicate the extraction of teeth for periodontal reasons. 相似文献
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目的 探讨一种新的暂时性关腹方法一真空敷料装置的临床应用。方法 用聚丙烯薄膜、手术巾、塑料黏贴膜和引流管等构建真空敷料装置。记录使用此装置患者的各种临床资料和并发症。结果 有13例患者共使用真空包扎15次进行暂时性关腹,其中5次(33.3%)是因为腹内压增高无法获得无张力的筋膜对合,4次(26.7%)是为了再次手术探查,2次(13.3%)是因为损伤控制,4次(26.7%)是上述多个因素的联合。7例(53.8%)患者最终完成腹壁全层对合关闭,5例(38.5%)患者无法直接对合腹壁缺损,最后行创面断层皮片植皮;3例(23.1%)患者出现腹腔内脓肿,无1例出现消化道瘘,无内脏脱出。1例(7.7%)在试图关腹之前死亡,与真空包扎无关。结论 真空包扎可使患者获得直接腹壁肌肉筋膜层关闭,并发症发生率低、易于掌握,是一种较好的暂时性关腹方法。 相似文献
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目的 探索一种无创性的牙龈出血检测方法--龈沟液隐血试验(GCFobt),并分析牙龈出血与微生物之间的内在联系。方法 用隐血试纸进行102例唾液标本的唾液隐血(Sobt)检查,1600个位点的GCFobt、牙龈出血指数(SBI)、探诊深度(PD)检测,分别对79、32个龈下细菌标本作涂片检查和厌氧培养,分析临床指数与龈下细菌的关系。结果 GCFobt具较高灵敏度(68.05)和特异度(80.5%),较Sobt更能说明局部牙周炎症状况,与SBI有非常显著相关关系(P<0.001);GCFobt阳性与阴性部位螺旋体、杆菌、球菌百分含量有非常显著差异(P<0.001);在0与3之间黑色菌检出率有非常显著差异(P<0.01),在0与2、3之间梭杆菌检出率有显著差异(P<0.05)。结论 GCFobt是一种快速、简便、无创伤的检测牙龈出血新方法,可以作为牙周病临床检查的一项客观指标。 相似文献