Soft and hard tissue changes after photodynamic therapy in aggressive periodontitis: A systematic review and meta-analysis

IF 0.4 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Journal of Indian Academy of Oral Medicine and Radiology Pub Date : 2023-07-01 DOI:10.4103/jiaomr.jiaomr_81_23
Srushti Dhande, S. Rathod, P. Bawankar, A. Kolte, Palak Kasliwal
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Abstract

In the nonsurgical therapy of periodontal disease, scaling and root planing (SRP) is the gold standard. Bacterial recolonization occurs from the residual subgingival plaque or from other oral contaminants. To avoid bacterial recolonization, regular periodontal care is essential, as well as the inclusion of coadjutants and active debridement, including such antibiotic therapy and photodynamic therapy. Therefore, the aim of this systematic review and meta-analysis is to evaluate periodontal tissue changes after photodynamic therapy in aggressive periodontitis. An electronic search was conducted on PubMed/ MEDLINE, GOOGLE SCHOLAR, and HAND SEARCH of a reference list of archived articles published from January 2015 to August 2018. After thorough scrutiny, five studies assessing clinical attachment level (CAL) and probing pocket depth (PPD) were considered for the meta-analysis. Using fixed and random effect models, the standardized mean differences (SMDs) were calculated. Results of the fixed and random-effect models had slightly distinct estimates of SMD of CAL, both models resulted in positive and significant treatment effects. The fixed effect was slightly different and positive for PPD (SMD = 0.843, 95 percent CI = 0.510 to 1.176, P = 0.001, significant), while random effects were somewhat different and positive for PPD (SMD = 1.227, 95 percent CI = -0.129 to 2.582, P = 0.076, not significant). Because of heterogeneity, one model indicated substantial treatment effects for PPD, whereas another model showed non-significant treatment effects. Hence, the results concluded the beneficial effects of photodynamic therapy in aggressive periodontitis.
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侵袭性牙周炎光动力疗法后软组织和硬组织的变化:系统回顾与荟萃分析
在牙周病的非手术治疗中,洗牙和根面平整(SRP)是金标准。细菌会从残留的龈下菌斑或其他口腔污染物中重新定殖。为避免细菌再定植,必须定期进行牙周护理,并使用辅助药物和积极的清创疗法,包括抗生素疗法和光动力疗法。因此,本系统综述和荟萃分析旨在评估侵袭性牙周炎患者接受光动力疗法后牙周组织的变化。我们在PubMed/ MEDLINE、GOOGLE SCHOLAR上进行了电子检索,并对2015年1月至2018年8月期间发表的存档文章的参考文献列表进行了HAND SEARCH检索。经过全面审查,考虑对评估临床附着水平(CAL)和探诊袋深度(PPD)的五项研究进行荟萃分析。采用固定效应和随机效应模型,计算了标准化平均差(SMD)。固定效应模型和随机效应模型对 CAL SMD 的估计结果略有不同,但两个模型都得出了积极而显著的治疗效果。对 PPD 而言,固定效应略有不同且为正效应(SMD = 0.843,95% CI = 0.510 至 1.176,P = 0.001,显著),而对 PPD 而言,随机效应略有不同且为正效应(SMD = 1.227,95% CI = -0.129 至 2.582,P = 0.076,不显著)。由于存在异质性,一个模型显示对 PPD 的治疗效果显著,而另一个模型则显示治疗效果不显著。因此,研究结果表明光动力疗法对侵袭性牙周炎有益。
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来源期刊
Journal of Indian Academy of Oral Medicine and Radiology
Journal of Indian Academy of Oral Medicine and Radiology DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
0.50
自引率
0.00%
发文量
31
审稿时长
32 weeks
期刊介绍: Journal of Indian Academy of Oral Medicine and Radiology (JIAOMR) (ISSN: Print - 0972-1363, Online - 0975-1572), an official publication of the Indian Academy of Oral Medicine and Radiology (IAOMR), is a peer-reviewed journal, published Quarterly , both in the form of hard copies (print version) as well as on the web (electronic version). The journal’s full text is available online at http://www.jiaomr.in. The journal allows free access (open access) to its contents and permits authors to self-archive final accepted version of the articles on any OAI-compliant institutional / subject-based repository.
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