Efficacy and safety of erythritol air-polishing in implant dentistry: A systematic review.

IF 1.6 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE International journal of dental hygiene Pub Date : 2024-06-02 DOI:10.1111/idh.12836
F Delucchi, L Ingegnieros, P Pesce, D Baldi, L Canullo, F Bagnasco, P Zunino, M Menini
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Abstract

Objectives: Professional oral hygiene is essential to prevent peri-implant disease. Appropriate instruments should be employed for implant-supported restorations: they should effectively remove deposits without damaging dental implant surface. The aim of the present systematic review is to investigate the efficacy and safety of erythritol air-polishing in implant-supported rehabilitations, compared to alternative hygienic techniques.

Materials and methods: The guidelines reported in the indications of the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) were employed for this systematic review. The focused question was: 'what is the effect of erythritol air-polishing on dental implant surfaces regarding its cleansing efficacy and/or safety?' The final online search was conducted on 13 August 2023; MEDLINE-PubMed, Scopus and Cochrane Library were employed. Comparative in vitro or in vivo original studies were included.

Results: The initial database search yielded 128 entries; the final selection comprised 15 articles. The risk of bias was evaluated using the Newcastle Ottawa scale (NOS), the Cochrane Handbook for Systematic Reviews of Interventions, GRADE method. Ultrasonic scaling with PEEK tips, glycine air-polishing and cold atmospheric plasma were the devices most frequently compared to erythritol powder in the included studies. Erythritol air-polishing appeared to be significantly more effective in reducing biofilm compared to other treatments, without causing any significant damage to the implant surface and peri-implant tissues, promoting a good biological response.

Conclusion: Erythritol air-polishing showed promising results for professional oral hygiene in implant-supported restorations. According to this systematic review, it is effective and safe for removing biofilm from titanium dental implants.

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赤藓糖醇空气抛光在种植牙治疗中的有效性和安全性:系统综述。
目的:专业的口腔卫生对预防种植体周围疾病至关重要。对于种植体支持的修复体应使用适当的器械:它们应能有效去除沉积物而不损伤种植体表面。本系统综述旨在研究赤藓糖醇空气抛光与其他卫生技术相比,在种植体支持修复中的有效性和安全性:本系统综述采用了《系统综述和元分析首选报告项目》(PRISMA)中的指南。重点问题是:"赤藓糖醇空气抛光对牙科种植体表面的清洁效果和/或安全性有何影响?最终的在线检索于 2023 年 8 月 13 日进行;采用了 MEDLINE-PubMed、Scopus 和 Cochrane Library。结果:结果:最初的数据库搜索结果为 128 篇文章,最终筛选出 15 篇文章。采用纽卡斯尔-渥太华量表(NOS)、《科克伦干预措施系统综述手册》和 GRADE 方法对偏倚风险进行了评估。在纳入的研究中,使用 PEEK 尖端的超声波洁牙、甘氨酸空气抛光和冷大气等离子体是最常与赤藓糖醇粉末进行比较的设备。与其他治疗方法相比,赤藓糖醇气溶胶似乎在减少生物膜方面更有效,而且不会对种植体表面和种植体周围组织造成任何明显损伤,促进了良好的生物反应:赤藓糖醇空气抛光在种植体支持修复体的专业口腔卫生方面显示出良好的效果。根据本系统综述,赤藓糖醇空气抛光剂能有效、安全地去除钛种植体上的生物膜。
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来源期刊
International journal of dental hygiene
International journal of dental hygiene DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
4.00
自引率
8.30%
发文量
78
审稿时长
>12 weeks
期刊介绍: International Journal of Dental Hygiene is the official scientific peer-reviewed journal of the International Federation of Dental Hygienists (IFDH). The journal brings the latest scientific news, high quality commissioned reviews as well as clinical, professional and educational developmental and legislative news to the profession world-wide. Thus, it acts as a forum for exchange of relevant information and enhancement of the profession with the purpose of promoting oral health for patients and communities. The aim of the International Journal of Dental Hygiene is to provide a forum for exchange of scientific knowledge in the field of oral health and dental hygiene. A further aim is to support and facilitate the application of new knowledge into clinical practice. The journal welcomes original research, reviews and case reports as well as clinical, professional, educational and legislative news to the profession world-wide.
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