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Statement of Purpose/Levels of Evidence 目的陈述/证据水平
IF 4.1 4区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-07-25 DOI: 10.1016/S1532-3382(25)00094-6
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引用次数: 0
FLUORIDE APPEARS EFFECTIVE AGAINST RADIATION CARIES, BUT MORE RIGOROUS TRIALS ARE NEEDED 氟化物似乎对放射性龋齿有效,但还需要更严格的试验
IF 4.1 4区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-07-03 DOI: 10.1016/j.jebdp.2025.102174
Linda L. Cheng (Reviewer)

Article Title and Bibliographic Information

Luka B, Fiedler A, Ganss C, Soetedjo V, Vach K, Schlueter N. PREVENTING CARIES AFTER RADIOTHERAPY TO THE HEAD AND NECK REGION - A SYSTEMATIC REVIEW. J Evid Based Dent Pract. 2024;24(3):101989. doi:10.1016/j.jebdp.2024.101989.

Source of Funding

The Department of Operative Dentistry and Periodontology, Center for Dental Medicine, Medical Center—University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.

Type of Study/Design

Systematic review

Conflict of interest

The authors declare no conflicts of interest.
luka B, Fiedler A, Ganss C, Soetedjo V, Vach K, Schlueter N.头颈部放疗后预防龋齿的系统综述。[J] .中文信息学报,2014;24(3):101989。doi: 10.1016 / j.jebdp.2024.101989。经费来源:德国弗莱堡大学医学院,弗莱堡医学中心,牙科医学中心,牙外科和牙周病学系。研究类型/设计系统综述利益冲突作者声明无利益冲突。
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引用次数: 0
MAXILLARY EXPANSION MAY NOT LEAD TO SIGNIFICANT SAGITTAL EFFECTS IN GROWING CLASS II PATIENTS 在生长中的ii类患者中,上颌扩张可能不会导致显著的矢状面效应
IF 4 4区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-06-18 DOI: 10.1016/j.jebdp.2025.102173
XIAOJIN WU (Reviewers), WEI LU, FANG HUA

Article Title and Bibliographic Information

Impact of maxillary expansion on the sagittal skeletal and dental parameters of growing Class II patients: A systematic review with meta-analysis. Cannatà D, Galdi M, Scelza C, Simeon V, Giordano F, Martina S. Orthod Craniofac Res. 2025 Feb;28(1):116-132.

Source of Funding

None.

Type of Study/Design

Systematic review with meta-analysis
上颌扩张对生长II类患者矢状面骨骼和牙齿参数的影响:一项系统综述和荟萃分析。张建军,张建军,李建军,等。颅脑外科杂志[j] .中华外科杂志,2015,28(1):116-132。资金来源无。研究类型/设计:采用荟萃分析的系统评价
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引用次数: 0
THE ASSOCIATION BETWEEN PERIODONTAL DISEASE AND STROKE RISK: A SYSTEMATIC REVIEW AND META-ANALYSIS 牙周病和中风风险之间的关系:一项系统回顾和荟萃分析
IF 4.1 4区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-06-18 DOI: 10.1016/j.jebdp.2025.102172
YUQING ZHANG , CE BIAN , CHAORAN YU , MENGYAO ZHU , MICHAEL D. WEIR , HOCKIN H.K. XU , YUXING BAI , NING ZHANG

Objective

The prevention of stroke is of paramount importance, and periodontal disease may play an important role in this process. This study aims to evaluate the association between periodontal disease and stroke risk.

Methods

The study was conducted in accordance with the PRISMA 2020 guidelines. We comprehensively searched PubMed, EMBASE, Scopus, Web of Science, and the Cochrane Library from inception to December 2024 to identify relevant studies. Quality assessment was conducted using both the original and modified versions of the Newcastle-Ottawa Scale as appropriate. Data such as sample size, region, age, and gender of participants were extracted. Odds ratios (OR) were pooled using a random-effects model, and 95% confidence intervals (CI) were calculated. Sensitivity analysis, cumulative meta-analysis, multiple subgroup analyses, and publication bias assessments were also performed to assess the stability of the results.

Results

A total of 36 studies, including 7,665,431 participants, were included in the meta-analysis, consisting of 20 cohort studies, 9 case-control studies, and 7 cross-sectional studies. The findings indicate that individuals with periodontal disease have a significantly higher risk of stroke compared to the healthy population (OR: 1.724, 95% CI: 1.481-2.008). This conclusion holds across different regions, genders, and age groups. Periodontitis patients exhibited a higher risk of stroke compared to those with gingivitis (OR: 2.008 vs 1.673), and the risk of ischemic stroke was higher in individuals with periodontal disease than the risk of hemorrhagic stroke (OR: 1.846 vs 1.476). Sensitivity analysis, cumulative meta-analysis, and publication bias detection further confirm that the conclusion remains stable (Egger’s tests, P = .280 and Begg’s tests P = .703), even after imputing missing studies using the trim-and-fill method. Meta-regression analysis suggested that age may contribute to the heterogeneity observed in the studies.

Conclusions

Periodontal disease has been identified as an independent risk factor for stroke. Regular and effective dental biofilm control may help reduce the risk of stroke in patients with periodontal disease. The underlying mechanisms by which periodontal disease increases stroke risk warrant further investigation.
目的预防脑卒中至关重要,牙周病可能在卒中预防中起重要作用。本研究旨在评估牙周病与中风风险之间的关系。方法本研究按照PRISMA 2020指南进行。我们全面检索了PubMed、EMBASE、Scopus、Web of Science和Cochrane Library从成立到2024年12月的相关研究。根据情况,使用纽卡斯尔-渥太华量表的原始版本和修改版本进行质量评估。提取了参与者的样本量、地区、年龄和性别等数据。使用随机效应模型合并优势比(OR),并计算95%置信区间(CI)。还进行敏感性分析、累积荟萃分析、多亚组分析和发表偏倚评估来评估结果的稳定性。结果meta分析共纳入36项研究,包括20项队列研究、9项病例对照研究和7项横断面研究,共计7665431名受试者。研究结果表明,与健康人群相比,牙周病患者中风的风险明显更高(OR: 1.724, 95% CI: 1.481-2.008)。这一结论适用于不同的地区、性别和年龄组。与牙龈炎患者相比,牙周炎患者卒中的风险更高(OR: 2.008 vs 1.673),牙周病患者缺血性卒中的风险高于出血性卒中的风险(OR: 1.846 vs 1.476)。敏感性分析、累积荟萃分析和发表偏倚检测进一步证实结论保持稳定(Egger检验,P = )。280和Begg的检验P = .703),即使在使用修剪填充方法输入缺失的研究之后。荟萃回归分析表明,年龄可能导致研究中观察到的异质性。结论牙周病是脑卒中的独立危险因素。定期和有效的牙齿生物膜控制可能有助于降低牙周病患者中风的风险。牙周病增加中风风险的潜在机制值得进一步研究。
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引用次数: 0
ASSOCIATION OF DNA METHYLATION AND ORAL CANCER RISK: A SYSTEMATIC REVIEW AND META-ANALYSIS DNA甲基化与口腔癌风险的关联:一项系统综述和荟萃分析
IF 4.1 4区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-06-16 DOI: 10.1016/j.jebdp.2025.102169
Óscar Rapado-González , Cristina Isabel Sevilla-García , Juan Pizcueta-Leirós , Ángel Salgado-Barreira , María Piñeiro-Lamas , Félix De Carlos-Villafranca , Rafael López-López , María Mercedes Suárez-Cunqueiro

Background

DNA promoter methylation is one of the main epigenetic mechanisms of silencing of tumor-suppressor genes in cancer. Accumulating scientific evidence has shown various genes with aberrant DNA methylation in oral cancer (OC), however, the magnitude of the association between DNA methylation and OC risk remains controversial.

Objective

To evaluate the overall and specific impact of DNA promoter methylation on the risk of OC development.

Material and methods

PubMed, EMBASE, Web of Science, and the Cochrane Library were searched for eligible studies. The Newcastle-Ottawa Scale (NOS) was used to evaluate the methodological quality of the included studies with a case-control design. The pooled odds ratios (ORs) and 95% confidence intervals (CIs) were calculated to estimate the strength of the associations with R software; and Egger’s test was used to detect publication bias.

Results

A total of 41 studies including 4218 OC patients and 3478 noncancer controls were included in the meta-analysis. Overall, a significant association was found between DNA promoter methylation and OC risk (OR = 5.83, 95% CI 4.14-8.20; P < .001). In addition, the pooled ORs showed a significant association between specific tumor-related genes and OC risk: p16 (5.77; 95% CI 3.95-8.45; P < .001), ECAD (4.47; 95% CI 2.77-7.21; P < .001), MGMT (3.85; 95% CI 2.48-5.97; P < .001), DAPK (5.58; 95% CI 2.14-14.56; P < .001), hMLH1 (10.48; 95% CI 1.04-106.1; P = .047), p14 (3.21; 95% CI 1.78-5.78; P < .001), and p15 (5.02; 95% CI 2.76-9.12; P < .001).

Conclusion

A significant overall association was found between gene promoter methylation and OC risk. Specifically, the promoter methylation of p16, ECAD, MGMT, DAPK, hMLH1, p15, and p14 displayed a significant role in oral carcinogenesis, acting as promising biomarkers for OC prediction and prognosis.
dna启动子甲基化是肿瘤抑制基因沉默的主要表观遗传机制之一。越来越多的科学证据表明,口腔癌(OC)中存在多种异常DNA甲基化基因,然而,DNA甲基化与OC风险之间的关联程度仍存在争议。目的评价DNA启动子甲基化对卵巢癌发生风险的总体和特异性影响。材料和方法检索spubmed、EMBASE、Web of Science和Cochrane Library,寻找符合条件的研究。采用纽卡斯尔-渥太华量表(NOS)评价纳入研究的方法学质量,采用病例对照设计。用R软件计算合并优势比(or)和95%置信区间(ci)来估计相关性的强度;用Egger检验来检测发表偏倚。结果共纳入41项研究,包括4218例OC患者和3478例非癌对照。总体而言,DNA启动子甲基化与OC风险之间存在显著关联(OR = 5.83,95% CI 4.14-8.20;P & lt;措施)。此外,合并的or显示特定肿瘤相关基因与OC风险之间存在显著关联:p16 (5.77;95% ci 3.95-8.45;P & lt;.001), ecad (4.47;95% ci 2.77-7.21;P & lt;.001), MGMT (3.85;95% ci 2.48-5.97;P & lt;.001), dapk (5.58;95% ci 2.14-14.56;P & lt;.001), hMLH1 (10.48;95% ci 1.04-106.1;P = .047),p14 (3.21;95% ci 1.78-5.78;P & lt;.001), p15 (5.02;95% ci 2.76-9.12;P & lt;措施)。结论基因启动子甲基化与卵巢癌风险存在显著的整体相关性。具体而言,p16、ECAD、MGMT、DAPK、hMLH1、p15和p14的启动子甲基化在口腔癌发生中发挥了重要作用,是预测OC和预后的有希望的生物标志物。
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引用次数: 0
AWAKE BRUXISM PREVALENCE ACROSS POPULATIONS: A SYSTEMATIC REVIEW AND META-ANALYSIS 醒磨牙症在人群中的患病率:系统回顾和荟萃分析
IF 4.1 4区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-06-09 DOI: 10.1016/j.jebdp.2025.102171
NIKOLA STANISIC , OVIDIU IONUT SARACUTU , ANNA COLONNA , WENDY WU , DANIELE MANFREDINI , BIRGITTA HÄGGMAN-HENRIKSON

Objectives

Bruxism significantly affects oral health, with consequences such as tooth wear and restoration failures. Additionally, it is linked to various risk factors and co-occurring disorders. Unlike sleep bruxism, awake bruxism (AB) is more strongly associated with psychosocial factors. This review aimed to evaluate the prevalence of AB in the general population and specific subpopulations.

Methods

The review followed PRISMA guidelines and was registered in PROSPERO (CRD42023398868). A literature search in PubMed, Scopus, and Web of Science until April 8, 2025 identified studies that fulfilled the inclusion criteria of reporting AB prevalence in adult populations. Risk of bias was assessed with Joanna Briggs Institute Prevalence Critical Appraisal Tool and a random-effects meta-analysis determined prevalence in various subpopulations.

Results

The search yielded 8,818 records, with 5,408 abstracts screened after duplicate removal. Of these, 4,473 were excluded. Full-text assessment led to the exclusion of 843 articles that did not meet inclusion criteria. A hand search identified 5 additional studies. Ultimately, 94 studies involving 49,163 individuals were included, with 66 studies (39,823 individuals) analyzed in the meta-analysis. In the general population, self-reported “possible” AB had a mean prevalence of 25.9% (95% CI 22.2-29.9), and clinically based “probable” AB 16.0% (95% CI 10.0-24.5). Prevalence was significantly higher in specific subpopulations, such as individuals with temporomandibular disorders (50.0%, 95% CI 41.1-58.9) and systemic conditions (40.1%, 95% CI 31.4-49.5). Risk of bias was mainly related to assessment of AB.

Conclusions

The variability between subpopulations highlights the importance of considering patient-specific factors and a targeted clinical approach in AB management.
目的磨牙严重影响口腔健康,导致牙齿磨损和修复失败。此外,它还与各种危险因素和共同发生的疾病有关。与睡眠磨牙症不同,清醒磨牙症(AB)与社会心理因素的关系更密切。本综述旨在评估AB在普通人群和特定亚人群中的患病率。方法该综述遵循PRISMA指南,在PROSPERO注册(CRD42023398868)。在PubMed、Scopus和Web of Science进行文献检索,直到2025年4月8日,确定了符合报告成人AB患病率纳入标准的研究。采用乔安娜布里格斯研究所流行关键评估工具评估偏倚风险,并采用随机效应荟萃分析确定不同亚群的流行程度。结果共检索到8818条记录,剔除重复后筛选出5408条摘要。其中,4473人被排除在外。全文评估导致843篇不符合纳入标准的文章被排除。手工搜索确定了另外5项研究。最终,纳入了94项研究,涉及49,163人,其中66项研究(39,823人)在荟萃分析中进行了分析。在一般人群中,自我报告的“可能”AB的平均患病率为25.9% (95% CI为22.2-29.9),而基于临床的“可能”AB的平均患病率为16.0% (95% CI为10.0-24.5)。在特定亚群中患病率明显更高,例如患有颞下颌疾病(50.0%,95% CI 41.1-58.9)和全身性疾病(40.1%,95% CI 31.4-49.5)的个体。偏倚风险主要与AB的评估有关。结论亚人群之间的差异强调了在AB管理中考虑患者特异性因素和有针对性的临床方法的重要性。
{"title":"AWAKE BRUXISM PREVALENCE ACROSS POPULATIONS: A SYSTEMATIC REVIEW AND META-ANALYSIS","authors":"NIKOLA STANISIC ,&nbsp;OVIDIU IONUT SARACUTU ,&nbsp;ANNA COLONNA ,&nbsp;WENDY WU ,&nbsp;DANIELE MANFREDINI ,&nbsp;BIRGITTA HÄGGMAN-HENRIKSON","doi":"10.1016/j.jebdp.2025.102171","DOIUrl":"10.1016/j.jebdp.2025.102171","url":null,"abstract":"<div><h3>Objectives</h3><div>Bruxism significantly affects oral health, with consequences such as tooth wear and restoration failures. Additionally, it is linked to various risk factors and co-occurring disorders. Unlike sleep bruxism, awake bruxism (AB) is more strongly associated with psychosocial factors. This review aimed to evaluate the prevalence of AB in the general population and specific subpopulations.</div></div><div><h3>Methods</h3><div>The review followed PRISMA guidelines and was registered in PROSPERO (CRD42023398868). A literature search in PubMed, Scopus, and Web of Science until April 8, 2025 identified studies that fulfilled the inclusion criteria of reporting AB prevalence in adult populations. Risk of bias was assessed with Joanna Briggs Institute Prevalence Critical Appraisal Tool and a random-effects meta-analysis determined prevalence in various subpopulations.</div></div><div><h3>Results</h3><div>The search yielded 8,818 records, with 5,408 abstracts screened after duplicate removal. Of these, 4,473 were excluded. Full-text assessment led to the exclusion of 843 articles that did not meet inclusion criteria. A hand search identified 5 additional studies. Ultimately, 94 studies involving 49,163 individuals were included, with 66 studies (39,823 individuals) analyzed in the meta-analysis. In the general population, self-reported “possible” AB had a mean prevalence of 25.9% (95% CI 22.2-29.9), and clinically based “probable” AB 16.0% (95% CI 10.0-24.5). Prevalence was significantly higher in specific subpopulations, such as individuals with temporomandibular disorders (50.0%, 95% CI 41.1-58.9) and systemic conditions (40.1%, 95% CI 31.4-49.5). Risk of bias was mainly related to assessment of AB.</div></div><div><h3>Conclusions</h3><div>The variability between subpopulations highlights the importance of considering patient-specific factors and a targeted clinical approach in AB management.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 3","pages":"Article 102171"},"PeriodicalIF":4.1,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144517128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
THE EFFECT OF DIFFERENT SURFACE MODIFICATIONS ON THE OSSEOINTEGRATION OF DENTAL IMPLANT UNDER DIABETIC CONDITIONS: A SYSTEMATIC REVIEW AND META-ANALYSIS OF IN VITRO RESEARCH 不同表面修饰对糖尿病牙种植体骨整合的影响:体外研究的系统回顾和荟萃分析
IF 4.1 4区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-06-06 DOI: 10.1016/j.jebdp.2025.102170
LE HONG , HAO LI

Background

Osseointegration, the direct connection between bone and implant, is crucial for dental implant success, particularly in patients with diabetes mellitus (DM) where impaired bone healing poses a challenge. Surface modifications of dental implants have emerged as an effective strategy to enhance osseointegration in such compromised conditions. This systematic review aimed to evaluate the impact of various surface modifications on the osseointegration of dental implants under diabetic conditions, with a focus on alkaline phosphatase (ALP) activity, osteopontin (OPN) and osteocalcin (OCN) as markers of osteogenic potential.

Methods

This review was conducted following PRISMA guidelines and included studies assessing surface modifications on dental implants in diabetic models. A comprehensive literature search was performed across PubMed, Embase, and Web of Science up to July 2024. Inclusion criteria focused on studies that incorporated in vitro experiments with quantitative measurements of bone formation. Data extraction and quality assessment were performed on eight selected studies. Statistical analysis included the calculation of Response Ratios (RR) for ALP activity, and meta-analyses of OCN and OPN expression levels measured at certain time point. The pooled results were visualized using forest plots.

Results

The included studies demonstrated a consistent increase in ALP activity across surface-modified implants, particularly at 7 and 14 days postimplantation. The 7-day RR was 2.02 (95% CI: 1.76-2.29), and the 14-day RR was 1.36 (95% CI: 1.18-1.55), indicating enhanced osteogenic potential. Similarly, OCN expression at day 7 showed a significant pooled standardized mean difference (SMD) of 11.01 (95% CI: 3.02-19.00), and OPN expression at day 7 demonstrated a more consistent effect, with a pooled SMD of 3.76 (95% CI: 2.46-5.06), all suggesting a marked upregulation of osteogenic differentiation markers. However, significant heterogeneity was observed, attributed primarily to differences in cell lines and experimental conditions.

Conclusion

Surface modifications significantly enhance osseointegration of dental implants in diabetic conditions, as evidenced by increased ALP activity and elevated expression levels of key osteogenic markers such as OCN and OPN. Despite the promising results, future research should address the heterogeneity by standardizing methodologies and expanding the number of included studies to refine these techniques and their clinical applicability.
背景骨和种植体之间的直接连接,对于种植体的成功至关重要,特别是对于患有糖尿病(DM)的患者,骨愈合受损是一个挑战。牙种植体的表面修饰已成为一种有效的策略,以加强骨整合在这样的妥协条件。本系统综述旨在评估各种表面修饰对糖尿病牙种植体骨整合的影响,重点关注碱性磷酸酶(ALP)活性、骨桥蛋白(OPN)和骨钙素(OCN)作为成骨潜能的标志物。方法本综述遵循PRISMA指南,包括评估糖尿病模型种植体表面修饰的研究。到2024年7月,在PubMed、Embase和Web of Science上进行了全面的文献检索。纳入标准侧重于结合体外实验和骨形成定量测量的研究。对选定的8项研究进行数据提取和质量评估。统计分析包括计算ALP活性的反应比(RR),以及在特定时间点测量OCN和OPN表达水平的meta分析。汇总结果使用森林样地可视化。结果纳入的研究表明,ALP活性在表面修饰的种植体中持续增加,特别是在种植后7天和14天。7天的RR为2.02 (95% CI: 1.76-2.29), 14天的RR为1.36 (95% CI: 1.18-1.55),表明成骨潜能增强。同样,第7天的OCN表达显示出显著的合并标准化平均差异(SMD)为11.01 (95% CI: 3.02-19.00),第7天的OPN表达表现出更一致的效果,合并SMD为3.76 (95% CI: 2.46-5.06),所有这些都表明成骨分化标志物的显著上调。然而,观察到显著的异质性,主要归因于细胞系和实验条件的差异。结论表面修饰可显著促进糖尿病患者种植体的骨整合,其表现为ALP活性升高,OCN和OPN等关键成骨标志物表达水平升高。尽管结果令人鼓舞,但未来的研究应通过标准化方法和扩大纳入研究的数量来解决异质性问题,以完善这些技术及其临床适用性。
{"title":"THE EFFECT OF DIFFERENT SURFACE MODIFICATIONS ON THE OSSEOINTEGRATION OF DENTAL IMPLANT UNDER DIABETIC CONDITIONS: A SYSTEMATIC REVIEW AND META-ANALYSIS OF IN VITRO RESEARCH","authors":"LE HONG ,&nbsp;HAO LI","doi":"10.1016/j.jebdp.2025.102170","DOIUrl":"10.1016/j.jebdp.2025.102170","url":null,"abstract":"<div><h3>Background</h3><div>Osseointegration, the direct connection between bone and implant, is crucial for dental implant success, particularly in patients with diabetes mellitus (DM) where impaired bone healing poses a challenge. Surface modifications of dental implants have emerged as an effective strategy to enhance osseointegration in such compromised conditions. This systematic review aimed to evaluate the impact of various surface modifications on the osseointegration of dental implants under diabetic conditions, with a focus on alkaline phosphatase (ALP) activity, osteopontin (OPN) and osteocalcin (OCN) as markers of osteogenic potential.</div></div><div><h3>Methods</h3><div>This review was conducted following PRISMA guidelines and included studies assessing surface modifications on dental implants in diabetic models. A comprehensive literature search was performed across PubMed, Embase, and Web of Science up to July 2024. Inclusion criteria focused on studies that incorporated in vitro experiments with quantitative measurements of bone formation. Data extraction and quality assessment were performed on eight selected studies. Statistical analysis included the calculation of Response Ratios (RR) for ALP activity, and meta-analyses of OCN and OPN expression levels measured at certain time point. The pooled results were visualized using forest plots.</div></div><div><h3>Results</h3><div>The included studies demonstrated a consistent increase in ALP activity across surface-modified implants, particularly at 7 and 14 days postimplantation. The 7-day RR was 2.02 (95% CI: 1.76-2.29), and the 14-day RR was 1.36 (95% CI: 1.18-1.55), indicating enhanced osteogenic potential. Similarly, OCN expression at day 7 showed a significant pooled standardized mean difference (SMD) of 11.01 (95% CI: 3.02-19.00), and OPN expression at day 7 demonstrated a more consistent effect, with a pooled SMD of 3.76 (95% CI: 2.46-5.06), all suggesting a marked upregulation of osteogenic differentiation markers. However, significant heterogeneity was observed, attributed primarily to differences in cell lines and experimental conditions.</div></div><div><h3>Conclusion</h3><div>Surface modifications significantly enhance osseointegration of dental implants in diabetic conditions, as evidenced by increased ALP activity and elevated expression levels of key osteogenic markers such as OCN and OPN. Despite the promising results, future research should address the heterogeneity by standardizing methodologies and expanding the number of included studies to refine these techniques and their clinical applicability.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 3","pages":"Article 102170"},"PeriodicalIF":4.1,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144523033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
CYTOTOXICITY OF ORTHODONTICS ALIGNERS: AN UMBRELLA REVIEW 正畸矫正器的细胞毒性:综述
IF 4.1 4区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-05-28 DOI: 10.1016/j.jebdp.2025.102168
CATARINA NUNES , BEATRIZ ORNELAS , CARLOS MIGUEL MARTO , ANABELA PAULA , MAFALDA LARANJO , CATARINA MESTRE , RAQUEL TRAVASSOS , INÊS FRANCISCO , FRANCISCO VALE

Objective

This umbrella review aims to determine if clear aligners promote cytotoxic and estrogenic effects.

Methodology

The review was conducted in conformity with the PRISMA statement. A systematic search was carried out in March of 2025 in 5 databases (Medline through PubMed, Web of Science (all databases), Cochrane Library, Embase, and Epistemonikos). All systematic reviews (SRs) that reported the cytotoxicity and/or estrogenicity of orthodontic aligners were included. The quality of the included studies was evaluated using AMSTAR-2 and the degree of overlap was analysed using Corrected Covered Area (CCA).

Results

The literature search resulted in 394 articles. Screening by title and abstract, resulted in 13 articles for full reading, and 4 articles were included in the umbrella review. According to the AMSTAR-2, all reviews were of low quality. The degree of overlap among SRs is high.

Discussion

The included SRs indicate that aligners do not have significant estrogenic/cytotoxic capacity and, even in cases of bisphenol A (BPA) leaching, this occurs at levels well below what is considered toxic. The low quality, high risk of bias, considerable overlap, and significant heterogeneity among the included studies impacts the obtained results.

Conclusion

It is not possible to affirm or refute the presence of estrogenic or cytotoxic effects or the leaching of monomers such as BPA. In the future, it is recommended that studies adopt a more detailed and prolonged analysis of BPA leaching and it is necessary to carry out clinical studies that evaluate the safety and biocompatibility of orthodontic aligners.
目的:本综述旨在确定清除对齐剂是否促进细胞毒性和雌激素作用。方法:按照PRISMA声明进行审查。系统检索于2025年3月在5个数据库(Medline通过PubMed、Web of Science(所有数据库)、Cochrane Library、Embase和Epistemonikos)中进行。所有报道正畸矫正器的细胞毒性和/或雌激素性的系统评价(SRs)都被纳入。使用AMSTAR-2评估纳入研究的质量,使用校正覆盖面积(CCA)分析重叠程度。结果检索到文献394篇。通过标题和摘要筛选,有13篇文章可供全文阅读,4篇文章被纳入总括性综述。根据AMSTAR-2,所有的评论都是低质量的。sr之间的重叠程度很高。所包括的SRs表明,校准剂没有显著的雌激素/细胞毒性能力,即使在双酚A (BPA)浸出的情况下,其水平也远低于被认为有毒的水平。纳入研究的低质量、高偏倚风险、大量重叠和显著异质性影响了获得的结果。结论不可能肯定或反驳雌激素或细胞毒性作用的存在或单体如双酚a的浸出。在未来的研究中,建议对BPA浸出进行更详细和更长期的分析,并有必要开展临床研究,评估正畸矫正器的安全性和生物相容性。
{"title":"CYTOTOXICITY OF ORTHODONTICS ALIGNERS: AN UMBRELLA REVIEW","authors":"CATARINA NUNES ,&nbsp;BEATRIZ ORNELAS ,&nbsp;CARLOS MIGUEL MARTO ,&nbsp;ANABELA PAULA ,&nbsp;MAFALDA LARANJO ,&nbsp;CATARINA MESTRE ,&nbsp;RAQUEL TRAVASSOS ,&nbsp;INÊS FRANCISCO ,&nbsp;FRANCISCO VALE","doi":"10.1016/j.jebdp.2025.102168","DOIUrl":"10.1016/j.jebdp.2025.102168","url":null,"abstract":"<div><h3>Objective</h3><div>This umbrella review aims to determine if clear aligners promote cytotoxic and estrogenic effects.</div></div><div><h3>Methodology</h3><div>The review was conducted in conformity with the PRISMA statement. A systematic search was carried out in March of 2025 in 5 databases (Medline through PubMed, Web of Science (all databases), Cochrane Library, Embase, and Epistemonikos). All systematic reviews (SRs) that reported the cytotoxicity and/or estrogenicity of orthodontic aligners were included. The quality of the included studies was evaluated using AMSTAR-2 and the degree of overlap was analysed using Corrected Covered Area (CCA).</div></div><div><h3>Results</h3><div>The literature search resulted in 394 articles. Screening by title and abstract, resulted in 13 articles for full reading, and 4 articles were included in the umbrella review. According to the AMSTAR-2, all reviews were of low quality. The degree of overlap among SRs is high.</div></div><div><h3>Discussion</h3><div>The included SRs indicate that aligners do not have significant estrogenic/cytotoxic capacity and, even in cases of bisphenol A (BPA) leaching, this occurs at levels well below what is considered toxic. The low quality, high risk of bias, considerable overlap, and significant heterogeneity among the included studies impacts the obtained results.</div></div><div><h3>Conclusion</h3><div>It is not possible to affirm or refute the presence of estrogenic or cytotoxic effects or the leaching of monomers such as BPA. In the future, it is recommended that studies adopt a more detailed and prolonged analysis of BPA leaching and it is necessary to carry out clinical studies that evaluate the safety and biocompatibility of orthodontic aligners.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 3","pages":"Article 102168"},"PeriodicalIF":4.1,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144534618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
CLINICAL EFFECT OF LOCAL ALOE VERA USE AS AN ADJUNCT TO PERIODONTAL THERAPY: A SYSTEMATIC REVIEW AND META-ANALYSIS 局部芦荟作为辅助牙周治疗的临床效果:系统回顾和荟萃分析
IF 4.1 4区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-05-20 DOI: 10.1016/j.jebdp.2025.102167
CHENGZHI XIE , ZHIHUI JING , MINGYU XUE

Objectives

Aloe Vera might be beneficial to improve periodontal condition. This systematic review and meta-analysis aimed to investigate Aloe Vera’s clinical efficacy as an adjunct to scaling and root planning (SRP) for nonsurgical periodontal therapy.

Methods

We included relevant randomized controlled trials (RCTs) comparing the effectiveness of Aloe Vera (I) with a (placebo) control (C) on periodontal parameters (O) in in adults with periodontitis (P) (registration number: CRD42022336946). PubMed, Cochrane Library, Embase, and Web of Science were searched. Mean difference (MD) with standard deviations of clinical outcomes were extracted and pooled from three studies.

Results

Three studies were included in the systematic review and meta-analysis. Adjunctive Aloe Vera treatment reduced probing pocket depth (PPD), with MD = −0.47 (−0.78/−0.16) at 3 months, MD = −0.29 (−0.53/−0.06) at 6 months, and MD: −1.06 (−2.04/−0.08) at 12 months, compared to the control group. Overall differences for clinical attachment level (CAL) were found to be −0.56 (−0.85/−0.27) at 6 months and −0.98 (−1.28/−0.68) at 12 months, which indicated a statistically significant result favoring the test group over the control group. No significant differences were observed in reducing plaque index (PI), bleeding index (BI) at 6 months and CAL at 3 months in the local administration of Aloe Vera to SRP. Adjunctive Aloe Vera treatment reduced BI (MD: −0.40; −0.62/−0.18) at 12 months with respect to the control group.

Conclusions

In comparison to SRP alone/placebo, the supplementary use of Aloe Vera in SRP results in improved periodontal treatment outcomes.

Limitations

Limited by the quality and number of studies, the evidence was not reliable enough to support any clinical advice.

Clinical significance

The subgingival administration of Aloe Vera may be clinically efficacious for managing periodontal diseases.
目的芦荟具有改善牙周状况的作用。本系统综述和荟萃分析旨在探讨芦荟作为非手术牙周治疗的刮治和牙根规划(SRP)辅助手段的临床疗效。方法纳入相关的随机对照试验(RCTs),比较芦荟(I)与安慰剂(C)对照(C)对牙周炎(P)成人牙周参数(O)的有效性(注册号:CRD42022336946)。检索了PubMed、Cochrane Library、Embase和Web of Science。从三个研究中提取并汇总临床结果的平均差异(MD)和标准差。结果系统评价和荟萃分析纳入了3项研究。辅助芦荟治疗降低了探测袋深度(PPD),与对照组相比,3个月时MD = −0.47(−0.78/−0.16),6个月时MD = −0.29(−0.53/−0.06),12个月时MD:−1.06(−2.04/−0.08)。临床依恋水平(CAL)的总体差异在6个月时为- 0.56(- 0.85/ - 0.27),在12个月时为- 0.98(- 1.28/ - 0.68),这表明试验组优于对照组有统计学意义。在降低斑块指数(PI)、6个月出血指数(BI)和3个月CAL方面,局部给药芦荟与SRP无显著差异。芦荟辅助治疗可降低BI (MD:−0.40;- 0.62/ - 0.18), 12个月时与对照组相比。结论与单纯SRP /安慰剂相比,在SRP中补充使用芦荟可改善牙周治疗效果。局限性受研究质量和数量的限制,证据不够可靠,无法支持任何临床建议。临床意义芦荟龈下给药治疗牙周病在临床上可能是有效的。
{"title":"CLINICAL EFFECT OF LOCAL ALOE VERA USE AS AN ADJUNCT TO PERIODONTAL THERAPY: A SYSTEMATIC REVIEW AND META-ANALYSIS","authors":"CHENGZHI XIE ,&nbsp;ZHIHUI JING ,&nbsp;MINGYU XUE","doi":"10.1016/j.jebdp.2025.102167","DOIUrl":"10.1016/j.jebdp.2025.102167","url":null,"abstract":"<div><h3>Objectives</h3><div>Aloe Vera might be beneficial to improve periodontal condition. This systematic review and meta-analysis aimed to investigate Aloe Vera’s clinical efficacy as an adjunct to scaling and root planning (SRP) for nonsurgical periodontal therapy.</div></div><div><h3>Methods</h3><div>We included relevant randomized controlled trials (RCTs) comparing the effectiveness of Aloe Vera (I) with a (placebo) control (C) on periodontal parameters (O) in in adults with periodontitis (P) (registration number: CRD42022336946). PubMed, Cochrane Library, Embase, and Web of Science were searched. Mean difference (MD) with standard deviations of clinical outcomes were extracted and pooled from three studies.</div></div><div><h3>Results</h3><div>Three studies were included in the systematic review and meta-analysis. Adjunctive Aloe Vera treatment reduced probing pocket depth (PPD), with MD = −0.47 (−0.78/−0.16) at 3 months, MD = −0.29 (−0.53/−0.06) at 6 months, and MD: −1.06 (−2.04/−0.08) at 12 months, compared to the control group. Overall differences for clinical attachment level (CAL) were found to be −0.56 (−0.85/−0.27) at 6 months and −0.98 (−1.28/−0.68) at 12 months, which indicated a statistically significant result favoring the test group over the control group. No significant differences were observed in reducing plaque index (PI), bleeding index (BI) at 6 months and CAL at 3 months in the local administration of Aloe Vera to SRP. Adjunctive Aloe Vera treatment reduced BI (MD: −0.40; −0.62/−0.18) at 12 months with respect to the control group.</div></div><div><h3>Conclusions</h3><div>In comparison to SRP alone/placebo, the supplementary use of Aloe Vera in SRP results in improved periodontal treatment outcomes.</div></div><div><h3>Limitations</h3><div>Limited by the quality and number of studies, the evidence was not reliable enough to support any clinical advice.</div></div><div><h3>Clinical significance</h3><div>The subgingival administration of Aloe Vera may be clinically efficacious for managing periodontal diseases.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 4","pages":"Article 102167"},"PeriodicalIF":4.1,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144572627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
ADJUNCTIVE PROBIOTICS SHOW A POSITIVE TREND BUT INCONCLUSIVE CLINICAL BENEFIT IN PERI-IMPLANTITIS MANAGEMENT 辅助益生菌在种植体周围炎治疗中表现出积极的趋势,但临床疗效尚无定论
IF 4.1 4区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-05-11 DOI: 10.1016/j.jebdp.2025.102166
I-TING HSIEH (Reviewers), LING-CHENG MONG, CHIN-WEI WANG, FLAVIA PIRIH

Article Title and Bibliographic Information

Lo´ pez-Valverde N, Lo´ pez-Valverde A and Blanco Rueda JA (2024) The role of probiotic therapy on clinical parameters and human immune response in peri‑implant diseases: a systematic review and meta-analysis of randomized clinical studies. Front. Immunol. 15:1371072. doi: 10.3389/fimmu.2024.1371072

Source of Funding

No financial support.

Type of Study/Design

Systematic review with meta-analysis of data.
Lo´perez - valverde N, Lo´perez - valverde A和Blanco Rueda JA(2024)益生菌治疗对种植体周围疾病临床参数和人类免疫反应的作用:随机临床研究的系统回顾和荟萃分析。前面。Immunol 15:1371072。doi: 10.3389/ fimmune .2024.1371072经费来源无资金支持。研究类型/设计系统评价,数据荟萃分析。
{"title":"ADJUNCTIVE PROBIOTICS SHOW A POSITIVE TREND BUT INCONCLUSIVE CLINICAL BENEFIT IN PERI-IMPLANTITIS MANAGEMENT","authors":"I-TING HSIEH (Reviewers),&nbsp;LING-CHENG MONG,&nbsp;CHIN-WEI WANG,&nbsp;FLAVIA PIRIH","doi":"10.1016/j.jebdp.2025.102166","DOIUrl":"10.1016/j.jebdp.2025.102166","url":null,"abstract":"<div><h3>Article Title and Bibliographic Information</h3><div>Lo´ pez-Valverde N, Lo´ pez-Valverde A and Blanco Rueda JA (2024) The role of probiotic therapy on clinical parameters and human immune response in peri‑implant diseases: a systematic review and meta-analysis of randomized clinical studies. Front. Immunol. 15:1371072. <span><span>doi: 10.3389/fimmu.2024.1371072</span><svg><path></path></svg></span></div></div><div><h3>Source of Funding</h3><div>No financial support.</div></div><div><h3>Type of Study/Design</h3><div>Systematic review with meta-analysis of data.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 3","pages":"Article 102166"},"PeriodicalIF":4.1,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144306634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Journal of Evidence-Based Dental Practice
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