Endoscope-assisted subgingival scaling and root planing in the treatment of periodontitis: systematic evaluation of effects
10.12016/j.issn.2096-1456.2022.05.005
- Author:
XU Ruonan
1
;
WEI Yiru
1
;
LIU Ke
2
;
GULINUER Awuti
1
Author Information
1. 1.Department of Periodontal and Mucosal, the First Affiliated Hospital of Xinjiang Medical University (the Affiliated Stomatology Hospital of Xinjiang Medical University) 2.Stomatology Disease Institute of Xinjiang Uyghur Autonomous Region
2. Department of Periodontal and Mucosal, the First Affiliated Hospital of Xinjiang Medical University (the Affiliated Stomatology Hospital of Xinjiang Medical University)
- Publication Type:Journal Article
- Keywords:
endoscopy;
periodontitis;
subgingival scaling;
root planning;
plaque index;
probing depth;
attachment loss;
bleeding index;
randomized controlled trials;
Meta analysis;
systematic review
- From:
Journal of Prevention and Treatment for Stomatological Diseases
2022;30(5):338-344
- CountryChina
- Language:Chinese
-
Abstract:
Objective :To evaluate the clinical effect of endoscopic-assisted subgingival scaling and root planning (SRP) in the treatment of periodontitis.
Methods:PubMed, EMBASE, The Cochrane Library, Web of Science, CNKI, WanFang Data, and VIP databases were searched for randomized controlled trials (RCTs) related to endoscopy-assisted SRP. The search time limit was from the establishment of the database to September 15, 2021. The outcome indicators included in the study included the plaque index (PLI), probing depth (PD), attachment loss (AL), and bleeding index (BI). Review Manager 5.4 and Stata 12.0 software were used for the meta-analysis.
Results:A total of 111 studies were retrieved, and 5 quantitative studies were included after screening. Meta-analysis showed that for sites with 4 mm ≤ PD < 6 mm, 3 and 6 months after treatment, there was no significant difference in the PD value between the endoscope assisted group and the simple SRP group (P > 0.05); for sites with PD ≥ 6 mm, the PD value of the endoscope assisted group was smaller than that of the simple SRP group 3 and 6 months after treatment. The difference between the two groups was statistically significant (P < 0.05), but there was no significant difference in PLI, Al or BI between the two groups (P > 0.05).
Conclusion:Compared with simple SRP, the auxiliary use of endoscopy has a better effect on reducing PD in deep periodontal pockets (PD ≥ 6 mm). However, for clinical indicators such as PLI, AL, and BI, there was no difference between the therapeutic effects of the two methods.
- Full text:内窥镜辅助龈下刮治及根面平整术治疗牙周炎临床效果的系统评价.pdf
