Efficacy of glycine powder air-polishing in supportive periodontal therapy: a systematic review and meta-analysis
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Purpose: This systematic review and meta-analysis was conducted to assess the effects of glycine powder air-polishing (GPAP) in patients during supportive periodontal therapy (SPT) compared to hand instrumentation and ultrasonic scaling. Methods: The authors searched for randomized clinical trials in 8 electronic databases for relevant studies through November 15, 2019. The eligibility criteria were as follows: population, patients with chronic periodontitis undergoing SPT; intervention and comparison, patients treated by GPAP with a standard/nozzle type jet or mechanical instrumentation; and outcomes, bleeding on probing (BOP), patient discomfort/pain (assessed by a visual analogue scale [VAS]), probing depth (PD), gingival recession (Rec), plaque index (PI), clinical attachment level (CAL), gingival epithelium score, and subgingival bacteria count. After extracting the data and assessing the risk of bias, the authors performed the meta-analysis. Results: In total, 17 studies were included in this study. The difference of means for BOP in patients who received GPAP was lower (difference of means: −8.02%; 95% confidence interval [CI], −12.10% to −3.95%; P<0.00001; I2=10%) than that in patients treated with hand instrumentation. The results of patient discomfort/pain measured by a VAS (difference of means: −1.48, 95% CI, −1.90 to −1.06; P<0.001; I2=83%) indicated that treatment with GPAP might be less painful than ultrasonic scaling. The results of PD, Rec, PI, and CAL showed that GPAP had no advantage over hand instrumentation or ultrasonic scaling. Conclusions: The findings of this study suggest that GPAP may alleviate gingival inflammation more effectively and be less painful than traditional methods, which makes it a promising alternative for dental clinical use. With regards to PD, Rec, PI, and CAL, there was insufficient evidence to support a difference among GPAP, hand instrumentation, and ultrasonic scaling. Higher-quality studies are still needed to assess the effects of GPAP.
Abstract
Purpose: This systematic review and meta-analysis was conducted to assess the effects of glycine powder air-polishing (GPAP) in patients during supportive periodontal therapy (SPT) compared to hand instrumentation and ultrasonic scaling. Methods: The authors searched for randomized clinical trials in 8 electronic databases for relevant studies through November 15, 2019. The eligibility criteria were as follows: population, patients with chronic periodontitis undergoing SPT; intervention and comparison, patients treated by GPAP with a standard/nozzle type jet or mechanical instrumentation; and outcomes, bleeding on probing (BOP), patient discomfort/pain (assessed by a visual analogue scale [VAS]), probing depth (PD), gingival recession (Rec), plaque index (PI), clinical attachment level (CAL), gingival epithelium score, and subgingival bacteria count. After extracting the data and assessing the risk of bias, the authors performed the meta-analysis. Results: In total, 17 studies were included in this study. The difference of means for BOP in patients who received GPAP was lower (difference of means: −8.02%; 95% confidence interval [CI], −12.10% to −3.95%; P<0.00001; I2=10%) than that in patients treated with hand instrumentation. The results of patient discomfort/pain measured by a VAS (difference of means: −1.48, 95% CI, −1.90 to −1.06; P<0.001; I2=83%) indicated that treatment with GPAP might be less painful than ultrasonic scaling. The results of PD, Rec, PI, and CAL showed that GPAP had no advantage over hand instrumentation or ultrasonic scaling. Conclusions: The findings of this study suggest that GPAP may alleviate gingival inflammation more effectively and be less painful than traditional methods, which makes it a promising alternative for dental clinical use. With regards to PD, Rec, PI, and CAL, there was insufficient evidence to support a difference among GPAP, hand instrumentation, and ultrasonic scaling. Higher-quality studies are still needed to assess the effects of GPAP.
참고문헌 (40)
- Listed N, "Supportive periodontal therapy(SPT)", J Periodontol, 69, pp.502~506 (1998)
- Axelsson P, "The significance of maintenance care in the treatment of periodontal disease", J Clin Periodontol, 8, pp.281~294 (1981)
- Lindhe J, "Long-term maintenance of patients treated for advanced periodontal disease", J Clin Periodontol, 11, pp.504~514 (1984)
- Kerry GJ, "Supportive periodontal treatment", Periodontol 2000, 9, pp.176~185 (1995)
- Hu CJ, "Comparison of subgingival debridement efficacy of air polishing and manual scaling", Shanghai Kou Qiang Yi Xue, 24, pp.602~606 (2015)
- Walmsley AD, "Advances in power driven pocket", root instrumentation, 2008, pp.35(Suppl), 22~28
- Alves RV, "Clinical attachment loss produced by curettes and ultrasonic scalers", J Clin Periodontol, 32, pp.691~694 (2005)
- Sun K, "Evaluation of the efficacy of subgingival air-polishing during periodontal maintenance phase", Jiangsu Medical Journal, 42, pp.2268~2270 (2016)
- Yuan Y, "Effect of subgingival air-polishing in supportive periodontal treatment for chronic periodontitis", J Dent Prev Treat, pp.383~385 (2015)
- Zappa U, "Root substance removal by scaling and root planing", J Periodontol, 62, pp.750~754 (1991)
- Ritz L, "An in vitro investigation on the loss of root substance in scaling with various instruments", J Clin Periodontol, 18, pp.643~647 (1991)
- Flemmig TF, "Subgingival debridement efficacy of glycine powder air polishing", J Periodontol, 78, pp.1002~1010 (2007)
- Weaks LM, "Clinical evaluation of the Prophy-Jet as an instrument for routine removal of tooth stain and plaque", J Periodontol, 55, pp.486~488 (1984)
- Berkstein S, "Supragingival root surface removal during maintenance procedures utilizing an air-powder abrasive system or hand scaling. An in vitro study", J Periodontol, 58, pp.327~330 (1987)
- Atkinson DR, "The effect of an air-powder abrasive system on in vitro root surfaces", J Periodontol, 55, pp.13~18 (1984)
- Petersilka GJ, "In vitro evaluation of novel low abrasive air polishing powders", J Clin Periodontol, 30, pp.9~13 (2003)
- Bozbay E, "Preservation of root cementum : a comparative evaluation of power-driven versus hand instruments", Int J Dent Hyg, 16, pp.202~209 (2018)
- Schaumann T, "Potential immune modularly role of glycine in oral gingival inflammation", Clin Dev Immunol, 2013, pp.808367~ (2013)
- Petersilka GJ, "Subgingival plaque removal in buccal and lingual sites using a novel low abrasive air-polishing powder", J Clin Periodontol, 30, pp.328~333 (2003)
- Flemmig TF, "Randomized controlled trial assessing efficacy and safety of glycine powder air polishing in moderate-to-deep periodontal pockets", J Periodontol, 83, pp.444~452 (2012)
- Wennström JL, "Subgingival debridement of periodontal pockets by air polishing in comparison with ultrasonic instrumentation during maintenance therapy", J Clin Periodontol, 38, pp.820~827 (2011)
- Ng E, "The efficacy of air polishing devices in supportive periodontal therapy : a systematic review and meta-analysis", Quintessence Int, 49, pp.453~467 (2018)
- Higgins J, "Cochrane handbook for systematic reviews of interventions. Version 5.1.0", The Cochrane Collaboration, ~ (2011)
- Jones HE, "Introduction to meta-analysis", Paediatr Perinat Epidemiol, 24, pp.139~ (2010)
- Higgins JP, "Quantifying heterogeneity in a meta-analysis", Stat Med, 21, pp.1539~1558 (2002)
- Arora K, "A comparative evaluation of the efficacy of glycine air polishing following scaling and root planing & scaling and root planing alone in the treatment of chronic periodontitis : a clinical study", J Dent Spec, 1, pp.42~46 (2013)
- Kargas K, "Pilot study on the clinical and microbiological effect of subgingival glycine powder air polishing using a cannula-like jet", Int J Dent Hyg, 13, pp.161~169 (2015)
- Lu H, "The effect of supragingival glycine air polishing on periodontitis during maintenance therapy: a randomized controlled trial", PeerJ, 6, pp.e4371~ (2018)
- Moëne R, "Subgingival plaque removal using a new air-polishing device", J Periodontol, 81, pp.79~88 (2010)
- Petersilka G, "Effect of glycine powder air-polishing on the gingiva", J Clin Periodontol, 35, pp.324~332 (2008)
- Petersilka GJ, "Subgingival plaque removal in buccal and lingual sites using a novel low abrasive air-polishing powder", J Clin Periodontol, 30, pp.328~333 (2003)
- Simon CJ, "Efficacy of glycine powder air polishing in comparison with sodium bicarbonate air polishing and ultrasonic scaling-a double-blind clinico-histopathologic study", Int J Dent Hyg, 13, pp.177~183 (2015)
- Zhao Y, "Clinical observation of glycine powder air-polishing during periodontal maintenance phase", Zhonghua Kou Qiang Yi Xue Za Zhi, 50, pp.544~547 (2015)
- Liu W, "The efficacy of subgingival air-polishing in comparison with ultrasonic scaling in supportive periodontal therapy", J Oral Sci Res, 31, pp.522~523 (2015)
- Xia J, "Evaluation of the efficacy of subgingival air-polishing for chronic periodontitis", Gen J Stomatol, 4, pp.30~31 (2017)
- Li L, "Clearance effect of sandblasting and hand scaling on subgingival plaque and on inter-leukin and MMP8", TIMP1 levels, 2016, pp.22, 2132~2135
- Luo W, "Effect of subgingival polishing on the clinical parameters of chronic periodontal diseases", J Dent Prev Treat, 22, pp.641~644 (2014)
- Newman MG, "Carranza's clinical periodontology", pp.2012, Elsevier
- Bidra AS, "A systematic review of recall regimen and maintenance regimen of patients with dental restorations. Part 2: implant-borne restorations", J Prosthodont, 25(Suppl 1), pp.S16~31 (2016)
- Flemmig TF, "Randomized controlled trial assessing efficacy and safety of glycine powder air polishing in moderate-to-deep periodontal pockets", J Periodontol, 83, pp.444~452 (2012)