دورية أكاديمية
أعرض في EDS

Are combined bleaching techniques better than their sole application? A systematic review and meta-analysis.

التفاصيل البيبلوغرافية
العنوان: Are combined bleaching techniques better than their sole application? A systematic review and meta-analysis.
المؤلفون: Cardenas AFM; Postgraduate Program in Dentistry, CEUMA University, Rua Josué Montello 1 - Renascença II, São Luis, MA, 650575-120, Brazil., Maran BM; Department of Restorative Dentistry, State University of Western Paraná, Rua Engenharia, 464 - Universitário, Cascavel, Paraná, 85819-190, Brazil.; Postgraduate Program in Dentistry, School of Dentistry, North Paraná University, Londrina, Paraná, Brazil., Araújo LCR; Postgraduate Program in Dentistry, CEUMA University, Rua Josué Montello 1 - Renascença II, São Luis, MA, 650575-120, Brazil., de Siqueira FSF; Postgraduate Program in Dentistry, CEUMA University, Rua Josué Montello 1 - Renascença II, São Luis, MA, 650575-120, Brazil., Wambier LM; Graduate Program in Dentistry, Positivo University, Rua Prof. Pedro Viriato Parigot de Souza 5300 -Prédio da Pós-Graduação, Curitiba, PR, 81280-330, Brazil., Gonzaga CC; Graduate Program in Dentistry, Positivo University, Rua Prof. Pedro Viriato Parigot de Souza 5300 -Prédio da Pós-Graduação, Curitiba, PR, 81280-330, Brazil., Loguercio AD; Department of Restorative Dentistry, State University of Ponta Grossa, Rua Carlos Cavalcanti, 4748, BlocoM, Sala 64-A, Uvaranas, Ponta Grossa, Paraná, 84030-900, Brazil. aloguercio@hotmail.com.; Escuela de la Salud Eugenio Espejo, Universidad UTE, Quito, Ecuador. aloguercio@hotmail.com., Reis A; Department of Restorative Dentistry, State University of Ponta Grossa, Rua Carlos Cavalcanti, 4748, BlocoM, Sala 64-A, Uvaranas, Ponta Grossa, Paraná, 84030-900, Brazil.
المصدر: Clinical oral investigations [Clin Oral Investig] 2019 Oct; Vol. 23 (10), pp. 3673-3689. Date of Electronic Publication: 2019 Aug 29.
نوع المنشور: Journal Article; Meta-Analysis; Systematic Review
اللغة: English
بيانات الدورية: Publisher: Springer-Verlag Country of Publication: Germany NLM ID: 9707115 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1436-3771 (Electronic) Linking ISSN: 14326981 NLM ISO Abbreviation: Clin Oral Investig
أسماء مطبوعة: Publication: Berlin : Springer-Verlag
Original Publication: Berlin : Springer, c1997-
مواضيع طبية MeSH: Dentin Sensitivity* , Tooth* , Tooth Bleaching* , Tooth Bleaching Agents*, Adult ; Female ; Humans ; Male ; Middle Aged ; Young Adult
مستخلص: Objectives: A systematic review and meta-analysis were performed to answer this research question: "Does combined in-office (IO) and at-home (AH) bleaching produce improved color change and lower tooth sensitivity (TS) better than solely AH or IO bleaching in adults?"
Material and Methods: Randomized controlled trials in adults that compared combined versus sole application bleaching were included. The risk of bias (RoB) was evaluated using the Cochrane Collaboration tool. Meta-analyses were conducted for color change in shade guide units (∆SGU) and with a spectrophotometer (∆E*), risk, and intensity of TS, using the random effects model. Heterogeneity was assessed with Cochran's Q test and I 2 statistics. GRADE assessed the quality of the evidence. PubMed, Scopus, Web of Science, LILACS, BBO, Cochrane Library, SIGLE, IADR abstracts, unpublished, ongoing trial registries, dissertations, and theses were searched on August 28, 2017 (updated on January 29, 2019).
Results: Twelve studies remained. Two were considered to have low RoB. For combined vs. IO bleaching, no significant difference for ∆E*, ∆SGU, and risk of TS were observed; data were not available to analyze the intensity of TS. For combined vs. AH bleaching, no significant difference for ∆E*, ∆SGU, but lower TS to risk (RR 1.40, 95% 1.10 to 1.80) and intensity (MD 1.40, 95% CI 0.18 to 2.63) were detected for AH bleaching. Quality of evidence was graded as low or very low in all meta-analyses.
Conclusion: Lower risk and intensity of TS was observed for the solely AH group without jeopardizing color change. However, more studies are still encouraged due to the low quality of evidence for most of the outcomes.
Clinical Relevance: If clinicians are to choose between combined or sole AH bleaching, the solely AH may be preferable; combined bleaching may potentiate the risk of TS without benefits in color change. For combined or sole IO bleaching, no important clinical difference in color change and risk of TS were detected; however, intensity of TS could not be compared due to lack of data. Further studies should be conducted due to the low/very low quality of the evidence.
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معلومات مُعتمدة: 305588/2014-1 Conselho Nacional de Desenvolvimento Científico e Tecnológico; 303332/2017-4 Conselho Nacional de Desenvolvimento Científico e Tecnológico
فهرسة مساهمة: Keywords: Dentin sensitivity; Meta-analysis; Systematic review; Tooth bleaching agents; Tooth discolorations
المشرفين على المادة: 0 (Tooth Bleaching Agents)
تواريخ الأحداث: Date Created: 20190831 Date Completed: 20191217 Latest Revision: 20191217
رمز التحديث: 20231215
DOI: 10.1007/s00784-019-03042-4
PMID: 31468261
قاعدة البيانات: MEDLINE
الوصف
تدمد:1436-3771
DOI:10.1007/s00784-019-03042-4