牙周炎患者口腔卫生管理的最佳证据总结

Evidence summary of oral hygiene management in patients with periodontitis

目的总结适用于牙周炎患者的口腔卫生管理方法,为临床人员提供决策依据。方法检索计算机决策系统、各指南网、牙科协会网站、证据总结数据库与期刊数据库中涉及牙周炎患者口腔卫生管理的证据,包括临床决策、指南、专家共识、证据总结与系统评价/Meta分析,检索时间从2015年1月至2021年11月,并于2022年6月进行了更新检索。对纳入文献进行汇总分析、方法学质量评价、证据等级评价。结果共纳入12篇文献,其中指南3篇、专家共识1篇、系统评价8篇,归纳出风险评估与控制、口腔卫生指导、促进临床实践3个方面,共18条证据。结论本研究形成的证据总体具备科学性与实用性,在实际应用还要结合本土条件、患者的意愿进行适当地调整,使证据最大化转为临床实践。

Objective To summarize oral hygiene management approaches applicable to patients with periodontitis,thus provide a basis for decision making by clinical staffs.Methods Computerized decision systems,various guideline websites,dental association websites,evidence summary databases and journal databases for evidence involving oral hygiene management in patients with periodontitis were searched,including clinical decision making,guidelines,expert consensus,evidence summaries and systematic reviews/Meta-analyses.The search time was from January 2015 to November 2021,and the updated search was carried out in June 2022.Then performed pooled analyses,methodological quality evaluations,and evidence level evaluations.Results Finally 12 studies,including three guidelines,an expert consensus and eight systematic reviews,and summarized 18 pieces of evidence in three aspects,risk assessment and control,oral hygiene guidance,and clinical practice promotion were included.Conclusions The evidence from this study is generally scientific and practical,and it should be adapted to local conditions and patient preferences in order to maximize the transfer of evidence into clinical practice.