Loading...
Publication
Eficácia clínica da intervenção não invasiva ou micro-invasiva do esmalte com fluorose
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 1.18 MB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
Introdução: A fluorose dentária tem implicações na qualidade de vida. Vários tratamentos têm sido preconizados de forma a mascarar as manchas de fluorose e restabelecer a estética e a função do esmalte fluorótico. Neste sentido, o objetivo desta revisão sistemática é descrever a eficácia das diversas intervenções no tratamento das manchas de esmalte por fluorose.
Materiais e métodos: A pesquisa foi efetuada em 5 bases de dados MEDLINE (via Pubmed), Cochrane Central Register of Controlled Trials, Web of Science, LILACS e ClinicalTrials.gov até março de 2022. A revisão sistemática foi realizada de acordo com as guidelines Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Foram incluídos estudos randomizados e não-randomizados sobre tratamento de fluorose dentária. O risco de viés foi avaliado através da ferramenta Cochrane Risk-of-Bias 2 (RoB2) e Risk Of Bias In Non-Randomized Studies - of Interventions (ROBINS-I) tool para ensaios randomizados e não-randomizados, respetivamente.
Resultados: De 4520 artigos, foram elegíveis para análise qualitativa 27 estudos. Foram incluídos 954 participantes com idades compreendidas entre 6-50. Os tratamentos realizados variaram entre a microabrasão, branqueamento dentário, infiltração de resina ou combinação de tratamentos, num total de 2799 dentes. A qualidade metodológica da evidência foi moderada, o que indica evidência limitada. O branqueamento dentário e a infiltração de resina apresentaram resultados satisfatórios. O tratamento combinado de infiltração de resina com branqueamento dentário ou microabrasão com branqueamento apresentam maior potencial comparando a apenas um tratamento.
Conclusão: De acordo com a evidência existente, diversas técnicas no tratamento da fluorose dentária são eficazes para mascarar/tratar as manchas de esmalte por fluorose. O branqueamento dentário e a infiltração com resinas parecem ser os tratamentos mais eficazes para a fluorose dentária, e caso se justifique, uma combinação de tratamentos pode ser realizada.
Introduction: Dental fluorosis has implications for quality of life. Several treatments were recommended in order to mask the fluorosis stains and restore the aesthetics and function of the fluorotic enamel. In this sense, this systematic review is the description of the different solutions in the treatment of enamel stains due to fluorosis. Materials and methods: The search was performed in 5 databases MEDLINE (via Pubmed), Cochrane Central Register of Controlled Trials, Web of Science, LILACS and ClinicalTrials.gov until March 2022. The review was performed according to the guidelines Items preferred reports for systematic reviews and meta-analyses (PRISMA). Randomized and non-randomized studies on the treatment of dental fluorosis were included. The risk of bias was assessed using the Cochrane Risk-of-Bias 2 (RoB2) and Risk Of Bias In Non-Randomized Studies - of Interventions (ROBINS-I) tool for randomized and non-randomized trials, respectively. Results: From studies 520 articles, 27 were studied for qualitative analysis. 954 participants aged between 6-50 were included. The treatments between microblading, bleaching performed, infiltration of or treatments, in one of 2799 total teeth. methodological quality of the measure was limited, which indicates evidence. Bleaching met and the infiltration of satisfactory results. The combined treatment of resin infiltration with targeted bleaching or microabrasion with bleaching has potential compared to just one major treatment. Conclusion: According to the existing evidence, several techniques in the treatment of dental fluorosis are performed to mask/treat enamel stains by fluorosis. The selected bleaching and infiltration treatments are the most effective for fluorosis, and can be performed.
Introduction: Dental fluorosis has implications for quality of life. Several treatments were recommended in order to mask the fluorosis stains and restore the aesthetics and function of the fluorotic enamel. In this sense, this systematic review is the description of the different solutions in the treatment of enamel stains due to fluorosis. Materials and methods: The search was performed in 5 databases MEDLINE (via Pubmed), Cochrane Central Register of Controlled Trials, Web of Science, LILACS and ClinicalTrials.gov until March 2022. The review was performed according to the guidelines Items preferred reports for systematic reviews and meta-analyses (PRISMA). Randomized and non-randomized studies on the treatment of dental fluorosis were included. The risk of bias was assessed using the Cochrane Risk-of-Bias 2 (RoB2) and Risk Of Bias In Non-Randomized Studies - of Interventions (ROBINS-I) tool for randomized and non-randomized trials, respectively. Results: From studies 520 articles, 27 were studied for qualitative analysis. 954 participants aged between 6-50 were included. The treatments between microblading, bleaching performed, infiltration of or treatments, in one of 2799 total teeth. methodological quality of the measure was limited, which indicates evidence. Bleaching met and the infiltration of satisfactory results. The combined treatment of resin infiltration with targeted bleaching or microabrasion with bleaching has potential compared to just one major treatment. Conclusion: According to the existing evidence, several techniques in the treatment of dental fluorosis are performed to mask/treat enamel stains by fluorosis. The selected bleaching and infiltration treatments are the most effective for fluorosis, and can be performed.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Fluorose dentária Tratamento Revisão sistemática