Prevention of Caries in Cancer Patients: A Systematic Review on the Effectiveness of Dental Materials.

IF 1.1 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

European Journal of Prosthodontics and Restorative Dentistry Pub Date : 2023-08-31 DOI:10.1922/EJPRD_2445Teixeira10

A B V Teixeira, H C Aguiar, J D C Tardelli, A C Dos Reis

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引用次数: 0

Abstract

This study aims to identify dental materials and their effectiveness in preventing caries in patients after chemotherapy and radiotherapy for the head and neck. The electronic search was performed in PubMed, Science Direct, Embase and Scopus. All 653 articles found passed through a double-blinded screening process. The exclusion of articles by reading titles and abstracts selected 16 articles for full reading, of which 4 were included into the study. A risk of bias analysis for non-randomized and randomized articles was performed using respectively the ROBINS I and ROB II tools. The data extraction suggested that the casein phosphopeptide-amorphous calcium phosphate (CPP-ACP), in association with fluorine, is able to form harder surfaces compared to the control group, the intraoral fluoride-releasing system (IFRS) effectiveness is similar to the fluorine in gel and a mouthwash composed of natural enzymes (Oral7) did not demonstrate effectiveness in the prevention dental caries. New randomized controlled clinical trials are necessary to evaluate the effectiveness of prevention when applying dental materials in patients after treatment of head and neck cancer.

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预防癌症患者龋齿:牙科材料有效性的系统评价。

本研究旨在确定牙科材料及其预防头颈部化疗和放疗后患者龋齿的有效性。在PubMed、Science Direct、Embase和Scopus中进行电子检索。所有发现的653篇文章都通过了双盲筛选过程。通过阅读标题和摘要排除文章，选择16篇文章进行全文阅读，其中4篇纳入研究。分别使用ROBINS I和ROBINS II工具对非随机和随机文章进行偏倚风险分析。数据提取表明，酪蛋白磷酸肽-无晶态磷酸钙(CPP-ACP)与氟相结合，与对照组相比，能够形成更坚硬的表面，口腔内氟释放系统(IFRS)的有效性与凝胶中的氟相似，天然酶组成的漱口水(Oral7)在预防龋齿方面没有显示出有效性。需要新的随机对照临床试验来评估头颈癌患者治疗后应用牙科材料的预防效果。

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来源期刊

European Journal of Prosthodontics and Restorative Dentistry DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

2.30

自引率

7.70%

发文量

期刊介绍： The European Journal of Prosthodontics and Restorative Dentistry is published quarterly and includes clinical and research articles in subjects such as prosthodontics, operative dentistry, implantology, endodontics, periodontics and dental materials.