复发性口腔炎的治疗:系统综述。

IF 2.2 3区 医学
F-J Parra-Moreno, S Egido-Moreno, M Schemel-Suárez, B González-Navarro, A Estrugo-Devesa, J López-López
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引用次数: 1

摘要

背景:复发性无孔性口炎(RAS)是影响口腔黏膜最常见的疾病。它是痛苦的,多因素的,通常复发。本系统综述的目的是了解最后的治疗方法及其有效性。材料和方法:我们比较了不同治疗方法在病灶改善、病灶缩小、愈合时间等方面的效果。纳入标准为:临床试验,用英语或西班牙语撰写的文章,发表时间少于5年。结果:我们使用了以下关键词:“治疗”、“口腔溃疡”、“口腔溃疡”;与布尔运算符和y或的组合。我们选择了28篇文章进行全文阅读,在应用合格标准后,我们选择了17篇文章进行修改。在所有处理中,我们强调以纤维素橡胶和钙/钠共聚物PVM/MA复合为基础的屏障法,第3天和第7天的疼痛评分差值为-6,29±0,14分。胰岛素和壳聚糖凝胶治疗,在第三天带来疼痛抑制,在整个研究过程中没有疼痛重新激活。应用由聚氨酯、芝麻油和壳聚糖组成的薄膜,与治疗开始前相比,第6天病变大小减少了4,54±2,84mm。不同类型的激光,在治疗开始时产生的疼痛评分减少高达8,1±1,6分,在第7天病变大小减少4,42±1,02mm。结论:RAS治疗除经典治疗外,还应综合考虑其他治疗方式,尤其是激光治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Treatment of recurrent aphtous stomatitis: A systematic review.

Treatment of recurrent aphtous stomatitis: A systematic review.

Treatment of recurrent aphtous stomatitis: A systematic review.

Treatment of recurrent aphtous stomatitis: A systematic review.

Background: Recurrent Aphtous Stomatitis (RAS) is the most common process affecting the oral mucosa. It is painful, multifactorial and generally recurrent. The aim of this systematic review is to know the last treatment approaches and their effectivity.

Material and methods: we compared the outcome of different kind of treatments in terms of the improvement of the lesions, reduction of the size of those lesions and the time needed for their healing. Inclusion criteria were: clinical trials, articles written in English or Spanish and published less than 5 years ago.

Results: we used the following keywords: "treatment", "aphtous stomatitis", "canker sores"; combined with Boolean operators AND y OR. We selected 28 articles for reading the whole text, and after applying the eligibility criteria, we selected 17 articles for our revision. Among all the treatments, we emphasize the barrier method based in compound of cellulose rubber and a calcium/sodium copolymer PVM/MA, with which the difference in the 3rd and 7th day was of -6,29 ± 0,14 points in the pain score. The treatment with insulin and chitosan gel, brought a pain suppression on the third day, with no reactivation of the pain during the whole study. The application of a film composed of polyurethane and sesame oil with chitosan, brought a reduction in the size of the lesions of 4,54 ± 2,84mm on the 6th day compared with the situation before the beginning of the treatment. The different kinds of laser, which produced a reduction in the pain score just at the beginning of the treatment up to 8,1 ± 1,6 points, and a reduction of the size of the lesions of 4,42 ± 1,02mm on the 7th day.

Conclusions: Besides the classic treatments for RAS, we have to take into account other treatment modalities, above all the different kinds of laser.

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来源期刊
CiteScore
4.50
自引率
0.00%
发文量
52
期刊介绍: 1. Oral Medicine and Pathology: Clinicopathological as well as medical or surgical management aspects of diseases affecting oral mucosa, salivary glands, maxillary bones, as well as orofacial neurological disorders, and systemic conditions with an impact on the oral cavity. 2. Oral Surgery: Surgical management aspects of diseases affecting oral mucosa, salivary glands, maxillary bones, teeth, implants, oral surgical procedures. Surgical management of diseases affecting head and neck areas. 3. Medically compromised patients in Dentistry: Articles discussing medical problems in Odontology will also be included, with a special focus on the clinico-odontological management of medically compromised patients, and considerations regarding high-risk or disabled patients. 4. Implantology 5. Periodontology
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