V Areal-Quecuty, C Cantiga-Silva, A Simón-Soro, D Cabanillas-Balsera, J Martín-González, J-J Saúco-Márquez, J-J Segura-Egea
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引用次数: 0
摘要
背景：本系统综述和荟萃分析旨在分析绝经后妇女骨质疏松症与根尖牙周炎患病率（通过放射学评估）之间关系的科学证据：研究遵循 PRISMA 指南。研究问题是在成年女性中，是否存在骨质疏松症是否会影响经放射学诊断的根尖周炎患病率？在 PubMed/MEDLINE、Web of Science、Scopus 和 EMBASE 中进行了系统检索。使用 Open Meta Analyst 软件计算荟萃分析结果。偏倚风险采用纽卡斯尔-渥太华量表进行评估。证据的确定性采用 GRADE 进行评估：结果：共选取了四项研究。Meta 分析表明，总体 OR = 2.2 (95% CI = 0.94 - 4.97; p = 0.07)，表明与对照组女性相比，骨质疏松症女性发生根尖周病变的概率约为对照组女性的两倍，但差异仅有轻微的显著性。纳入研究的总体偏倚风险为中度，证据的确定性较低：结论：骨质疏松症女性更容易诊断出根尖周炎（以根尖周病变评估），其根尖周放射性病变的概率是对照组的两倍。
Apical periodontitis in osteoporotic postmenopausal women: Systematic review and meta-analysis.
Background: The aim of this systematic review and meta-analysis was to analyze the scientific evidence about the association between osteoporosis in postmenopausal women and the prevalence of apical periodontitis, assessed radiographically.
Material and methods: PRISMA Guidelines have been followed. The research question was: In adult women, does the presence or absence of osteoporosis affect the prevalence of AP, radiographically diagnosed? A systematic search was performed in PubMed/MEDLINE, Web of Science, Scopus and EMBASE. The meta-analyses were calculated with the Open Meta Analyst software. Risk of bias was assessed using the Newcastle Ottawa Scale. The certainty of evidence was assessed by GRADE.
Results: Four studies were selected. Meta-analysis showed an overall OR = 2.2 (95% CI = 0.94 - 4.97; p = 0.07), indicating that osteoporotic women had approximately twice the probability of having periapical lesions, compared to control women, although the difference was only marginally significant. The overall risk of bias of the included studies was moderate, and the certainty of evidence was low.
Conclusions: Apical periodontitis, assessed as periapical lesion, is more frequently diagnosed in osteoporotic women, who are twice as likely to have periapical radiolucent lesions.
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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