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Does bond integrity of bleached enamel increases with phototherapy? A systematic review

机译:漂白牙釉质的结合完整性会随着光疗而增加吗?系统评价

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Background: The aim of the current systematic review was to evaluate the efficacy of phototherapy (PT) on bond strength of bleached enamel.Methods: Electronic databases including MEDLINE (PubMed), ISI Web of Science, Scopus, ScIELO, LILACS and EMBASE until January 2019. The addressed focused question was: "Does PT increase the bond integrity of bleached enamel?" Only in-vitro studies evaluating the effect of PT compared with bleaching agent or no phototherapy were included. The outcome measures of interest was shear bond strength.Results: A total of 5 in-vitro studies were included. Different concentrations of hydrogen peroxide were used in the included studies. The frequency of laser used in the included studies ranged from 20 Hz to 60 Hz. Pulse duration was reported in only 3 studies that ranged from 100 mu s to 320 mu s. The overall main outcomes of the included studies showed that in 4 studies, application of phototherapy resulted in significantly higher bond integrity of bleached enamel as compared to enamel which underwent acid etching with bleaching alone, while 1 study showed comparable shear bond strength of bleached enamel achieved by PT as compared to bleaching alone.Conclusion: The evidence from the current systematic review suggests that phototherapy increases the bond strength of bleached enamel. Further in-vitro studies should be performed in order to obtain stronger conclusions.
机译:背景:本系统综述的目的是评估光疗(PT)对漂白牙釉质粘结强度的功效。方法:电子数据库,包括MEDLINE(PubMed),ISI Web of Science,Scopus,ScIELO,LILACS和EMBASE,直到一月2019年。已解决的重点问题是:“ PT是否能提高漂白瓷漆的粘结完整性?”仅包括评估PT与漂白剂相比效果的体外研究,或不包括光疗。感兴趣的结果指标是剪切粘结强度。结果:总共包括5项体外研究。在纳入的研究中使用了不同浓度的过氧化氢。纳入研究中使用的激光频率范围为20 Hz至60 Hz。仅3项研究报告了脉冲持续时间,范围从100 s到320 s。纳入研究的总体主要结果表明,在4项研究中,与仅进行漂白酸洗的搪瓷相比,光疗的应用导致漂白搪瓷的粘结完整性显着提高,而一项研究表明,可实现的漂白搪瓷具有相当的剪切粘结强度结论:当前系统评价的证据表明,光疗可提高漂白牙釉质的粘结强度。为了获得更强的结论,应该进行进一步的体外研究。

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