Abstract：
OBJECTIVE: Professional oral hygiene is essential to prevent peri-implant disease. Appropriate instruments should be employed for implant-supported restorations: they should effectively remove deposits without damaging dental implant surface. The aim of the present systematic review is to investigate the efficacy and safety of erythritol air-polishing in implant-supported rehabilitations, compared to alternative hygienic techniques.
METHODS: The guidelines reported in the indications of the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) were employed for this systematic review. The focused question was: \'what is the effect of erythritol air-polishing on dental implant surfaces regarding its cleansing efficacy and/or safety?\' The final online search was conducted on 13 August 2023; MEDLINE-PubMed, Scopus and Cochrane Library were employed. Comparative in vitro or in vivo original studies were included.
RESULTS: The initial database search yielded 128 entries; the final selection comprised 15 articles. The risk of bias was evaluated using the Newcastle Ottawa scale (NOS), the Cochrane Handbook for Systematic Reviews of Interventions, GRADE method. Ultrasonic scaling with PEEK tips, glycine air-polishing and cold atmospheric plasma were the devices most frequently compared to erythritol powder in the included studies. Erythritol air-polishing appeared to be significantly more effective in reducing biofilm compared to other treatments, without causing any significant damage to the implant surface and peri-implant tissues, promoting a good biological response.
CONCLUSIONS: Erythritol air-polishing showed promising results for professional oral hygiene in implant-supported restorations. According to this systematic review, it is effective and safe for removing biofilm from titanium dental implants.
METHODS: The guidelines reported in the indications of the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) were employed for this systematic review. The focused question was: \'what is the effect of erythritol air-polishing on dental implant surfaces regarding its cleansing efficacy and/or safety?\' The final online search was conducted on 13 August 2023; MEDLINE-PubMed, Scopus and Cochrane Library were employed. Comparative in vitro or in vivo original studies were included.
RESULTS: The initial database search yielded 128 entries; the final selection comprised 15 articles. The risk of bias was evaluated using the Newcastle Ottawa scale (NOS), the Cochrane Handbook for Systematic Reviews of Interventions, GRADE method. Ultrasonic scaling with PEEK tips, glycine air-polishing and cold atmospheric plasma were the devices most frequently compared to erythritol powder in the included studies. Erythritol air-polishing appeared to be significantly more effective in reducing biofilm compared to other treatments, without causing any significant damage to the implant surface and peri-implant tissues, promoting a good biological response.
CONCLUSIONS: Erythritol air-polishing showed promising results for professional oral hygiene in implant-supported restorations. According to this systematic review, it is effective and safe for removing biofilm from titanium dental implants.
摘要：
目的：专业口腔卫生对预防种植体周围疾病至关重要。种植体支持的修复体应使用适当的器械：它们应有效地去除沉积物而不会损坏牙种植体表面。本系统评价的目的是研究赤藓糖醇空气抛光在植入物支持的康复中的疗效和安全性。与替代卫生技术相比。
方法：本系统评价采用系统评价和荟萃分析（PRISMA）首选报告项目适应症中报告的指南。焦点问题是：“赤藓糖醇空气抛光对牙科植入物表面的清洁功效和/或安全性有什么影响？”最终的在线搜索于2023年8月13日进行；MEDLINE-PubMed，Scopus和Cochrane图书馆被雇用。包括比较的体外或体内原始研究。
结果：最初的数据库搜索产生了128个条目；最终的选择包括15篇文章。使用纽卡斯尔渥太华量表（NOS）评估偏倚风险，Cochrane干预措施系统审查手册，等级方法。超声波缩放与PEEK提示，在纳入的研究中，与赤藓糖醇粉末相比，甘氨酸空气抛光和冷大气等离子体是最常见的设备。赤藓糖醇空气抛光似乎更有效地减少生物膜相比其他处理，不会对植入物表面和植入物周围组织造成任何重大损害，促进良好的生物学反应。
结论：赤藓糖醇空气抛光在种植体支持的修复体的专业口腔卫生方面显示出有希望的结果。根据这个系统的回顾,它是有效和安全的去除生物膜从钛牙种植体。
方法：本系统评价采用系统评价和荟萃分析（PRISMA）首选报告项目适应症中报告的指南。焦点问题是：“赤藓糖醇空气抛光对牙科植入物表面的清洁功效和/或安全性有什么影响？”最终的在线搜索于2023年8月13日进行；MEDLINE-PubMed，Scopus和Cochrane图书馆被雇用。包括比较的体外或体内原始研究。
结果：最初的数据库搜索产生了128个条目；最终的选择包括15篇文章。使用纽卡斯尔渥太华量表（NOS）评估偏倚风险，Cochrane干预措施系统审查手册，等级方法。超声波缩放与PEEK提示，在纳入的研究中，与赤藓糖醇粉末相比，甘氨酸空气抛光和冷大气等离子体是最常见的设备。赤藓糖醇空气抛光似乎更有效地减少生物膜相比其他处理，不会对植入物表面和植入物周围组织造成任何重大损害，促进良好的生物学反应。
结论：赤藓糖醇空气抛光在种植体支持的修复体的专业口腔卫生方面显示出有希望的结果。根据这个系统的回顾,它是有效和安全的去除生物膜从钛牙种植体。
