目的:自我口腔卫生对于预防龋齿至关重要,牙周,和种植体周围疾病。口腔冲洗器是辅助口腔家庭护理辅助设备,可能有益于口腔健康。然而,口腔冲洗对口腔健康的影响,它在口腔家庭护理中的作用,其作用机制尚未完全了解。对文献的全面搜索显示,没有关于口腔冲洗器的广泛范围的评论。因此,本研究旨在对口腔冲洗装置的文献进行全面系统的回顾,并找出证据缺口.
方法:使用JoannaBriggs研究所和首选报告项目进行系统评价和Meta分析扩展,以进行范围界定评价指南。在任何地理位置或环境中搜索了四个数据库和八个灰色文献来源的英文出版物。
结果:包括二百七十五个来源,主要来自科学期刊和学术机构。大多数研究起源于北美。研究主要涉及成年人,对儿童和青少年的研究有限。适当使用口服灌洗是安全且广为接受的。它减少了牙周炎症,可能通过调节口腔微生物群,但需要进一步研究阐明其作用机制。在有牙科植入物和特殊需求的人群中报告了有希望的结果。患者接受度似乎很高,但很少使用标准化的患者报告结局指标.抗炎益处在人群和冲洗液之间一致发生。斑块减少的发现好坏参半,可能反映了研究设计和设备的差异。
结论:口腔冲洗器可减少牙周炎症,但它们对斑块清除的影响尚不清楚.精心设计,适当持续时间的足够有力的试验需要评估临床,微生物,以及牙周组织对口腔冲洗的炎症反应,特别是那些患有牙周炎的人,牙科植入物,和特殊需要。患者报告的结果指标,成本,龋齿预防,口腔冲洗对环境的影响需要与其他口腔卫生辅助设备进行比较。
OBJECTIVE: Self-performed oral hygiene is essential for preventing dental caries, periodontal, and peri-implant diseases. Oral irrigators are adjunctive oral home care aids that may benefit oral health. However, the effects of oral irrigation on oral health, its role in oral home care, and its mechanism of action are not fully understood. A comprehensive search of the literature revealed no existing broad scoping reviews on oral irrigators. Therefore, this study aimed to provide a comprehensive systematic review of the literature on oral irrigation devices and identify evidence gaps.
METHODS: The Joanna Briggs Institute and Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews guidelines were utilized to prepare the review. Four databases and eight gray literature sources were searched for English publications across any geographical location or setting.
RESULTS: Two hundred and seventy-five sources were included, predominantly from scientific journals and academic settings. Most studies originated from North America. Research primarily involved adults, with limited studies in children and adolescents. Oral irrigation was safe and well-accepted when used appropriately. It reduced periodontal inflammation, potentially by modulating the oral microbiota, but further research needs to clarify its mechanism of action. Promising results were reported in populations with dental implants and special needs. Patient acceptance appeared high, but standardized patient-reported outcome measures were rarely used. Anti-inflammatory benefits occurred consistently across populations and irrigant solutions. Plaque reduction findings were mixed, potentially reflecting differences in study designs and devices.
CONCLUSIONS: Oral irrigators reduce periodontal inflammation, but their impact on plaque removal remains unclear. Well-designed, sufficiently powered trials of appropriate duration need to assess the clinical, microbiological, and inflammatory responses of the periodontium to oral irrigation, particularly those with periodontitis, dental implants, and special needs. Patient-reported outcome measures, costs, caries prevention, and environmental impact of oral irrigation need to be compared to other oral hygiene aids.