Carisolv化学机械法治疗乳牙龋病效果的Meta分析

doi:10.13481/j.1671-587X.20210320

Abstract

Abstract: Objective

To explore the effect of Carisolv chemomechanical method in treatment of deciduous tooth caries in the children， and to provide the evidence-based medical basis for the extensive application of this method in the clinical practice.

Methods

PubMed， CNKI， Medline， Wiley Online Library， Wanfang and Weipu databases were searched by computer from inception to October 31，2020.Meta-analysis was conducted on the complete randomized controlled trials that met the inclusion criteria.

Results

A total of 11 completely randomized controlled trials involving 1 051 teeth of 645 patients were included. The painless rate of Carisolv chemomechanical method was significantly higher than other traditional methods（OR=4.84，95%CI：3.44－6.81，Z=9.04，P<0.01），and the incidence of postoperative complications of the patients treated with Carisolv chemomechanical method were lower than those of other traditional methods （RR=0.37，95%CI： 0.21－0.63，Z=3.60，P=0.0003）.The pediatric patients were more inclined to Carisolv chemomechanical method when choosing the retreatment method， but the difference in preference was not statistically significant（OR=16.99，95% CI：1.50－192.31，Z=2.29，P=0.02）.

Conclusion

The pediatric patients treated with Carisolv chemomechanical method are less likely to suffer from pain and complications， and this method is more likely to be accepted by the children. Carisolv is a suitable technique for the caries of children’s deciduous teeth.

Key words: Carisolv, chemomechanical method, deciduous tooth, caries, Meta-analysis

CLC Number:

R781.1

Yuan ZHAO, Dayong LIU, Yong TIAN, Dabing BAI. Effect of Carisolv chemomechanical method in treatment of deciduous tooth caries: A Meta-analysis[J].Journal of Jilin University(Medicine Edition), 2021, 47(3): 694-700.

Figures/Tables 6

Tab.1

Tab.2

Fig. 1

Fig. 2

Fig. 3

Fig. 4

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Study	Sample	Tooth	T/C	Intervention	Outcome indication	Follow-up time
BERGMANN,et al.^[4]	46	92	46/46	T:Carisolv C:Drill	①②③	6 months
CHEN,et al.^[5]	32	64	32/32	T:Carisolv C:Drill	①②③	6 months
LOZANO CHOURIO,et al.^[6]	40	80	40/40	T:Carisolv C:Drill	①③	Not described
KIRZIOGLU,et al.^[7]	28	56	28/28	T:Carisolv C:Excavation	①	1 year
HEGDE,et al.^[8]	50	100	50/50	T:Carisolv C:Drill	③	Not described
JI,et al.^[9]	92	92	46/46	T:Carisolv C:Drill	①②	1 year
ZHANG,et al.^[10]	84	168	84/84	T:Carisolv C:Drill	①②	1 year
MOIMAZ,et al.^[11]	16	32	16/16	T:Carisolv C:Excavation	①	Not described
SONG,et al.^[12]	60	186	92/94	T:Carisolv C:Drill	②	6 months
AN,et al.^[13]	88	88	44/44	T:Carisolv C:Drill	①	Not described
CHEN,et al.^[14]	93	93	47/46	T:Carisolv C:Drill	①	Not described

Study	Random method	Allocation concealment	Performance bias	detection bias	Attrition bias	Reporting bias	Other bias
BERGMANN,et al.^[4]	Sealed random envelopes	L	L	?	L	L	L
CHEN,et al.^[5]	Turn coins	?	L	?	L	L	L
LOZANO-CHOURIO,et al.^[6]	Turn coins	?	L	?	L	L	L
KIRZIOGLU,et al.^[7]	Random envelopes with serial numbers	L	L	?	L	L	L
HEGDE,et al.^[8]	Random number table	?	L	?	L	L	L
JI,et al.^[9]	Computer randomization	L	L	?	L	L	L
ZHANG,et al.^[10]	Random number table	?	L	?	L	L	L
MOIMAZ,et al.^[11]	Computer random number generator	L	L	?	L	L	L
SONG,et al.^[12]	Random number table	?	L	?	L	L	L
AN,et al.^[13]	Random draw	?	L	?	L	L	L
CHEN,et al.^[14]	Stochastic comprehensive equilibrium method	?	L	?	L	L	L

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Effect of Carisolv chemomechanical method in treatment of deciduous tooth caries: A Meta-analysis

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