Safitri, Diyanti
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Meta-Analysis the Effect of a Potassium Nitrate Desensitizing Agent and Casein Phosphopeptide Amorphous Calcium Phosphate on Tooth Sensitivity after Office Bleaching Treatment Safitri, Diyanti; Pamungkasari, Eti Poncorini; Murti, Bhisma
Indonesian Journal of Medicine Vol. 8 No. 4 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2023.8.4.692

Abstract

Background: Office bleaching is a treatment used to treat tooth discoloration, but it often results in tooth sensitivity. The desensitizing agent potassium nitrate and casein phosphopeptide amorphous calcium phosphate (CPP-ACP) can reduce tooth sensitivity because they work to inhibit nerve transmission, thereby preventing the sensation of pain. This study aimed to investigate the effect of potassium nitrate desensitization agents and CPP-ACP on tooth sensitivity after bleaching treatment.Subjects and Method: This was a meta-analysis with the following PICO format. Population= Patients who have undergone office bleaching treatment. Intervention= desensitizing agents potas-sium nitrate and CPP-ACP. Comparison: without desensitizing agent. Outcome: tooth sensitivity. Keywords used "Office bleaching" AND "Tooth sensitivity" OR "Dentine hypersensitivity" AND "Potassium nitrate" AND Casein Phosphopeptide Amorphous Calcium Phosphate" OR "CPP-ACP" AND "Randomized Controlled Trial" OR “RCT”. Studies published at PubMed, Springerlink, Cochrane Database, Hindawi, Elsevier, Google Scholar and Wiley Online Library databases, from 2013 to 2023. The selected articles were critically reviewed using the PRISMA checklist and analyzed using the Review Manager 5.4.1. The effect size used is the Standardized Mean Difference (SMD).Results: A total of 13 RCTs from Brazil, Spain, India, Pakistan, Turkey, Jordan, Iran, and the United States was selected for meta-analysis. Meta-analysis of 7 articles shows that the use of potassium nitrate desensitization agents can reduce tooth sensitivity by 0.20 units lower than without the use of desensitization agents (SMD= - 0.20; 95% CI= -0.37 to -0.03; p=0.020). Meanwhile, 7 articles show that the use of CPP-ACP desensitization agents can reduce tooth sensitivity by 0.46 units lower than without the use of desensitization agents (SMD= -0.46; 95% CI= -0.67 to - 0.24; p<0.001).Conclusion: The use of potassium nitrate desensitization agents and CPP-ACP reduces tooth sensitivity compared to without the use of potassium nitrate desensitization agents and CPP-ACP and is statistically significant. Keywords: desensitizing agent, potassium nitrat, casein phosphopeptide amorphous calcium phosphate, tooth sensitivity, office bleaching
Meta-Analysis of the Effect of Physical Exercise on Decrease Blood Sugar Levels in Type-2 Diabetes Mellitus Patients Widyawardani, Tri Nyantosani; Safitri, Diyanti
Journal of Health Promotion and Behavior Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Diabetes Mellitus is a major health problem worldwide, the number of sufferers is expected to increase rapidly every year. Handling to achieve controlled sugar levels requires the integration of drugs, diet and physical exercise. This study aimed to analyze the effect of physical exercise on reducing blood sugar levels in patients with type 2 diabetes mellitus.Subjects and Method: This study uses the PRISMA flowchart to perform the meta-analysis. The article review process took place between 2017 and 2022 with PICO as follows, Population: type-2 diabetes mellitus sufferers. Intervention: physical exercise. Comparison: not doing physical exercise. Outcome: decrease in blood sugar levels, articles collected using databases such as PubMed, Google Scholar, and Science Direct. The articles obtained will be filtered using the stages according to the PRISMA flow diagram. The analysis was carried out using RevMan 5.3.Results: A total of 9 articles reviewed in the meta-analysis showed that physical exercise reduced blood sugar levels in type 2 diabetes mellitus patients with statistical significance (SMD= -0.44; 95% CI= -0.84 to -0.05; p= 0.030).Conclusion: Physical exercise lowers blood sugar levels in people with type 2 diabetes mellitus..Keywords: physical exercise, diabetes mellitus type 2, decrease in blood sugar levels.Correspondence:Tri Nyantosani Widyawardani. District Health Office of Klaten, Central Java. Jl. Pemuda Nomor 313, Mlinjon, Tonggalan, Central Klaten, Central Java, 5741. Email: nyantosani@gmail.com. Mobile: +62811284836.Journal of Health Promotion and Behavior (2022), 07(02): 119-131DOI: https://doi.org/10.26911/thejhpb.2021.07.02.04