Topical medications for the treatment of recurrent aphthous stomatitis: A network meta‐analysis

作者：Mubarak Ahmed Mashrah, Fang Ying, Wanxing Song, Sadeq Ali Al‐Maweri, Lan Yang, Linhu Ge, Liping Wang · 发表于：Journal of Oral Pathology and Medicine · 年份：2023 · DOI：10.1111/jop.13480 · 被引用次数：11 · 研究领域：Oral Health Pathology and Treatment、Advancements in Transdermal Drug Delivery、Nail Diseases and Treatments

BACKGROUND: The present network meta-analysis aims to answer the question "what is the best topical intervention for the treatment of recurrent aphthous stomatitis that can provide an acceptable pain relief and promote wound healing?" METHODS: From inception to October 2022, PubMed, Embase, Scopus, Cochrane Library, and China National Knowledge Infrastructure were searched to identify all potentially eligible randomized controlled trials. The primary outcomes were pain scores and/or healing time, while the secondary outcomes were the associated side effects. The Bayesian network meta-analysis accompanied by a random effect model and 95% credible intervals were calculated. RESULTS: Forty-three randomized controlled trials with a total of 3067 participants, comparing 20 different topical medications, were included. Concerning pain reduction, the network meta-analysis failed to show any statistically significant differences when different topical treatments were compared together or even with a placebo at different time intervals. Except for doxycycline, which showed a statistically significant difference in terms of accelerating healing time, other topical interventions showed no statistically significant differences when compared with placebo or with each other. CONCLUSION: Within the limitations of the current network meta-analysis, it seems that: A low to moderate quality of evidence showed no superiority of any topical treatment over others concerning pain reduction, althou...