污染和净化方法对粘合系统对牙的粘合强度的影响:系统性审查
Rim Bourgi1,2, Carlos Enrique Cuevas-Suarez3, Walter Devoto4
1Department of Restorative Dentistry, School of Dentistry, Saint-Joseph University, Beirut, Lebanon.
概括
血液或唾液的污染显著降低了牙复合材料对牙的结合强度. 然而,在用水冲洗后重新应用粘合剂可以恢复粘合强度,而不建议使用静血剂进行净化.
科学领域:
- 牙科材料科学 牙科材料科学
- 恢复性牙科 恢复性牙科
- 生物材料是一种生物材料.
背景情况:
- 保持一个孤立的操作领域对于牙科修复手术至关重要.
- 粘合过程中的污染可能会损害牙科修复的完整性.
研究的目的:
- 系统地审查和比较复合材料修复在接触常见污染剂时对牙的结合强度.
- 评估各种净化方案在减轻污染的负面影响方面的有效性.
主要方法:
- 按照PRISMA 2020指南进行系统审查,搜索Embase,PubMed,Scielo,Scopus和Web of Science,直到2022年9月.
- 包括评估基于树脂的材料对被血液或唾液污染的人类牙的结合强度的研究.
- 使用RoBDEMAT工具进行偏差风险评估.
主要成果:
- 在3750篇初步论文中,62篇被纳入了定性分析.
- 血液和唾液污染显著损害了粘合强度,无论粘合步骤受到影响.
- 诸如喷水和连接系统的重新应用等除污方法显示,有可能逆转污染效应.
结论:
- 血液或唾液的污染会对基于树脂的材料与牙的结合强度产生负面影响.
- 特定的净化方案,包括水冲洗和粘合系统的重新应用,可以恢复粘合强度.
- 不建议使用止血剂去污染受血影响的牙表面.
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