我们应该把创伤的母牙用 splint吗?
1School of Clinical Dentistry, University of Sheffield, Sheffield, UK. c.deery@sheffield.ac.uk.
Evidence-based dentistry
|July 11, 2023
概括
灵活的 splinting 可能会改善创伤的初级牙与根骨折的结果. 然而,目前支持这种牙科创伤管理的证据有限,需要进一步研究.
科学领域:
- 儿科牙科 儿科牙科
- 牙科创伤学 牙科创伤学
- 基于证据的牙科.
背景情况:
- 对母牙的创伤性牙损伤是常见的.
- 管理策略旨在保护牙的活力和功能.
- splinting 在处理脱落或骨折的母牙中的作用需要澄清.
研究的目的:
- 系统地审查刺创伤的初级牙的临床结果.
- 为了评估 splinting 对牙脱落,根骨折和母牙骨折的有效性.
主要方法:
- 对2003年以后发表的临床研究进行系统审查.
- 纳入标准:一次性牙创伤 (脱落,根骨折,气囊骨折),至少6个月的随访.
- 排除标准:突破伤害,病例报告.
主要成果:
- 三项回顾性研究符合纳入标准;只有一个有对照组.
- 报告的高成功率用于管理带有根骨折的母牙.
- 没有明确的益处确定与侧面脱的 splinting 牙;气囊骨折没有包括在内.
结论:
- 灵活的 splinting 可能有利于治疗母牙根骨折.
- 目前支持用于初级牙创伤的 splinting 的证据基础很低.
- 需要进一步的高质量研究来证实 splinting 在儿科牙科创伤中的有效性.
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