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在修复内治疗牙的决策:仿生牙科培训的影响

Paridhi Kimble¹, Sandra Stuhr², Neville McDonald¹

¹Department of Cariology, Restorative Sciences and Endodontics, University of Michigan School of Dentistry, Ann Arbor, MI 48109, USA.

Dentistry journal

|July 28, 2023

概括

仿生牙科培训影响牙医选择恢复内牙治疗牙 (ETT). 具有仿生学培训的牙医倾向于保守的选择,为严重的牙结构损失保留牙冠.

科学领域:

牙科牙科是指牙科的专业.
生物材料科学生物材料科学
恢复性牙科恢复性牙科

背景情况:

恢复内牙治疗的牙 (ETT) 存在由于结构缺陷的挑战,没有关于最佳最终修复的普遍共识.
从历史上看,全覆盖冠是标准的,但粘合性和仿生牙科的进步提供了最少侵入性的替代方案.

研究的目的:

为了研究一般牙医如何,与或没有仿生训练,决定ETT的最终修复.
将修复偏好与牙结构损失的客观测量进行比较.

主要方法:

调查了78名普通牙医,他们对五颗被拔出后牙的修复选择进行了调查,牙结构损失程度各不相同.
利用CAD/CAM技术数字化量化牙体积损失,以与调查结果进行比较.
采用了千平方,费舍尔的精确和皮尔森的测试进行统计分析.

主要成果:

在具有和没有仿生学培训的牙医之间,在修复性决策中观察到显著的差异 (p < 0.05).
经过生物仿真训练的牙医选择直接修复或内嵌/内嵌更频繁,而不是全冠,除了最大的牙结构损失的情况下.
参与者的年龄没有显著影响恢复性决策.

结论:

仿生训练鼓励对ETT采取更保守的修复方法.
经过生物仿真培训的牙医明智地只为有重大结构损失的牙选择牙冠.
一种用于量化牙体积损失的新型数字方法被证明并根据视觉评估进行验证.

关键词:

生物仿真牙科生物仿真牙科牙周内科牙周内科是指牙周内科.基于证据的牙科.修复性牙科修复性牙科是指恢复性牙科.

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