再生性内牙术程序:它们在具有死肉肉的成熟永久牙中比在不成熟牙中更成功吗?
Mohammed Murad1,2,3, Paul R Cooper4
1Clinical MSc in Endodontics, University of Manchester, Manchester, UK. dr_m_murad@hotmail.com.
Evidence-based dentistry
|August 4, 2023
概括
再生性内牙术程序 (REP) 有效地治疗成熟和不成熟的永久牙与死肉质. 虽然REP在两种情况下都有很高的成功率,但成熟的牙在恢复活力反应方面比不成熟的牙有显著的改善.
科学领域:
- 牙周内科医院 牙周内科医院 牙周内科医院
- 再生医学是一种再生医学.
- 牙科创伤学 牙科创伤学
背景情况:
- 成熟和不成熟的死永久牙,在临床上是一个重大的挑战.
- 再生性内牙术程序 (REP) 旨在恢复脉活力和根部发育.
- 根据根部发育阶段评估REP的有效性对于治疗规划至关重要.
研究的目的:
- 系统地审查和对成熟和不成熟的永久牙中REPs的有效性进行元分析.
- 为了确定REP的成功率是否受到根部发育阶段的影响.
- 评估诸如成功率,无症状状态和脉活力反应等结果.
主要方法:
- 以英语出版的随机对照试验 (RCT) 的系统综述和元分析.
- 在PubMed,EMBASE,OpenGrey,Web of Science和Cochrane图书馆进行的搜索截至2022年2月17日.
- 数据的提取和合成遵循了严格的选和共识协议,涉及多个审查者.
主要成果:
- 分析包括了27个RCT.
- 在成熟和不成熟的牙之间,在整体成功率或无症状率上没有发现统计学上显著的差异.
- 在电脉测试的阳性反应率中观察到一个统计学上显著的差异,有利于成熟的牙.
结论:
- 再生性内牙术程序 (REP) 对于成熟和不成熟的死永久牙都是有效的.
- 在不同的根部发育阶段,REP 实现了很高的成功率.
- 成熟的牙在REP后恢复活力反应的能力比不成熟的牙更大.
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