深层病变管理与逐步,选择性或非选择性去除永久牙:随机临床试验的系统审查
Nicola Figundio1, Pedro Lopes1,2, Tamara Kerber Tedesco3
1Faculty of Dental Medicine, Universidade Católica Portuguesa, 3504-505 Viseu, Portugal.
Healthcare (Basel, Switzerland)
|August 26, 2023
概括
在深层病变中选择性去除提供了比非选择性方法更好的结果,减少了纸暴露. 单次治疗也更好,以获得更好的结果和患者的坚持.
科学领域:
- 牙科 牙科是指牙科的专业.
- 恢复性牙科 恢复性牙科
- 皮肤病学 皮肤病学 皮肤病学
背景情况:
- 永久牙的深病变对牙医来说是一个挑战.
- 传统的非选择性牙切除可以导致过度的牙结构损失和脉并发症.
研究的目的:
- 系统地审查和比较选择性,阶段性和非选择性除技术的有效性.
- 评估结果,如脉暴露,临床发现和用于脉保护的材料.
主要方法:
- 进行了以英语出版的随机对照试验 (RCT) 的系统审查.
- 搜索的数据库包括PubMed/MEDLINE和Web of Science,其中包括2008年1月之后发表的研究.
- 使用RoB 2工具评估了偏差风险.
主要成果:
- 五项研究符合纳入标准,比较非选择性和选择性/渐进性虫除去.
- 与非选择性去除最长18个月的治疗相比,选择性去除的成功率更高,脉暴露率更少.
- 一次性治疗与两次性治疗相比,与更好的结果有关.
结论:
- 选择性空去除优于深病变的非选择性去除,最大限度地减少脉暴露.
- 一次性选择性去除似乎比两次性方法更有利.
- 在两种技术之间的5年随访中,没有发现管理寿命或修复物质成功的显著差异.
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