优化牙结合强度:从综合文献审查的见解和临床实践的未来影响
Yung-Shin Fan-Chiang1, Peng-Chen Chou1, Yu-Wen Hsiao1
1School of Dentistry, College of Oral Medicine, Taipei Medical University, Taipei 110, Taiwan.
Biomedicines
|November 25, 2023
概括
本综述突出了影响牙科修复纽带强度的关键因素. 尽量减少涂抹层和抑制MMPs可以改善牙结合,同时防止唾液污染对于树脂结合至关重要.
科学领域:
- 牙科材料科学 牙科材料科学
- 生物材料工程 生物材料工程
背景情况:
- 牙修复的寿命受到修复材料与牙结构之间的结合强度的显著影响.
- 了解影响结合强度的因素对于改善恢复性牙科的临床成功率和患者结果至关重要.
研究的目的:
- 在各种牙结合场景中全面审查影响结合强度的修改因素.
- 评估这些因素对牙科修复的长期耐用性的相关性.
主要方法:
- 在PubMed,ResearchGate和Google Scholar进行了系统的文献搜索.
- 包括1992年至2022年间发表的研究,重点关注牙结合强度和修复寿命.
- 分析影响牙树脂,树脂-树脂和陶粘合的因素.
主要成果:
- 对于牙树脂键,最小化涂抹层和使用矩阵金属蛋白酶 (MMP) 抑制剂对于防止混合层降解至关重要.
- 对于树脂-树脂键,逆转血液污染是可行的,但预防唾液污染至关重要.
- 陶的预处理对粘合强度有很小的影响,尽管特定的颜色需要仔细考虑.
结论:
- 既定做法承认重要的债券强度决定因素,但新兴的研究提供了新的见解.
- 将严格实验的新发现整合到临床实践中可以增强患者的体验和恢复结果.
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