在初级和永久牙中评估玻璃离子体水泥寿命 - 一个雨审查
Alessandro Panetta1, Pedro Lopes1,2, Tatiane Fernandes Novaes3
1Faculty of Dental Medicine, Universidade Católica Portuguesa, 3504-505 Viseu, Portugal.
Journal of functional biomaterials
|February 23, 2024
概括
这一综合性审查发现,玻璃离子体水泥 (GIC) 对初级牙有很大的前景,特别是在无创性修复性治疗 (ART) 技术中. 然而,关于永久牙中GIC长寿的证据有限,通常质量不佳.
科学领域:
- 牙科材料科学 牙科材料科学
- 恢复性牙科 恢复性牙科
- 基于证据的牙科.
背景情况:
- 玻璃离子水泥 (GIC) 是一种广泛使用的牙科修复材料.
- 它的寿命和临床性能在初级和永久牙需要彻底评估.
- 关于GIC寿命的现有系统审查的方法和质量各不相同.
研究的目的:
- 进行一项综合性审查,评估GIC作为初级牙和永久牙中修复材料的寿命.
- 综合来自对GIC性能临床试验系统审查的证据.
- 为了识别关于GIC耐用性的文献上的空白.
主要方法:
- 在MedLine/PubMed,Web of Science和Scopus数据库中进行系统搜索.
- 包括对评估GIC长寿的临床试验的系统审查.
- 排除不符合审查标准或专注于特定损伤类型的研究.
主要成果:
- 包括13项系统性审查,随访期从6个月到6年不等.
- 偏差风险评估揭示了大量具有高风险或不清楚风险的研究.
- GRADE评估将证据质量归类为B级,表明有矛盾的证据和更低的稳定性.
结论:
- 玻璃离子体水泥 (GIC) 是初级牙的可行选择,特别是在无创性修复性治疗 (ART) 技术中.
- 由于有限的高质量证据,永久牙中GIC的长期临床性能和寿命仍然值得怀疑.
- 诸如GIC类型,腔室准备和操作人员经验等因素显著影响临床结果,需要个性化治疗决策.
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