牙自移植:一个可行的解决方案,以保持口腔健康和功能
Carlos Fernando Mourão1, Rodrigo Resende2
1Department of Periodontology, Tufts University School of Dental Medicine, Boston, MA, USA. carlos.mourao@tufts.edu.
Evidence-based dentistry
|April 8, 2024
概括
牙自移植 (DAT) 显示出高的成功率 (89.4%) 和生存率 (96.1%),主要并发症是骨髓缩和根部再吸收. 封闭的顶点增加了并发症,但不是成功,突出了对标准化指导方针的需求.
科学领域:
- 口腔外科和再生牙科.
- 基于证据的牙科和系统审查.
背景情况:
- 牙自移植 (DAT) 是牙置换的一个可行的选择.
- 了解预后因素,结果和并发症对于优化DAT至关重要.
- 现有的系统审查提供了有价值的数据,但质量不同.
研究的目的:
- 综合当前关于DAT的预后因素,结果和并发症的证据.
- 通过综合性审查,提供对DAT知识状况的全面概述.
主要方法:
- 对DAT的系统审查和元分析进行了总体审查.
- 全面的数据库搜索到2022年6月.
- 使用AMSTAR 2进行独立研究选择,数据提取和质量评估.
- 随机效应的元分析和结果分析的元回归.
主要成果:
- 分析了10项系统性审查 (其中9项具有元分析).
- 总体成功率: 89.4%;生存率: 96.1%. 总体成功率: 89.4%;生存率: 96.1%.
- 主要并发症:结 (4.6%) 和根吸收 (7.4%).
- 关闭的尖顶与缩症,再吸收和生存率降低的相关性,但没有成功.
- 包括的系统审查显示了可变的质量 (20%中度,60%低,20%极低).
结论:
- DAT是一种可靠的牙置换方法,成功率和存活率很高.
- 谨慎的患者选择,规划和对细节的关注对于最佳结果至关重要.
- 建立标准的临床指导方针和进一步的研究是必要的,以提高DAT结果,并最大限度地减少并发症.
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