影响由金属牙核心支牙垂直根骨折的因素:一个范围审查
Ichraq Oulghazi1, Amal El Yamani1, Bouabid Morchad1
1Prosthodontics Department, Mohammed V University, Rabat, Morocco.
Clinical, cosmetic and investigational dentistry
|April 26, 2024
概括
本综述强调了导致金属柱牙根骨折的因素. 关键的发现包括牙倾向,杆高度,杆材料,水泥选择,以及影响骨折抵抗的闭合力.
科学领域:
- 牙科材料科学 牙科材料科学
- 生物机械工程 生物机械工程
- 恢复性牙科 恢复性牙科
背景情况:
- 副假肢根骨折是用金属柱恢复牙的一个重要并发症.
- 了解这些骨折的多因素性质对于改善治疗结果至关重要.
研究的目的:
- 进行全面的文献审查,确定影响金属牙芯支牙亚假肢根骨折的所有参数.
- 综合当前关于风险因素和预防策略的证据.
主要方法:
- 在过去10年的PubMed/Medline和Scopus数据库中进行系统的文献搜索.
- 包括英语和法语出版物,并通过手动的文献搜索来补充.
- 分析了18项选定的研究,包括有限元分析,回顾性和随机对照试验.
主要成果:
- 大前和下牙最容易发生根骨折.
- 内制备可以引发裂;2毫米的铁管高度显著提高了断裂阻力.
- 高模量合金将应力传递给牙;树脂改性玻璃离子体水泥提供最佳密封.
- 较长的柱子和考虑塞力 (疲劳骨折) 对于防止垂直根骨折很重要.
结论:
- 牙医必须考虑牙的倾向和效应的关键作用.
- 柱子和水泥的材料选择,以及控制闭塞负荷,对于防止垂直根骨折至关重要.
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