在深度利率上升中的实践知识差距:迈向结构化案例选择的一步 - - 综述
Eman H Ismail1, Saba S Ghazal2, Rahaf D Alshehri3
1Department of Clinical Dental Science, College of Dentistry, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.
The Saudi dental journal
|May 20, 2024
概括
深边缘提升 (DME) 是一种流行的技术,但缺乏明确的选择标准. 本次审查强调了需要标准化手术前和手术后的指导方针,以确保安全有效地应用DME.
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
- 牙周病学 牙周病学
背景情况:
- 深边缘升高 (DME) 越来越多地被使用,但缺乏确定的案例选择标准.
- 临床医生在管理深腔和冠状方面面临挑战,可能会错过保守的治疗机会.
研究的目的:
- 分析现有的DME病例报告和系列,以确定术前/术后评估方法.
- 为DME技术提出一个术前病例选择检查清单.
主要方法:
- 从2021年6月到2023年6月,在多个电子数据库 (PubMed,Cochrane Library,Google Scholar,EBSCO,Scopus) 中进行了全面的文献搜索.
- 纳入标准侧重于病例报告/病例系列,详细介绍了DME的牙周和修复性结果.
- 总共有217篇文章被确定,其中76篇被认为是相关的,7篇 (6篇案例报告,1篇案例系列) 符合最终的纳入标准.
主要成果:
- 审查的研究报告了对DME的有利结果.
- 由于在选定的研究中没有遵守报告准则,因此发现了重大信息缺口.
- 没有标准化的手术前/手术后评估修复性和牙周状况的协议,随访时间差异很大.
结论:
- 开发和实施术前/术后指南对于DME的安全应用至关重要.
- 标准化指导方针可以提高对DME在未来临床试验中的适用性和有效性的理解.
- 需要进一步的研究和证据来支持或反驳使用DME作为一种保守的治疗方法.
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