直接纸封顶成功的决定因素:一个系统的审查
Jose Francisco Gomez-Sosa1, Mario Granone-Ricella2, Marina Rosciano-Alvarez3
1Unidad de Terapia Celular-Laboratorio de Patología Celular y Molecular, Centro de Medicina Regenerativa, Instituto Venezolano de Investigaciones Científicas (IVIC), Caracas, Venezuela; Department of Endodontics, School of Dentistry, Universidad Santa Maria, Caracas, Venezuela, Phone: +58 4142805556,
The journal of contemporary dental practice
|July 3, 2024
概括
直接肉质封闭 (DPC) 显示,在肉暴露的永久牙中,成功率很高. 矿物三氧化物聚合物 (MTA) 和Biodentine提供比氧化物更好的长期结果,改善牙预后.
科学领域:
- 牙周内科医院 牙周内科医院 牙周内科医院
- 牙科材料科学 牙科材料科学
背景情况:
- 直接肉质封闭 (DPC) 是一种重要的内牙术程序,用于保存永久牙中的重要肉质.
- 了解影响DPC成功的因素对于优化治疗结果和长期牙存活至关重要.
研究的目的:
- 系统地审查和阐明决定永久牙直接肉封顶成功的因素,以牙肉暴露.
- 为了比较不同限制剂的疗效,并确定最佳的临床实践.
主要方法:
- 在PubMed,Scopus和ISI Web of Science中对1980-2023年的研究进行了全面的系统审查.
- 纳入标准:前性/后性临床研究,≥15颗永久牙,多种脉暴露,DPC剂 (MTA,Biodentine,Ca(OH) 2),护,≥1年的随访.
- 分析因素:研究设计,患者年龄,样本大小,腔体特征,暴露细节,脉诊断,静血,封闭材料,恢复,随访和评估方法.
主要成果:
- 16项研究符合选择标准,涉及广泛的年龄范围 (6-88岁) 和样本大小 (15-245颗牙).
- 可逆性胸膜炎是主要的诊断.
- 与氧化相比,矿物三氧化聚合物 (MTA) 和Biodentine的成功率更高和可比.
- 短时间内最终恢复对长期预后产生了积极影响.
结论:
- 矿物三氧化物聚合物 (MTA) 和Biodentine被推作为氧化的优质替代品,用于直接封装纸.
- 临床医生应考虑各种因素,包括封闭材料和及时恢复,以最大限度地提高DPC成功率.
- 这一系统性审查提供了基于证据的指导,以优化直接纸封闭程序并改善患者的治疗结果.
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