牙修复剂对牙结合强度的影响:系统性审查和元分析
Shuyao Zheng1, Huan Chen1, Qi Lin1
1Postgraduate student, Department of Prosthodontics, Hospital of Stomatology, Jilin University, Changchun, Jilin, PR China.
The Journal of prosthetic dentistry
|July 9, 2024
概括
基于酸的牙修复剂提高了树脂-牙结合的耐用性,在湿和干的条件下. 选择性外纤维脱矿化调节剂也提高了结合的耐用性,特别是在干燥的环境中,尽管需要更多的研究.
科学领域:
- 牙科材料科学 牙科材料科学
- 生物材料工程 生物材料工程
- 粘合式牙科 粘合式牙科
背景情况:
- 复合树脂修复在牙科中很普遍.
- 恢复寿命受到树脂 - 丁键耐久性的显著影响.
- 各种策略对增强树脂-丁键耐久性的影响尚不清楚.
研究的目的:
- 系统地审查和元分析牙修复剂对树脂-牙结合强度的影响.
- 在粘合剂应用之前评估不同的预处理.
- 评估牙修复剂对粘合耐久性的影响.
主要方法:
- 在体外研究的系统审查和元分析.
- 搜索了PubMed,科学网络,EMBASE和科克兰图书馆 (2013-2023年).
- 使用一种随机效应模型,标准化平均差异.
主要成果:
- 基于酸的牙修复剂在湿和干的条件下显著改善了长期结合强度.
- 选择性外纤维脱矿化调节剂在干燥条件下增强了即时键强度.
- 基于金属盐的调节剂只在潮湿条件下提高了即时键强度.
结论:
- 基于酸的牙修复剂在改善树脂-牙结合的耐用性方面是有效的,在潮湿和干燥的条件下改善树脂-牙结合耐用性.
- 选择性外纤维脱矿化调节剂在干燥结合中增强结合耐用性方面表现有前途.
- 建议进行进一步的研究,以充分支持选择性额外纤维细胞去矿化调节剂的使用.
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