后牙的单片内牙冠:系统审查的概述
Susana Morimoto1, Yuri Arakaki2, Daniela P Raggio3
1Postdoctoral Fellow, Department of Orthodontics and Pediatric Dentistry, School of Dentistry, University of São Paulo (USP), São Paulo, Brazil.
The Journal of prosthetic dentistry
|October 9, 2024
概括
一件式内牙冠,特别是陶和间接树脂类型,显示出高的生存率和成功率,与传统的后牙冠相美. 然而,对于其他材料的证据有限,需要更多高质量的试验.
科学领域:
- 恢复性牙科 恢复性牙科
- 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:
- 后部非重要牙的修复涉及内牙成功和修复有效性.
- 最少侵入性牙科的趋势促进了对单片内牙冠的兴趣.
- 关于指示和寿命的有限数据阻碍了广泛采用单片内牙冠.
研究的目的:
- 系统地审查对单片内牙冠的现有系统性审查 (SRs).
- 确定临床结果,包括生存率,成功率和患者报告的结果指标 (PROM).
主要方法:
- 在MEDLINE/PubMed,Cochrane,Web of Science和OpenGrey的系统搜索,直到2024年6月.
- 包括针对单片内牙冠或内牙冠的临床研究的SR.
- 使用ROBIS和AMSTAR-2工具评估偏差风险和方法质量.
主要成果:
- 从468件产品中包括了9个SR;陶和间接树脂单片内牙冠的5年生存/成功率高,与传统冠相似.
- 保持损失是主要的失败模式,在牙和前牙的发病率相似.
- 对于/金属皇冠的证据有限;对于PROMs没有发现SRs;大多数SRs的方法质量低/非常低,尽管关键SRs的偏差风险很低.
结论:
- 陶和间接树脂单片内牙冠似乎适合恢复内牙治疗的前/,提供高的成功/生存率.
- 坚定的结论受到缺乏高质量的初级研究,异质性,可变的后续研究和重大研究重叠的阻碍.
- 进一步的精心设计的临床试验至关重要,以加强单片内牙冠的证据基础.
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