后牙部分覆盖恢复的生存率和并发症-系统性审查和元分析
L S Prott1,2, S Pieralli3, P Klein1
1Department of Prosthodontics, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany.
概括
二酸盐 (LDS) 和白增强玻璃陶 (LRGC) 后部部分覆盖恢复 (PCRs) 显示出高生存率. 三年后,LDS可能略高于树脂矩阵陶 (RMC) PCR.
科学领域:
- 牙科材料科学 牙科材料科学
- 恢复性牙科 恢复性牙科
- 临床试验中的临床试验.
背景情况:
- 扩展后部缺陷需要持久的修复解决方案.
- 部分覆盖恢复 (PCR) 提供了一种保守的方法.
- 后部PCR使用各种陶和基于陶的材料.
研究的目的:
- 评估由不同陶材料制成的后部PCR的临床性能.
- 为了比较这些修复的存活率和故障模式.
主要方法:
- 进行了随机对照试验 (RCT) 的系统审查.
- 搜索包括主要的数据库 (MEDLINE,Scopus,CENTRAL) 和临床试验注册表.
- 包括RCT对不同陶材料的后期PCR进行了比较,并进行了至少1年的随访.
主要成果:
- 在分析中包括了6个RCT.
- 脱酸盐 (LDS) 和酸盐增强玻璃陶 (LRGC) 的三年生存率很高 (分别为93.7%和96.1-98.3%).
- 与LDS (低确定性证据) 相比,树脂矩阵陶 (RMC) 的故障和保留率的损失略高.
结论:
- 陶和基于陶的PCR对于扩展后部缺陷是可靠的.
- 在三年后,LDS修复可能比RMC修复提供轻微的生存优势.
- 为了确认长期表现,需要进行更多具有中长期数据的RCT.
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