空间维护器在儿科患者中的有效性:系统性审查和元分析
MDolores Casaña-Ruiz1, Juan Ignacio Aura-Tormos1, Laura Marques-Martinez1
1Dentistry Department, Faculty of Medicine and Health Sciences, Catholic University of Valencia San Vicente Mártir, 46001 Valencia, Spain.
Dentistry journal
|January 24, 2025
概括
固定空间维护器在过早失去牙后需要空间维护的儿童中提供更高的生存率和稳定性. 可拆卸的选择需要更多的患者合作,并且对于长期的牙科护理来说不那么持久.
科学领域:
- 儿科牙科 儿科牙科
- 矯正牙科 矯正牙科是一種矯正牙科.
- 牙科材料科学 牙科材料科学
背景情况:
- 过早失去母牙需要保持空间,以防止未来的牙科并发症.
- 评估各种空间维护器类型的有效性和生存率对于儿科牙科护理至关重要.
- 本研究侧重于可拆卸,固定金属基和固定树脂基空间维护器.
研究的目的:
- 系统地评估和比较不同类型的空间维护者的儿童生存率.
- 评估可拆卸与固定空间维护器在过早失去一次性牙后的临床有效性.
主要方法:
- 按照PRISMA指南进行了系统审查.
- 通过PubMed,EMBASE,Scopus,Cochrane和Web of Science进行了搜索,并通过手动搜索进行了补充.
- 在最终分析中包括了11项研究,包括观察性研究和随机临床试验.
主要成果:
- 固定空间维护器,特别是带和循环 (BL) 和语言弧 (LA),表现出优越的长期稳定性和较低的损失率.
- 可拆卸的空间维护器,如霍利板,适合临时使用,但严重依赖患者的合作,并且容忍度较低.
- 在包括的研究中,共分析了479名患者.
结论:
- 空间维护者对于防止邻近的牙迁移和减少未来复杂正牙干预的需要至关重要.
- 有效的空间维护支持儿童正确的功能和语言发育.
- 固定空间维护器通常因其可靠性和耐用性而被喜欢在儿科患者中.
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