落叶前牙的修复策略:系统性审查和元分析
Rodolfo de Carvalho Oliveira1, Jonathan Rafael Garbim1, Ana Laura Passaro2
1Department of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, University of São Paulo, São Paulo, Brazil.
Evidence-based dentistry
|May 10, 2025
概括
用条纹皇冠或石皇冠恢复主要前牙,在没有内牙治疗的情况下,牙的成功率很高. 结合带状皇冠的内柱子对于需要内牙治疗的牙是有效的.
科学领域:
- 儿科牙科 儿科牙科
- 恢复性牙科 恢复性牙科
- 牙科材料科学 牙科材料科学
背景情况:
- 主要前牙容易受到牙损和创伤的影响.
- 有效的修复技术对于维持儿童的功能和美学至关重要.
研究的目的:
- 系统地审查和评估各种修复技巧的成功率,用于牙或创伤所影响的前牙.
- 为了比较不同修复材料和方法的有效性.
主要方法:
- 在多个数据库 (Medline,Scopus,Web of Science等) 中进行系统的文献搜索. 在2024年2月之前.
- 包括随机对照试验和非随机研究,随访时间≥12个月.
- 对成功率的元分析,对子组和偏差风险进行评估 (GRADE系统).
主要成果:
- 分析了8项涉及852颗2至9岁儿童牙的研究.
- 在12个月的总体成功率为71%.
- 条纹皇冠 (79%) 和圆皇冠 (70%) 在非内牙病例中表现出很高的成功率;在内牙病例中,内柱达到83%. 证据的确定性很低.
结论:
- 条纹皇冠和石皇冠在没有内牙治疗的情况下对主要前牙有效,条纹皇冠更简单.
- 内柱,特别是带纹冠,对于需要内牙治疗的牙具有很高的成功率.
- 由于复杂性和后勤挑战,生物修复显示出较差的结果.
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