牙医在各种病变中进行修复性干预的门:基于调查的系统审查更新
Caries research
|May 11, 2025
概括
牙医不太可能在闭塞性牙上进行侵入性治疗,但更有可能在近端牙上进行干预,尽管有证据支持微创牙科 (MID). 这次更新的综述考察了牙损伤的修复性值.
科学领域:
- 牙科公共卫生 牙科公共卫生
- 恢复性牙科 恢复性牙科
- 基于证据的牙科.
背景情况:
- 最少侵入性牙科 (MID) 是临床和成本效益的,但它的采用速度很慢.
- 2016年的一项审查表明,牙医往往比必要更早地进行侵入性干预.
- 这项研究更新了牙医对病变的修复值的评估.
研究的目的:
- 更新对牙医修复性治疗病变的门进行系统审查.
- 评估自2016年以来这些门的变化,考虑新的证据,教学和指导方针.
- 分析随时间的变化,牙风险,区域差异和牙类型.
主要方法:
- 复制了最初审查的方法,遵守PRISMA 2020指南.
- 在EMBASE,Medline (PubMed) 和Web of Science (2016-2023) 搜索了关于恢复性值的观察性研究.
- 包括使用随机效应模型的元分析,独立的重复选,数据提取和偏差风险评估.
主要成果:
- 包括47个出版物和65个数据集;自最初的审查以来,有17个新出版物.
- 在2016年后 (5%) 与2016年之前 (15%) 相比,更少的从业者对局限于质的闭塞病变进行了侵入性干预.
- 2016年以后对近接性病变的干预水平增加:仅限于质 (27%vs. 19%) 和质-牙结口 (61%vs. 39%).
结论:
- 观察到一种趋势,即对闭塞病变的侵袭性治疗较少.
- 对于近端病变来说,这种向不太侵入性治疗的趋势并不明显.
- 区域间存在差异,但数据不足使得无法得出明确的结论.
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