超声波仪器和空气抛光程序是否会对牙科修复产生不利影响?
Annabell Harman1, Bryan Murchie2
1General Professional Trainee, Newcastle Dental Hospital, Newcastle upon Tyne, UK. annabell.harman4@nhs.net.
Evidence-based dentistry
|June 10, 2025
概括
超声波仪器和空气抛光可以损害牙修复,增加表面粗度,影响边缘完整性. 使用不那么磨损的空气抛光粉,如红醇和甘氨酸可以减轻这些不良影响.
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
- 生物材料工程 生物材料工程
背景情况:
- 超声波仪器仪表和空气抛光是常见的牙科手术.
- 对牙科修复的潜在不良影响需要彻底调查.
- 指导临床实践以减轻损害至关重要.
研究的目的:
- 系统地审查实验室研究超声波仪器和空气抛光对牙修复的不良影响.
- 评估对表面粗度和边际完整性的影响.
- 为临床实践提供基于证据的建议.
主要方法:
- 系统的文献审查遵循PRISMA指南.
- 搜索了五个数据库 (Cochrane,PubMed,Scopus,Web of Science,OpenGrey) 并进行了手动搜索.
- 包括1978年至2022年间发表的实验室研究,评估牙科修复或体外生物材料.
主要成果:
- 超声波仪器和空气抛光都对表面粗性和边际完整性产生了负面影响.
- 用碳酸和碳酸粉末抛光空气导致表面粗度比红和甘氨酸更大.
- 基于树脂的复合材料和树脂修饰的玻璃离子体水泥受到影响最大;和脱酸盐表现出更高的抗性.
结论:
- 使用较少的磨砂粉末 (乙醇,甘氨酸) 进行空气抛光,以最大限度地减少表面损坏.
- 高强度的陶修复 (二氧化,) 更耐表面粗.
- 考虑修复材料的类型,以减轻对牙修复的不良影响.
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