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牙甲膜脱蛋白化对正统牙科支架结合的影响:系统性审查和元分析

Sami Alrai¹, Osama Eissa², Samira Diar-Bakirly³

¹Dental Design Clinic, Abu Dhabi, UAE.

Journal of orthodontic science

|July 9, 2025

概括

使用低酸 (NaOCl) 脱蛋白化乳不会显著影响正义牙科支架键强度. 然而,帕帕因的预处理增强了剪接键强度 (SBS),而不会影响粘合物残留指数 (ARI).

科学领域:

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
生物材料是一种生物材料.

背景情况:

在蚀刻前使用低酸盐 (NaOCl) 或帕帕因去蛋白化面,以提高正支架剪接强度 (SBS).
关于这些脱蛋白化方法的有效性的现有证据仍然没有确定性.

研究的目的:

系统地审查和评估质脱蛋白化对正支架的SBS和粘接残留指数 (ARI) 的影响.
为了评估不同类型的牙粘合剂的作用,用于支架粘合.

主要方法:

在四个主要数据库 (PubMed,Cochrane,Scopus,Web of Science) 和灰色文献中进行了全面的搜索,截至2024年5月.
包括的随机对照试验 (RCT) 用随机效应元分析进行了分析,随后进行了子组,灵敏度和GRADE分析.

主要成果:

分析了19项涉及1399颗牙的研究. 低质量的证据显示,5.25%的NaOCl对SBS (MD = -1.17) 或ARI (MD = -0.27) 没有显著的影响.
帕帕因脱蛋白化显著增加了SBS (MD = -2.78),但没有显著改变ARI (MD = -0.29).
限制包括在所包含的研究中存在偏见,不一致性和不准确性的风险.

结论:

用5.25%的NaOCl去蛋白化牙膏不会显著影响SBS或ARI用于正牙支架粘合.
在使用树脂复合材料或树脂修饰玻璃离子体时,帕帕因预处理与显著更高的SBS相关,对ARI没有显著影响.

关键词:

乳脱蛋白化乳脱蛋白化这是一个元分析.ортодонтический结合的结合 ортодонтический结合系统性审查系统性审查

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