外部切割后破裂牙与正常牙或可逆牙的牙存活率:系统性审查和元分析
Abdul Sathik Fiyaz Ghan1, Arunakshi Krishnan1, Sidhartha Sharma1
1Division of Conservative Dentistry and Endodontics, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India.
Journal of endodontics
|July 13, 2025
概括
外部 splinting 显示了 85% 纸存活率 破裂的牙与可逆性牙在 1 年. 然而,治疗变化和低质量的证据需要进一步研究标准化方案.
科学领域:
- 牙科创伤学 牙科创伤学
- 牙周内科医院 牙周内科医院 牙周内科医院
- 恢复性牙科 恢复性牙科
背景情况:
- 破裂的牙与正常的脉或可逆的脉呈现出临床挑战.
- 外部 splinting 是对这些牙的管理选项.
- 评估脉存活率对于治疗成功至关重要.
研究的目的:
- 系统地审查和元分析破裂牙的脉存活率,这些破裂牙是用外部 splinting 管理的.
- 在这些情况下评估影响纸存活的因素.
主要方法:
- 在多个数据库中进行系统的文献搜索,直到2025年1月.
- 包括具有至少12个月随访的临床研究.
- 使用已确定的方法论评估偏见风险和证据质量.
- 随机效应模型用于聚合生存率估计.
主要成果:
- 分析了10项研究,其中包括711颗破裂的牙.
- 12个月后的聚合纸存活率为85% (95% CI:79%-91%),具有显著的异质性.
- 没有正牙带 (89%) 和直接方法 (89%) 观察到更高的生存率.
- 偏差风险中等,证据质量非常低.
结论:
- 外部 splinting 证明了一个有利的1年纸存活率破裂的牙与可逆的脉.
- 在治疗方案中存在相当大的异质性.
- 需要高质量的比较研究来标准化治疗方法.
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