在初级牙中比较儿科档案和传统档案的使用:一个系统的审查
P S Mourão1, I B Fernandes2, K Santos1
1Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, Brazil.
概括
儿科内牙科档案提供了更好的填充质量和减少了初级牙的仪器仪表时间. 虽然儿科档案可能会导致术后疼痛减少,但结果在不同的时间点上有所不同,证据的确定性较低.
科学领域:
- 儿科牙科 儿科牙科
- 牙周内科医院 牙周内科医院 牙周内科医院
- 牙科材料 牙科材料
背景情况:
- 由于复杂的根管解剖学,初级牙的肉质损伤给儿科牙医带来了挑战.
- 在初生牙中,有效的根管治疗对于保持牙弧的完整性和功能至关重要.
研究的目的:
- 系统地比较小儿科和传统手动和机械化内牙科对母牙的档案.
- 评估结果,包括根管填充质量,仪器时间和术后疼痛.
主要方法:
- 按照PRISMA指南进行系统审查,在PROSPERO.中注册.
- 包括比较儿科和常规档案的临床研究,在多个数据库中进行全面搜索.
- 使用GRADE进行了元分析并评估了证据确定性,评估了最初识别的3,643项合格研究中的10项合格研究.
主要成果:
- 手动儿科档案表现出优越的填充质量和较少的副填充与传统手动档案相比.
- 儿科和传统机械化文件之间没有观察到填充质量的显著差异.
- 与传统同行相比,手动和儿科机械化文件的仪器仪表时间减少了.
- 在大多数时间点中,术后疼痛没有显著的差异,尽管在12小时后,常规文件与较少的疼痛有关.
- 对所有结果的证据确定性被评为低.
结论:
- 儿科手文件可以提高母牙的根管堵塞质量.
- 儿科内牙科档案 (手动和机械化) 可能会减少仪器仪表时间.
- 儿科档案的使用也可能导致手术后疼痛的减少,尽管证据有限,需要进一步调查.
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