剩余的牙结构和 Endodontically 治疗的牙恢复的预后: 一个系统的审查
Saja K Al-Meshal1, Aqeel M AlismaiI2, Tamim A Alfalah3
1Dentistry, Majmaah University, Al-Majmaah, SAU.
Cureus
|November 13, 2025
概括
经过内科医疗治疗的牙的恢复显示出高生存率. 冠状提供更好的长期存活结构受损的牙,而直接复合材料足以减少损坏的牙.
科学领域:
- 牙科 牙科是指牙科的专业.
- 恢复性牙科 恢复性牙科
- 牙周内科医院 牙周内科医院 牙周内科医院
背景情况:
- 内牙治疗牙的预后取决于剩余的冠状结构.
- 修复选项包括直接树脂复合材料和全/部分覆盖冠.
研究的目的:
- 用直接复合材料恢复内牙治疗牙的无骨折存活率与皇冠进行比较.
- 评估杆,轴壁完整性和表面损失对生存的影响.
主要方法:
- 按照PRISMA指南进行系统审查.
- 包括随机试验,前性和后性队列以及临床研究.
- 用手动引用追踪搜索了五个数据库.
主要成果:
- 短期生存率 (≤36个月) 在两次恢复中都很高 (高达100%).
- 长期存活 (8-10年) 有利于皇冠,特别是具有广泛的结构损失.
- 直接复合材料的表现很好,缺少1-3个表面和完整的轴壁;皇冠受益于4-5个表面丢失或损坏的牙.
结论:
- 皇冠和直接复合材料都实现了高的短期生存率.
- 脊柱覆盖 (皇冠) 为结构性损害的牙提供长期优势.
- 有限的证据确定性需要对剩余的牙结构和进一步研究进行标准化报告.
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