大量填充与增量分层技术在II类修复中的临床性能:系统性审查和网络元分析
Alain Manuel Chaple Gil1, Laura Pereda Vázquez2, Meylin Santiesteban Velázquez3
1Facultad de Ciencias de la Salud, Universidad Autónoma de Chile, Santiago, Chile.
概括
与传统方法相比,批量填充复合材料提供更快,更简单的牙科修复,而不损害寿命或边际完整性. 这个网络的元分析证实了后部II类修复的可比临床性能.
科学领域:
- 牙科材料科学 牙科材料科学
- 临床牙科 临床牙科
- 基于证据的牙科.
背景情况:
- 大量填充复合材料承诺更快,更简单的牙科修复.
- 与传统方法相比,人们对它们的寿命和边际完整性存在担忧.
研究的目的:
- 为了比较和排名批量填充与传统增量分层技术的临床性能,用于II类后部修复.
- 使用网络元分析 (NMA) 来进行可靠的比较.
主要方法:
- 按照PRISMA 2020指南,对五个数据库进行系统搜索.
- 包括12个随机临床试验.
- 网络元分析评估边际适应,骨折和6个月,12个月和24个月的保留.
主要成果:
- 在随访期间,在批量填充和增量技术之间,在边际适应,骨折或保留方面没有统计学意义上的差异.
- 无论粘度或固化模式,在散装填充子类型中,结果都是可比的.
- 基于Ormocer和覆盖散装填充复合材料的排名概率更高,尽管在统计学上并不优越.
结论:
- 大量填充树脂复合材料的临床性能与用于后部II类修复的传统增量分层相美.
- 大量填充技术简化了安置,提高了操作效率,而不会牺牲临床结果.
- 结果为恢复性牙科的临床决策提供了基于证据的指导.
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