释放的修复材料是否可以防止叶子牙和永久牙修复周围的牙的发展? 一个系统的审查和元分析
Gabriella Fernandes Rodrigues1, Karla Lorene De França Leite1, Marcela Baraúna Magno1
1Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal Do Rio de Janeiro, Rio de Janeiro, Brazil.
Caries research
|November 28, 2025
概括
释放的牙材料有助于防止36个月后婴儿和永久牙在修复 (CARs) 周围的牙. 然而,证据的确定性低至中等,需要谨慎解释,因为研究偏见.
科学领域:
- 牙科 牙科是指牙科的专业.
- 材料科学 材料科学 材料科学
背景情况:
- 牙修复周围的 (CARs) 是牙修复失败的主要原因.
- 评估化物释放材料在预防CAR的有效性对于改善恢复寿命至关重要.
研究的目的:
- 评估与非释放材料相比,使用释放恢复材料的CARs发展的证据.
- 分析牙类型,材料特性和处理变量对CAR发展的影响.
主要方法:
- 随机临床试验的系统审查和元分析.
- 在6个数据库和灰色文献中进行的搜索没有语言限制.
- 使用ROB2评估偏差风险,使用风险差异 (RD) 进行的元分析和用于探索调节者的元回归. 格雷德评估了证据的确定性.
主要成果:
- 包括46项研究;29项有担忧,9项有偏见的高风险.
- 释放材料在36个月后显示了CARs风险降低 (RD -0.015),尽管调节器没有显著影响这一点.
- 证据的确定性从低到中等不等.
结论:
- 在36个月的随访期内,释放化物的修复材料在预防CAR方面表现出有效性.
- 由于证据的确定性较低至中等,并且在包括的研究中发现了偏差风险,因此应谨慎解释结果.
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