在成年成熟永久牙中,部分脉冲切除用于肉暴露:系统性审查和元分析
Sakha Abdelkhader1, Garrit Koller2, Jing Kang2
1Department of Endodontics, Centre for Oral, Clinical and Translational Sciences, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, UK. Sakha.abdelkhader@kcl.ac.uk.
BMC oral health
|December 3, 2025
概括
部分肺切除术 (PP) 对于成年人皮暴露有效. 三酸水泥的成功率高于氧化,立即恢复也改善了结果.
科学领域:
- 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
- 牙科材料科学 牙科材料科学
背景情况:
- 深度病变经常导致纸暴露,需要有效的纸保存技术.
- 部分脉冲切除 (PP) 为根管治疗提供了一个可行的替代方案,以保持脉活力.
- 本综述重点介绍了关键性,成熟的成年牙中PP成功率,这些牙暴露于皮质肉质.
研究的目的:
- 系统地审查和评估成年永久牙中部分牙切除术的成功率.
- 为了比较在部分脉冲切除中使用的不同封闭材料的有效性.
- 评估恢复时间对部分脉冲切除术结果的影响.
主要方法:
- 使用PICO框架对RCT和观察性研究 (2000-2025) 的系统审查.
- 搜索的数据库:PubMed,ScienceDirect,科克莱恩图书馆,Embase. 这里是数据库.
- 通过Cochrane RoB 2和纽卡斯尔-太华尺度进行质量评估.
主要成果:
- 三酸材料 (MTA,Biodentine) 的成功率为86.8%,明显高于氧化 (34.3%).
- 立即恢复取得了89.9%的成功率,而延迟恢复的成功率较低.
- 转基因回归证实三酸使用增加了成功率 (37%),延迟减少了它 (每天0.088%).
结论:
- 部分脉冲切除术是成年人脉暴露的有效治疗方法.
- 三酸水泥对于PP的成功来说优于氧化.
- 材料选择和及时恢复对于最佳的PP结果至关重要.
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