后牙的深边缘升高的修复性和牙周结局:系统性审查
Prerna Priya1,2, Ankita Singh3, Ashi Chug4
1Conservative Dentistry and Endodontics, All India Institute of Medical Sciences, Rishikesh, IND.
Cureus
|December 22, 2025
概括
深边缘升高 (DME) 为深牙边缘提供了一个保守的替代方案. 这种技术显示出高的恢复存活率,并保持牙周健康,支持其在外科冠长延长的使用.
科学领域:
- 恢复性牙科 恢复性牙科
- 牙周病学 牙周病学
- 最少侵入性牙科是最少侵入性的牙科.
背景情况:
- 深边缘升高 (DME) 是一种微创的技术,用于冠状上重新放置下牙边缘.
- 它旨在改善粘合剂的粘合和隔离,作为一种保守的替代方案,用于手术冠长延长深部宫边缘.
研究的目的:
- 系统地审查修复性成功和牙周周周边深层升高的响应.
- 重点是长期恢复生存,边际适应和牙周健康结果.
主要方法:
- 进行了电子数据库 (PubMed,Scopus,Web of Science,Embase,CENTRAL) 的系统审查.
- 包括的研究包括RCT,非随机临床试验,受控临床试验以及报告DME结果的回顾性研究.
- 分析了8项涉及678名参与者的临床研究,随访期从3个月到12年不等.
主要成果:
- 恢复的生存率很高 (94%-100%),而陶恢复的生存率略高于复合材料.
- 牙周参数仍然有利,口袋深度在1.9-2.8毫米之间.
- 虽然在探测和斑块指数上注意到出血的初始增加,但这些在良好的卫生条件下稳定下来;临床附着水平保持稳定或改善.
结论:
- 深边缘升高显示出出色的长期修复性结果,并有效地保持牙周健康.
- 该技术被认为是手术冠状延长的可行,保守的替代方案,当使用精细的粘合剂程序和适当的维护进行时.
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