什么是主要牙面膜的最佳粘合系统? 对债券强度数据进行系统审查和网络元分析
Francisca Jennifer Duarte de Oliveira1, Maria Larissa da Silva Flor1, Mariana Silva de Bessa1
1Department of Dentistry, Universidade Federal do Rio Grande do Norte (UFRN), Natal, RN, Brazil.
The Japanese dental science review
|December 29, 2025
概括
使用酸蚀刻 (PAE) 的2瓶通用粘合系统的粘合强度与初级牙面膜的3步蚀刻和冲洗 (E&R) 方法相美. 这一发现表明,在不损害粘合剂性能的情况下,有可能简化临床程序.
科学领域:
- 牙科材料科学 牙科材料科学
- 粘合式牙科 粘合式牙科
- 儿科牙科 儿科牙科
背景情况:
- 初级牙面膜对粘合程序提出了独特的挑战,因为与永久牙相比,其显著的微观结构和组成是独特的.
- 选择最佳的粘合剂系统对于在儿科患者中实现持久的修复至关重要,这会影响长期治疗的成功.
- 目前的文献缺乏全面的元分析,比较各种粘合系统的粘合强度,特别是对初级牙的牙质.
研究的目的:
- 评估和比较不同粘合剂系统对初级牙面膜的粘合强度性能.
- 识别提供与已确定的方法相比较的粘合强度的粘合系统,从而可能简化临床应用.
主要方法:
- 在多个数据库 (PubMed,Embase,Web of Science,Scopus) 和灰色文献中进行了系统的文献搜索.
- 包括在内的实验室研究评估了各种粘合系统对初级牙面膜的粘合强度.
- 用贝叶斯网络元分析来比较24小时的债券强度,并使用QUIN工具评估偏差风险.
主要成果:
- 分析包括了14项研究,揭示了用酸蚀刻 (PAE) 进行的2瓶通用粘合剂系统的粘合强度与3步蚀刻冲洗 (E&R) 系统的粘合强度在统计上相似.
- 具有相同步骤数量的粘合系统 (例如,自我蚀刻与蚀刻和冲洗) 的性能相似.
- 三步E&R系统是表现最好的粘合剂的概率最高,而没有PAE的1步自蚀刻是最低的.
结论:
- 使用PAE的2瓶通用粘合剂系统可能提供与三步E&R系统相比较的粘合强度.
- 某些粘合剂系统之间的可比性能表明,有机会简化儿科牙科的临床协议.
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