缺陷的初级:过去10年的新发现 - - 一个系统的审查
Teresa Temming1, Susanne Waldmann2, Anahita Jablonski-Momeni3
1Philipps-Universität Marburg, University Library of Marburg, Central Medical Library, Conradistr. 3a, 35032 Marburg, Germany; Philipps-Universität Marburg, Clinic of Dentistry, Department of Orthodontics, Georg-Voigt-Str. 3, 35039 Marburg, Germany; Philipps-Universität Marburg, Clinic of Dentistry, Department of Orthodontics, Georg-Voigt-Str. 3, 35039 Marburg, Germany.
概括
最近对内闭性初级牙的发现突出了病因学的遗传因素,有利于保守的管理. 大多数病例是轻微的,单边的,并影响下第一个牙,但预后随着早期发病而变化.
科学领域:
- 牙科 牙科是指牙科的专业.
- 儿科牙科 儿科牙科
- 矯正牙科 矯正牙科是一種矯正牙科.
背景情况:
- 主要牙的内闭是需要更新临床理解的情况.
- 最近的文献为其诊断,病因学和管理提供了新的见解.
研究的目的:
- 审查过去十年内对被遮蔽的初级关节的最新发现.
- 将当前数据与早期文献进行比较,以改善临床管理.
- 专注于诊断,病因,流行,相关发现和临床后果.
主要方法:
- 使用PRISMA指南进行了系统的文献搜索.
- 搜索的数据库包括MEDLINE (PubMed),科克兰图书馆,科学网络和Embase (2014-2025年).
- 包括的研究类型是RCT,NRSI,队列,病例控制和英语和德语的横截面研究;排除的是病例系列,报告,意见和评论.
主要成果:
- 30项研究符合2,816个已识别的出版物的纳入标准.
- 研究涵盖了患病率 (n=17),保留的牙 (n=4),保留的牙没有继承者 (n=5),病因 (n=1),诊断 (n=1),下生长影响 (n=1) 和干预措施 (n=1).
结论:
- 遗传因素和炎症途径越来越多地被识别为内闭原的病因.
- 强调膜保护的保守治疗正在获得吸引力.
- 患病率数据不一致;早期发病与不太有利的预后有关,关于根吸收和下生长相关性的证据是相互矛盾的.
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