固定牙假肢中不同陶材料对抗天然乳的比较磨损:系统性审查和元分析
Cleber Davi Del Rei Daltro Rosa1, Victor Augusto Alves Bento2, Nathália Dantas Duarte3
1Department of Dental Materials and Prosthodontics, School of Dentistry, São Paulo State University (FOA-UNESP), Araçatuba 16015-050, Brazil.
Dentistry journal
|January 27, 2026
概括
陶冠,特别是单质石和脱酸盐,会对对立的天然质造成显著的磨损. 带有 feldspathic Veneering 的金属陶修复更为保守,更好地保护后面面膜质.
科学领域:
- 牙科材料科学 牙科材料科学
- 恢复性牙科 恢复性牙科
- 生物材料是一种生物材料.
背景情况:
- 后部自然质磨损是陶修复的一个问题.
- 量化磨损对于材料选择和患者的结果至关重要.
研究的目的:
- 系统地审查和量化与单个单位陶冠患者对立的后部天然质的磨损.
- 为了比较不同陶材料与天然质的磨损潜力.
主要方法:
- 在主要数据库 (PubMed/MEDLINE,Embase,Web of Science,Cochrane,ProQuest) 进行全面的文献搜索,截至2025年9月.
- 使用逆方差方法对9项临床研究 (5项RCT,4项前性) 的数据进行元分析.
- 包括203名患者在6-24个月的时间内评估单质,单质二氧化和金属陶修复与田地面板.
主要成果:
- 单立式石皇冠显示出明显的质磨损 (MD: -1.32; p < 0.05).
- 单一的脱酸盐皇冠也显示出明显的面膜磨损 (MD: -0.45; p < 0.05).
- 带有 feldspathic 面板的金属陶修复没有显示出统计学上显著的质磨损 (p = 0.06).
结论:
- 陶材料通常会在对立的后面面膜上引起更多的磨损,而不是面膜对面膜的接触.
- 单质和脱酸盐具有较高的对抗剂磨损风险.
- 带有 feldspathic 面板的金属陶修复似乎是一个更保守的选择,以保护后面面膜质.
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