在一次性牙中大量填充树脂复合材料后部修复的临床性能和存活率:系统性审查和元分析
Samille Biasi Miranda1, Rodrigo Barros Esteves Lins2, Matheus de Farias Queiroz1
1Department of Dental Materials, Faculty of Dentistry, University of Pernambuco, Recife 50100-130, PE, Brazil.
Journal of clinical medicine
|January 28, 2026
概括
大量填充树脂复合材料的临床性能和存活率与常规复合材料在一次性牙修复中相似. 这种高效的选择是可靠的儿科牙科,由中等证据支持.
科学领域:
- 儿科牙科 儿科牙科
- 牙科材料科学 牙科材料科学
- 恢复性牙科 恢复性牙科
背景情况:
- 系统性审查和元分析评估了后部主要牙中的散装填充树脂复合修复.
- 与传统树脂复合材料和玻璃离子体水泥 (GIC) 的比较.
研究的目的:
- 评估批量填充树脂复合材料的临床性能和生存率,与初级牙中的常规材料相比.
- 提供基于证据的建议,为儿童牙科的修复性选择.
主要方法:
- 在主要数据库 (PubMed,Embase,Web of Science,Scopus,Cochrane) 中进行系统的文献搜索,截至2025年12月.
- 包括随机临床试验 (RCT),随访时间长达24个月.
- 对特定结果的元分析 (颜色匹配,边际完整性/变色) 和对其他结果的描述性合成.
主要成果:
- 分析了6个RCT,其中包括3-10岁儿童的1220次修复.
- 在12个月内,散装复合材料和常规树脂复合材料之间没有显著的颜色匹配,边缘变色或完整性差异.
- 所有材料的生存率高,证据的确定性中等.
结论:
- 大量填充树脂复合材料在一次性后牙修复中提供与传统树脂复合材料相比的临床性能和生存时间.
- 大量填充复合材料是儿科牙科中可靠和高效的修复性选择,受到偏差低风险RCT的支持.
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