后牙直接和半直接复合技术:为期两年的后续比较研究
Adriana Saceleanu1,2,3, Anca Maria Fratila1,2,3, Vasile Calin Arcas1,4
1Department of Dental Medicine and Nursing, Faculty of Medicine, Lucian Blaga University of Sibiu, 550169 Sibiu, Romania.
Journal of clinical medicine
|January 28, 2026
概括
直接复合材料修复提供了更好的短期美学效果,而半直接的线材在两年内提供了优越的长期耐磨性和边际完整性.
科学领域:
- 牙科 牙科是指牙科的专业.
- 牙科材料 牙科材料
背景情况:
- 复合修复是后牙的标准,因为美学和保守的性质.
- 直接和半直接技术在临床寿命和性能上有所不同.
- 了解这些差异对于最佳的修复选择至关重要.
研究的目的:
- 比较直接与半直接复合体安置技术的临床性能.
- 在两年内评估美学,表面处理,耐磨性,边际完整性和效率.
- 为恢复性牙科提供基于证据的见解.
主要方法:
- 在192名患者身上进行了348次复合修复手术.
- 在基线,6个月,1年和2年使用标准化评级尺度的评估.
- 统计分析包括重复测量ANOVA和Wilcoxon/Mann-Whitney测试.
主要成果:
- 在所有参数中观察到显著的时间效应 (p < 0.0001).
- 直接技术显示出优越的初始美学和完成 (p < 0.001),在第二年减少.
- 半直接技术在一年和两年表现出更好的耐磨性和边际完整性.
结论:
- 直接技术在短期美学和程序效率方面表现出色.
- 半直接技术提供优越的长期耐用性和边际适应性.
- 这两种技术都出现了恶化,特别是在边际适应方面.
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