牙周障碍在内牙科的临床有效性:一个系统的审查
Michael E Wylie1, James R Fernando2, Peter Parashos1
1Melbourne Dental School, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Victoria, Australia.
Journal of dentistry
|February 6, 2026
概括
孔腔屏障 (OBs) 在根管治疗牙的体内证据有限,但可能会改善根裂牙的结果. 需要进一步的研究来证实它们的临床疗效.
科学领域:
- 牙周内科医院 牙周内科医院 牙周内科医院
- 牙科材料科学 牙科材料科学
背景情况:
- 孔腔屏障 (OBs) 用作根管治疗牙的子密封件,以防止微生物泄漏.
- 尽管进行了体外研究,但对OB有效性的临床证据有限.
研究的目的:
- 系统地审查体内内牙科文献,以了解根充满牙 (RFT) 的OB的有效性.
- 解决OBs临床证据中的关键研究缺口.
主要方法:
- 在 MEDLINE,Embase,CENTRAL,Web of Science 和 Scopus 上进行系统的搜索.
- 由两名使用Covidence的独立审查员进行查.
- 进行了偏见风险和证据确定性评估.
主要成果:
- 七项研究符合纳入标准.
- 在两个有根裂的牙研究中,OBS显示了改善的结果 (90.6-100%的成功/生存率).
- 一项研究将OB与下角牙周炎联系起来;另一项研究发现,在RFT中,OB没有显著的益处.
结论:
- 在体内证据非常低的确定性支持OBS在破裂的RFT.
- 几乎没有证据表明OB在非破裂的RFT中存在.
- 需要精心设计的前性体内研究来验证OB疗效.
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