在经过内牙治疗后的外部顶端根再吸收与在正牙治疗后的重要牙相比:一个系统的审查
Alfredo DE Rosa1, Eleonora Lo Muzio2, Mariarosaria Boccellino1
1Department of Life Science, Health and Health Professions, Link Campus University, Rome, Italy.
Minerva dental and oral science
|March 3, 2026
概括
经过内治疗的牙 (ETT) 的正义牙科治疗没有增加与重要脉牙 (VPT) 相比的外部角根再吸收 (EARR). 事实上,ETT可能会出现较少的EARR,但如果存在周周病变,应推迟治疗.
科学领域:
- 矯正牙科 矯正牙科是一種矯正牙科.
- 牙周内科医院 牙周内科医院 牙周内科医院
- 牙科成像 牙科成像 牙科成像
背景情况:
- 外部角根再吸收 (EARR) 是正牙牙牙移动的一个常见并发症.
- 在内牙治疗牙 (ETT) 与具有重要脉组织 (VPT) 的牙中,EARR的比较风险尚未得到充分确立.
- 了解这种风险对于有效的跨学科治疗规划至关重要.
研究的目的:
- 系统地审查和比较经过正牙治疗后ETT与VPT中EARR的发生率和严重程度.
- 为了确定影响ETT中EARR的因素,在正牙运动期间.
主要方法:
- 按照PRISMA指南进行了系统审查.
- 对观察性人类研究进行了PubMed的全面文献搜索.
- 如果将ETT中的正牙运动与对侧VPT进行比较,使用微CT,CBCT或全景放射来测量EARR,并采用队列设计,则将研究纳入. 质量评估使用了纽卡斯尔-太华尺度.
主要成果:
- 六项研究符合纳入标准,涉及青少年和成人人口.
- 总的来说,与VPT相比,正牙治疗没有提高ETT的EARR;四项研究发现ETT的EARR较低,两项研究没有发现显著差异.
- 三维成像显示ETT的再吸收体积一般较低. 提取机制与重要的牙中较高的EARR相关,而ETT中未经治疗的周周病变与增加的再吸收有关.
结论:
- 目前的证据表明,ETT的正牙运动与VPT的EARR一样安全,或者比VPT更安全.
- 在未经治疗的围牙病变的情况下,在ETT中应推迟正义牙力量.
- 使用标准化3D成像的高质量研究是完善跨学科治疗方案的必要条件.
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