Gluma脱敏剂对牙本质黏结强度影响的系统评价

发布时间：2017-12-28 09:27

本文关键词：Gluma脱敏剂对牙本质黏结强度影响的系统评价　出处：《中国组织工程研究》2016年47期 　论文类型：期刊论文

【摘要】：背景:临床上多使用脱敏剂来缓解活髓牙牙体预备后患者出现的敏感症状,但脱敏剂中的某些成分可能影响牙本质的黏结效果,对修复体的固位力有一定影响。临床医生在使用脱敏剂后对牙本质黏接剂的选择尚无定论。目的:通过系统评价方法了解临床常用的Gluma脱敏剂对牙本质黏结效果的影响。方法:计算机检索PubM ed、EMbase、EBSCO EDLINE、The chrane Library、ScienceD irect、Web Of Science、OVID、相关期刊论文、中文科技期刊数据库和万方数据库,结合手工检索有关于脱敏剂对牙本质黏结强度研究的随机或半随机对照实验。检索时限均为从建库至2016年6月18日,无地区和语言限制。由2位研究者根据纳入与排除标准独立筛选文献、提取资料和评价纳入研究的方法学质量后,采用RevM an5.2软件进行Meta分析。结果与结论:(1)与不用Gluma脱敏剂处理相比,Gluma脱敏剂处理后运用自酸蚀黏接剂或者全酸蚀黏接剂的牙本质抗剪切强度差异无显著性意义;(2)Gluma脱敏剂处理后分别运用自酸蚀黏结剂与全酸蚀黏结剂进行牙本质黏结的抗剪切强度差异无显著性意义;(3)Gluma脱敏剂处理后运用自黏结型黏结剂对牙本质进行黏结后的抗剪切强度大于未用Gluma脱敏剂处理者;(4)因此在临床上选择应用Gluma脱敏剂做牙本质脱敏的时候,首先可以考虑自黏结材料,其次,自酸蚀和全酸蚀黏结材料要先分析具体的成分,含有酸或者可以溶解掉蛋白晶体的优先考虑。
[Abstract]:Background: clinical use of desensitizer to sensitive symptoms remission in patients with vital pulp after tooth preparation, but some of the ingredients in the desensitizer may affect the bonding effect of dentin, has a certain effect on the retention of prosthesis. The choice of dentin adhesion agent after the use of desensitization agent has not been decided by clinicians. Objective: to understand the effect of Gluma desensitization agent on dentin bonding effect by systematic evaluation. Methods: We searched PubM, EMbase ed, EBSCO EDLINE, The chrane Library, ScienceD irect, Web Of Science, OVID, China, Chinese Journal Full-text Database and Wanfang database, combined with manual retrieval of desensitizer on dentin bonding strength of randomized or semi randomized controlled trials. The time limit for the retrieval is from the establishment of the library to the June 18, 2016, with no regional and linguistic restrictions. According to the inclusion and exclusion criteria, 2 researchers independently screened literatures, extracted data and evaluated the methodological quality of the included studies. Meta analysis was performed by RevM an5.2 software. Results and conclusion: (1) and no Gluma desensitizer treatment compared with Gluma desensitizer treated with self etching adhesive or shear dentin etching adhesive strength had no significant difference; (2) Gluma desensitizer treated respectively by shear strength difference of self etching adhesive agent and total etching adhesive to dentin bonding without significant; (3) Gluma desensitizer treated with Gluma desensitizer was greater than that by the treatment of anti shear strength of self bonding adhesives on dentin bonding after; (4) in the choice of clinical use of Gluma desensitizer do when desensitizing, we can consider self adhesive materials, secondly, total etching and self etching adhesive materials to analysis specific ingredients, containing acid or can dissolve protein crystals is preferred.
【作者单位】：西南医科大学附属口腔医院修复科;西南医科大学预防医学教研室;
【基金】：四川省教育厅课题(11ZB128)~~
【分类号】：R781.2
【正文快照】： 0引言Introduction 活髓牙在牙体预备后出现牙本质术后敏感的现象,即牙本质过敏现象,是口腔临床中常见的问题。牙本质过敏给患者带来极大不适,为了减轻牙本质的敏感度,越来越多的修复医生在牙体预备后涂布脱敏剂来减缓牙本质的敏感症状[1]。临床上以药物脱敏为主;但药物脱敏

【相似文献】