纤维桩和金属螺纹桩修复效果的系统评价

发布时间：2018-04-20 20:45

本文选题：纤维桩 + 金属螺纹桩　；参考：《上海口腔医学》2014年02期

【摘要】：目的:系统评价纤维桩和金属螺纹桩修复残根、残冠的效果。方法:计算机检索MEDLINE(Ovid)、PubMed、The Cochrane Liibary、Embase、万方、维普、CNKI和CBM等数据库,检索时限均从建库至2013年6月,收集比较纤维桩和金属螺纹桩修复残根、残冠的随机对照试验(RCT)。由2名研究者对纳入研究进行资料提取和质量评价后,采用RevMan 5.1.0软件和GRADEprofiler 3.2.2软件进行数据分析。结果:共纳入10个RCT,其中英文1篇,中文9篇。Meta分析4个主要结局的结果显示,纤维桩与金属螺纹桩比较,纤维桩修复成年恒牙和年轻恒牙的留存率均显著高于金属螺纹桩[RR=1.21,95%CI(1.13,1.30),P0.01;RR=1.21,95%CI(1.10,1.34),P0.01],根折发生率[RR=0.16,95%CI(0.05,0.48),P0.01]差异显著。桩脱落发生率[RR=0.76,95%CI(0.33,1.73),P0.05]、牙龈炎发生率[RR=0.71,95%CI(0.27,1.88),P0.05]差异无显著性。每个结局的GRADE系统推荐分级均为低等级。结论:利用纤维桩进行修复较金属螺纹桩保存率高,根折发生率低。但纳入研究较少,样本量小,质量不高且研究方法有差异,需要今后开展更多经过科学设计、大样本量、多中心的RCT研究予以证实。
[Abstract]:Objective: to evaluate the effect of fiber post and metal thread post in repairing residual root and crown. Methods: the Cochrane Liibaryne Embase, Wanfang, Vipra, CNKI and CBM databases were searched by computer. The time limit of retrieval was from the establishment of the database to June 2013. A randomized controlled trial was conducted to compare the repair of residual roots with fibrous and metal threaded piles. The data were extracted and evaluated by two researchers. RevMan 5.1.0 software and GRADEprofiler 3.2.2 software were used to analyze the data. Results: a total of 10 RCTs were included, including 1 in Chinese and 9 in Chinese. The results of Meta analysis showed that the fiber pile was compared with the metal threaded pile. The retention rate of adult permanent teeth and young permanent teeth repaired by fiber post was significantly higher than that of metal thread post [RRN 1.21C95 / 1.131.30 / P0.01RRN 1.21 ~ 95CII 1.10 / 1.34P0.01], and the incidence of root fracture [RRN 0.1695CI0.050.48P0.01] was significantly higher than that of metal thread post. There was no significant difference in the incidence of abscission of piles [RRR0. 766 / 95 CI: 0. 33 / 1.73] and gingivitis [RRR0. 71 ~ 95% CIQ 0. 27 / 1. 88P 0. 05]. There was no significant difference in the incidence of gingivitis between the two groups (P < 0. 05). Each final GRADE system recommendation rating is low. Conclusion: using fiber pile to repair is higher than that of metal thread pile, and the rate of root fracture is lower. However, there are few studies, small sample size, low quality and different research methods, which need to be confirmed by more scientific design, large sample size and multi-center RCT research in the future.
【作者单位】：济南市口腔医院修复科;济南市第四人民医院急救中心;
【分类号】：R783.2

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