全瓷修复与烤瓷修复临床效果比较的Meta分析

发布时间：2018-05-20 18:19

本文选题：全瓷 + 烤瓷　；参考：《实用口腔医学杂志》2016年06期

【摘要】：目的:通过Meta分析系统评价全瓷修复与烤瓷修复的临床效果。方法:计算机检索Pub Med、Cochrane Library、EMbase、Sino Med、中国知网和万方、维普数据库,按标准纳入比较全瓷与烤瓷修复临床效果的随机对照研究,进行资料提取及偏倚评价,采用Rev Man 5.3软件进行Meta分析。结果:最终纳入15篇文献,其中全瓷修复体768例,烤瓷修复体1 386例。Meta分析结果显示:相比于烤瓷修复,全瓷修复能显著降低牙龈炎症(RR=0.30,95%CI=0.10-0.90,P=0.03)的发生风险。还能减少基牙继发龋、改善修复体的龈缘着色及边缘适合性,但无统计学差异。二者颜色匹配及修复体崩瓷状况相当。全瓷修复易导致牙髓炎症及牙髓失活,且固定桥修复时全瓷桥支架断裂(RR=6.24,95%CI=1.20-32.41,P=0.03)的危险性显著增高。结论:现有的有限证据表明,全瓷修复的临床效果要优于烤瓷修复,在临床应用中占有一定优势,但全瓷桥的强度有待提高。
[Abstract]:Objective: to evaluate the clinical effect of all-ceramic restoration and porcelain-ceramic restoration by Meta analysis system. Methods: the Pub Medsite Cochrane Library EMbase Sino Med, China Zhiwang and Wanfang, Weip databases were searched by computer. According to the standard, the clinical effects of all-ceramic and porcelain restoration were compared in a randomized controlled study. The data were extracted and the bias was evaluated. Meta analysis was carried out with Rev Man 5.3 software. Results: 15 articles were included, including 768 all-ceramic restorations and 1 386 porcelain restorations. Meta-analysis showed that compared with porcelain restoration, all-ceramic restoration could significantly reduce the risk of gingival inflammation (RRN 0.3095CII 0.10-0.90 P0.03). It also reduced the secondary caries of abutment teeth and improved the margin coloration and marginal fitness of prosthesis, but there was no statistical difference. The color matching of the two and the porcelain collapsing condition of the prosthesis are similar. The dental pulp inflammation and pulp inactivation were easy to be caused by all ceramic restoration, and the risk of RRN 6.2495 CIN 1.20-32.41 P0. 03) was significantly increased during the fixed bridge repair. Conclusion: the existing limited evidence shows that the clinical effect of all-ceramic restoration is better than that of porcelain restoration, and it has some advantages in clinical application, but the strength of all-ceramic bridge needs to be improved.
【作者单位】：中南大学湘雅二医院口腔中心;
【基金】：湖南省自然科学基金(编号:14JJ4016)
【分类号】：R783.3

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