光固化复合树脂和玻璃离子水门汀用于楔状缺损充填术疗效的Meta分析

发布时间：2018-06-05 08:47

本文选题：光固化复合树脂 + 玻璃离子水门汀　；参考：《重庆医科大学》2017年硕士论文

【摘要】：楔状缺损是发生于牙齿唇、颊面牙颈部的牙体硬组织非龋性缓慢消耗所致的缺损,常呈楔形,多见于前磨牙及第一磨牙。刷牙摩擦力及咬合应力过大是导致其发生的主要原因,多见于中老年人。楔状缺损可引发牙本质过敏、牙髓病和根尖周病等,甚至发生病理性牙折。因此,临床上应尽早对楔状缺损进行充填治疗。玻璃离子水门汀和光固化复合树脂是临床上常用的充填楔状缺损的材料,但两者各有优缺点。本文利用Meta分析的方法对两者进行系统性分析,以期为临床提供参考。目的系统评价光固化复合树脂和玻璃离子水门汀用于楔状缺损充填术的临床疗效。方法计算机检索Pub Med、The Corchrane Library(2016年3期)、EMbase、CNKI、CBM、VIP及Wan Fang数据库,查找国内外发表的有关比较光固化复合树脂和玻璃离子水门汀用于楔状缺损充填术的临床随机对照试验(RCT),检索时限均为建库至2016年4月5日。由2位研究者根据纳入排除标准,筛选出符合研究目的的文献,提取资料并评价纳入研究的偏倚风险后,采用Rev Man 5.2软件进行Meta分析。结果最终纳入12个研究,包括3 744例患牙,其中光固化复合树脂组1 439例,玻璃离子水门汀组1 433例。Meta分析结果显示:脱落率:2年后光固化复合树脂组与玻璃离子水门汀组相比脱落率无明显差异[OR=1.19,95%CI(0.70,2.02),P=0.53];表面磨损率:2年后光固化复合树脂组与玻璃离子水门汀组相比,光固化复合树脂组的表面磨损率明显低于玻璃离子水门汀组[Peto OR=0.31,95%CI(0.22,0.44),P0.00001];微渗漏或继发龋发生率:2年后光固化复合树脂组与玻璃离子水门汀组相比,光固化复合树脂组的微渗漏或继发龋发生率明显高于玻璃离子水门汀组[OR=1.83,95%CI(1.11,3.01),P=0.02];牙髓或根尖周病变发生率:2年后光固化复合树脂组与玻璃离子水门汀组相比,光固化复合树脂组的牙髓或根尖周病变发生率明显高于玻璃离子水门汀组[Peto OR=2.84,95%CI(1.82,4.45),P0.00001]。结论玻璃离子水门汀用于楔状缺损充填术的2年后磨损程度高于光固化复合树脂,但发生微渗漏或继发龋的几率及对牙髓刺激程度较光固化复合树脂小,在临床应用中有一定优势。
[Abstract]:Wedge-shaped defect is a defect caused by the slow consumption of hard tissue and non caries in the teeth of the teeth and neck of the teeth. It is often wedge-shaped, often seen in the premolar and first molar. The main cause of it is the friction force and the excessive stress of the teeth. It is seen in the middle and old people. The wedge-shaped defect can cause the dentin hypersensitivity, the pulp disease and the root apex. The wedge-shaped defects should be filled as early as possible. Therefore, the wedge-shaped defects should be treated as early as possible. Glass ionomer cement and light cured composite resin are commonly used materials to fill wedge-shaped defects, but they have their own advantages and disadvantages. In this paper, the Meta analysis method is used to systematically analyze both of them in order to provide a clinical application. Objective to evaluate the clinical efficacy of light cured composite resin and glass ionomer cement for wedge-shaped defect filling. Methods Pub Med, The Corchrane Library (3 2016), EMbase, CNKI, CBM, VIP and Wan Fang database were used to search for comparative UV curing composite resin and glass ionomer cement published at home and abroad. A randomized controlled trial (RCT) used for wedge-shaped defect filling (RCT) was used for the establishment of a library to April 5, 2016. According to the exclusion criteria, 2 researchers screened the documents that met the purpose of the study, extracted data and evaluated the bias risk of the inclusion study. The Rev Man 5.2 software was used for Meta analysis. The results were finally included in the 12 research. There were 3744 cases of affected teeth, including 1439 cases of light curing composite resin group and 1433 cases of glass ionomer cement group with.Meta analysis. The results showed that the rate of abscission was [OR=1.19,95%CI (0.70,2.02), P=0.53], surface wear rate after 2 years after 2 years. Compared with the glass ionomer cement group, the surface wear rate of the light cured composite resin group was significantly lower than that of [Peto OR=0.31,95%CI (0.22,0.44), P0.00001], microleakage or secondary caries in the glass ionomer cement group: the microleakage or secondary caries of the light cured composite resin group after 2 years were compared with the glass ionomer cement group. The incidence of [OR=1.83,95%CI (1.11,3.01), P=0.02], and periapical lesions was significantly higher than that in the glass ionomer group: the incidence of pulp or periapical lesions in the light cured composite resin group was significantly higher than that of the glass ionomer group after 2 years. The incidence of the pulp or periapical lesions in the light cured composite resin group was significantly higher than that of the glass ionomer group of [Peto OR=2.84,95%CI (1.82,) 4.45), P0.00001]. conclusion glass ionomer cement has a higher degree of wear than light cured composite after 2 years of wedge-shaped defect filling, but the probability of microleakage or secondary caries and the degree of dental pulp stimulation are smaller than that of light cured composite resin. It has some advantages in clinical application.
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R783.3

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