CEREC全瓷嵌体单面与多面修复随访8年的生存状况的Meta分析

发布时间：2018-08-01 10:10

【摘要】：目的:探讨CEREC全瓷嵌体在后牙缺损中单面与多面修复随访8年的生存情况。方法:检索Cochrane图书馆,Pubmed,Embase,CBM,中国知网,维普,万方等中英文数据库,截止至2013年12月31日所有文献。纳入后牙牙体缺损患者,实验组为CEREC全瓷嵌体单面修复,对照组为多面修复。研究类型为随机对照试验或同期非随机对照试验。采用Cochrane手册中偏倚风险评价方法进行方法学质量评价,使用GRADE系统评估证据质量等级。结果:3个随访研究纳入分析。共计3538个CEREC全瓷嵌体。结果:CEREC全瓷嵌体生存率二面高于一面(8年)(HR=6.32,95%CI:1.72~23.20,P=0.005);三面高于一面(8年)(HR=5.87,95%CI:1.84~18.71,P=0.003),一面与≥四面类似(HR=1.92,95%CI:0.42~8.79,P=0.4)。GRADE系统评价结果显示2个结局证据水平为低级(一面vs.二面;一面vs.三面)。1个结局证据水平为极低级(CEREC全瓷嵌体一面vs.≥四面)。结论:在随访8年的观察中,当前证据表明CEREC全瓷嵌体生存风险并不完全随修复涉及面数增加而增加。
[Abstract]:Objective: to investigate the survival of CEREC all-ceramic inlay in the middle and multiple facets of posterior tooth defect for 8 years. Methods: the Chinese and English databases of Pubmedus Embase CBM, China knowledge Network, Weip, Wanfang, etc., as of December 31, 2013 were searched. The patients with posterior tooth defect were treated with CEREC all-ceramic inlay on one side and the control group with multiplanar restoration. The type of study was randomized controlled trial or non-randomized controlled trial at the same time. The bias risk assessment method in Cochrane manual was used to evaluate the methodological quality and the GRADE system was used to evaluate the quality of evidence. Results: three follow-up studies were included in the analysis. A total of 3 538 CEREC all-ceramic inlays were obtained. Results the survival rate of 1% CEREC inlay was higher on two sides than on one side (8 years) (HR6.3295) and higher than that on three sides (8 years) (HR5.87% 95CI1.84 ~ 18.71% P0. 003), and on the other side was similar to that of 鈮，

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