J Endod:因龋牙髓暴露恒后牙部分活髓切断术的疗效:一项文献回顾和meta分析

2019-09-22 lishiting MedSci原创

这篇系统性文献回顾和meta分析的目的是为了评估部分活髓切断术对因龋坏牙髓暴露恒后牙的治疗效果成功率。另一个目的是为了通过meta回归评估预后因素。

这篇系统性文献回顾和meta分析的目的是为了评估部分活髓切断术对因龋坏牙髓暴露恒后牙的治疗效果成功率。另一个目的是为了通过meta回归评估预后因素。

研究通过以下电子数据库搜索了自1950年1月至2018年12月间的相关研究:PubMed, ScienceDirect和Cochrane。所有搜寻方法均按照系统性文献回顾和meta分析指导方针的首选报告项目要求执行。选择评估部分活髓切断术治疗龋坏暴露人活髓的恒后牙成功率的临床研究。研究仅对临床随机试验和预期临床研究进行评估。采用Newcastle-Ottawa标度和Cochrane Collaboration's工具进行风险评估。

结果显示,从最初搜索到的218篇报道中,最终选择了11篇符合条件的文献(5篇临床随机试验和6篇预期临床研究)。Meta分析结果显示,术后6个月和1及2年后的治疗成功率分别为98% (confidence interval [CI]: 0.94-1), 96% (CI: 0.92-0.99)和92% (CI: 0.83-0.97)。采用meta回归分析进行预测因素的检测显示,术前牙髓状态为唯一的显著因素(P = .001),并且印象诊断为不可复性牙髓炎患牙的结果明显降低。终末冲洗液、盖髓材料、根尖闭合和患者年龄并未影响治疗成功率(P > .05)。

结论:这些结果表明,部分活髓切断术对因龋牙髓暴露恒后牙的2年治疗成功率较高。术后6个月的随访是评估部分活髓切断术成功率的一个较为合适的时间,尽管还需要更多的临床和放射线影像对照来确定成功率。

原始出处:

Elmsmari F, Ruiz XF, et al. Outcome of Partial Pulpotomy in Cariously Exposed Posterior Permanent Teeth: A Systematic Review and Meta-analysis. J Endod. 2019 Sep 9. pii: S0099-2399(19)30512-6. doi: 10.1016/j.joen.2019.07.005.

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    2019-10-20 jxrzshh
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    2020-02-23 一闲
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    2020-06-14 guojianrong
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    2019-09-23 内科新手

    谢谢梅斯提供这么好的信息,学到很多

    0

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