摘要
目的:采用Meta分析的方法比较树脂充填和嵌体修复治疗牙体缺损2年后修复体及剩余牙体组织的完整性,为选择最佳的牙体缺损修复方式提供实验参考。方法:检索国内外公开发表的探讨树脂充填和嵌体修复治疗牙体缺损2年后修复体及剩余牙体组织完整性的临床随机对照试验研究,检索时限均为建库至2019年6月。由两位研究者进行文献筛选、提取资料,采用RevMan 5.3软件和Stata 11.0软件进行Meta分析。结果:共筛选出符合本次Meta分析纳入标准文献4篇,共380个研究对象(其中嵌体修复222例,树脂充填158例)被纳入修复体及剩余牙体组织完整性的评价。Meta分析结果显示嵌体修复较树脂充填治疗牙体缺损2年后完整性高(RR=0.51,95%CI:[0.1,0.82],P=0.005,I2=0%),敏感性分析显示结果稳健性较好,不存在发表偏倚。结论:嵌体修复较树脂充填治疗牙体缺损2年后修复体及剩余牙体组织的完整性高。
Objective:To compare the integrity of the restoration and the remaining dental tissue of tooth defect with resin filling and inlay restoration after 2 yearsby meta analysis,so as to provide experimental reference for selecting the best way of tooth defect restoration.Methods:The clinical and randomized controlled trials publicly published about resin fillings and inlays in treatment with tooth defects from inception to June 2019 were retrieved and analysis.Two reviewers independently screened literature,extracted data and assessed the risk of bias of included studies.Then,meta-analysis was performed by RevMan 5.3 and Stata 11.0.Results:A total of 4 articles according with the inclusion were selected for meta-analysis.There were 380 subjects(including 222 cases of inlay restorations and 158 cases of resin fillings)were included for the assessment integrity of restorations and remaining dental tissues.The results showed that inlays had higher integrity than resin fillings for tooth defects after 2 years(RR=0.51,95%CI:[0.31,0.82],P=0.005,I2=0%).Sensitivity analysis showed mild publication bias.Conclusion:Inlays have higher integrity of the restorations and remaining dental tissues than resin fillings in treating tooth defectsafter 2 years.
作者
梁向阳
李春年
戴航宇
张文杰
高琳
LIANG Xiang-yang;LI Chun-nian;DAI Hang-yu;ZHANG Wen-jie;GAO Lin(School and Hospital of Stomatology,Hebei Medical University&Hebei Key Laboratory of Stomatology,Shijiazhuang 050017,China)
出处
《中华老年口腔医学杂志》
2020年第6期342-345,共4页
Chinese Journal of Geriatric Dentistry
基金
河北省医学科学课题重点研究计划(项目编号20180604)
河北医科大学大学生创新训练项目(项目编号:201813415005)。
