Dana Jafarpour, Jocelyne S Feine, Martin Morris, Raphael F de Souza
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引用次数: 0
Abstract
Purpose: To review the literature on CAD/CAM removable complete and partial dentures regarding patient- and clinician-reported outcomes.
Materials and methods: We performed an electronic search of the Cochrane Central Register of controlled trials (CENTRAL), MEDLINE (Ovid), EMBASE, Scopus, and Web of Science databases (last update: March 2023). All clinical trials or observational studies investigating CAD/ CAM removable dentures (conventional or implant-retained) were included.
Results: The search yielded 4,035 records and led to 58 included studies. Results suggest that CAD/CAM complete and partial dentures, when compared to the conventional ones, can save time and resources while being rated either noninferior or superior by patients and clinicians in most studies. However, consensus on which workflow offers fewer adjustments and postoperative sessions is still pending.
Conclusions: The literature suggests that CAD/CAM complete and partial dentures can combine substantial time and cost savings, with patient and clinician experiences at least comparable to conventional prostheses. Given the low evidence level of existing studies, future well-designed randomized trials with large sample sizes are required to confirm those advantages.
目的:本范围综述绘制了关于患者和临床医生报告结果的CAD/CAM(计算机辅助设计和制造)可移除全口和部分义齿的文献。材料和方法:我们对Cochrane对照试验中央登记册(Central)、MEDLINE(Ovid)、EMBASE、SCOPUS和Web of Science数据库进行了电子搜索(上次更新:2023年3月)。包括所有研究CAD/CAM可摘义齿(传统或保留种植体)的临床试验或观察性研究。结果:检索得到4035条记录,并导致58项纳入研究。结果表明,与传统义齿相比,CAD/CAM全口义齿和局部义齿可以节省时间和资源,同时在大多数研究中被患者和临床医生评为非劣或优。然而,对于哪种工作流程提供较少的调整和术后治疗,仍有待达成共识。结论:文献表明,CAD/CAM全口义齿和局部义齿可以节省大量的时间和成本,患者和临床医生的经验至少与传统义齿相当。鉴于现有研究的证据水平较低,未来需要设计良好的大样本随机试验来证实这些优势。