{"title":"对于间接修复体来说,即刻牙本质封闭是必须还是可选的临床步骤?","authors":"Fernando Freitas Portella DDS, MSc, PhD, Raquel Müller DDS, Roberto Zimmer DDS, MSc, Eduardo Galia Reston DDS, MSc, PhD, Guilherme Anziliero Arossi DDS, MSc, PhD","doi":"10.1111/jerd.13205","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objective</h3>\n \n <p>The use of immediate dentin sealing (IDS) following tooth preparation for indirect restorations is well-supported by laboratory studies. The inclusion of IDS as a mandatory clinical step, it must be firmly supported by evidence from randomized clinical trials (RCT). The objective of this study is to assess whether IDS should be added as a mandatory procedure in all indirect restorations, taking into consideration clinically significant outcomes for the patient, such as restoration longevity and hypersensitivity.</p>\n </section>\n \n <section>\n \n <h3> Materials and Methods</h3>\n \n <p>A bibliographic search was carried out in the PubMed. In addition, a manual search was conducted in the references of literature reviews.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Data from four RCT were included. Two studies assessed preparations for full crowns, and two assessed preparations for partial restorations. Data from full crown preparations were subjected to a meta-analysis, revealing a reduction in hypersensitivity incidence in the IDS group 1 week after restoration cementation. With respect to hypersensitivity, IDS seems to offer advantages exclusively during the provisional phase and up to 1 week following the cementation of the final restoration. One study has shown no difference on longevity.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>The use of IDS should be considered as an elective clinical step during the rehabilitation with indirect restorations.</p>\n </section>\n \n <section>\n \n <h3> Clinical Significance</h3>\n \n <p>IDS is an elective clinical step that should be considered in patients and preparations with a higher risk of sensitivity between appointments.</p>\n </section>\n </div>","PeriodicalId":15988,"journal":{"name":"Journal of Esthetic and Restorative Dentistry","volume":null,"pages":null},"PeriodicalIF":3.2000,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Is immediate dentin sealing a mandatory or optional clinical step for indirect restorations?\",\"authors\":\"Fernando Freitas Portella DDS, MSc, PhD, Raquel Müller DDS, Roberto Zimmer DDS, MSc, Eduardo Galia Reston DDS, MSc, PhD, Guilherme Anziliero Arossi DDS, MSc, PhD\",\"doi\":\"10.1111/jerd.13205\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Objective</h3>\\n \\n <p>The use of immediate dentin sealing (IDS) following tooth preparation for indirect restorations is well-supported by laboratory studies. The inclusion of IDS as a mandatory clinical step, it must be firmly supported by evidence from randomized clinical trials (RCT). The objective of this study is to assess whether IDS should be added as a mandatory procedure in all indirect restorations, taking into consideration clinically significant outcomes for the patient, such as restoration longevity and hypersensitivity.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Materials and Methods</h3>\\n \\n <p>A bibliographic search was carried out in the PubMed. In addition, a manual search was conducted in the references of literature reviews.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Data from four RCT were included. Two studies assessed preparations for full crowns, and two assessed preparations for partial restorations. Data from full crown preparations were subjected to a meta-analysis, revealing a reduction in hypersensitivity incidence in the IDS group 1 week after restoration cementation. With respect to hypersensitivity, IDS seems to offer advantages exclusively during the provisional phase and up to 1 week following the cementation of the final restoration. One study has shown no difference on longevity.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>The use of IDS should be considered as an elective clinical step during the rehabilitation with indirect restorations.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Clinical Significance</h3>\\n \\n <p>IDS is an elective clinical step that should be considered in patients and preparations with a higher risk of sensitivity between appointments.</p>\\n </section>\\n </div>\",\"PeriodicalId\":15988,\"journal\":{\"name\":\"Journal of Esthetic and Restorative Dentistry\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":3.2000,\"publicationDate\":\"2024-02-07\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Esthetic and Restorative Dentistry\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/jerd.13205\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"DENTISTRY, ORAL SURGERY & MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Esthetic and Restorative Dentistry","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/jerd.13205","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
Is immediate dentin sealing a mandatory or optional clinical step for indirect restorations?
Objective
The use of immediate dentin sealing (IDS) following tooth preparation for indirect restorations is well-supported by laboratory studies. The inclusion of IDS as a mandatory clinical step, it must be firmly supported by evidence from randomized clinical trials (RCT). The objective of this study is to assess whether IDS should be added as a mandatory procedure in all indirect restorations, taking into consideration clinically significant outcomes for the patient, such as restoration longevity and hypersensitivity.
Materials and Methods
A bibliographic search was carried out in the PubMed. In addition, a manual search was conducted in the references of literature reviews.
Results
Data from four RCT were included. Two studies assessed preparations for full crowns, and two assessed preparations for partial restorations. Data from full crown preparations were subjected to a meta-analysis, revealing a reduction in hypersensitivity incidence in the IDS group 1 week after restoration cementation. With respect to hypersensitivity, IDS seems to offer advantages exclusively during the provisional phase and up to 1 week following the cementation of the final restoration. One study has shown no difference on longevity.
Conclusion
The use of IDS should be considered as an elective clinical step during the rehabilitation with indirect restorations.
Clinical Significance
IDS is an elective clinical step that should be considered in patients and preparations with a higher risk of sensitivity between appointments.
期刊介绍:
The Journal of Esthetic and Restorative Dentistry (JERD) is the longest standing peer-reviewed journal devoted solely to advancing the knowledge and practice of esthetic dentistry. Its goal is to provide the very latest evidence-based information in the realm of contemporary interdisciplinary esthetic dentistry through high quality clinical papers, sound research reports and educational features.
The range of topics covered in the journal includes:
- Interdisciplinary esthetic concepts
- Implants
- Conservative adhesive restorations
- Tooth Whitening
- Prosthodontic materials and techniques
- Dental materials
- Orthodontic, periodontal and endodontic esthetics
- Esthetics related research
- Innovations in esthetics