前牙和后牙恒牙的直接复合树脂修复 - 循证临床实践指南 - 第 1 部分:复合树脂修复的适应症。

Diana Wolff, Cornelia Frese, Roland Frankenberger, Rainer Haak, Andreas Braun, Norbert Krämer, Gabriel Krastl, Falk Schwendicke, Esra Kosan, Eva Langowski, Caroline Sekundo
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引用次数: 0

摘要

目的:这份德国 S3 临床实践指南为在恒牙直接修复中使用复合材料提供了循证建议。考虑的结果包括修复体的存活率、修复体的质量以及制造过程的工艺质量。本报告由两部分组成,第一部分涉及适应症类别:两位方法论专家通过 OVID 平台使用 MEDLINE 和 Cochrane 图书馆进行了系统的文献检索,包括截至 2021 年 12 月的研究。制定了六个 PICO 问题来指导检索。由来自 20 个国家协会和组织的牙科专业人士组成的专家小组根据收集到的证据提出了建议:结果:复合材料是直接修复I-V类龋洞的可行选择,也可用于尖牙替代修复和牙形矫正。在后牙区,直接复合树脂修复应优先于间接复合树脂嵌体修复。对于 V 类修复体,如果能确保足够的污染控制和粘接技术,可以使用复合材料:该指南首次为直接复合材料的使用提供了全面的证据。但是,有必要进一步开展与(改性)玻璃离子水门汀等比较物的长期临床研究。定期更新将详细说明直接复合材料修复体的未来应用范围和局限性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Direct Composite Restorations on Permanent Teeth in the Anterior and Posterior Region - An Evidence-Based Clinical Practice Guideline - Part 1: Indications for Composite Restorations.

Purpose: This German S3 clinical practice guideline offers evidence-based recommendations for the use of composite materials in direct restorations of permanent teeth. Outcomes considered were the survival rates and restoration quality and process quality of the manufacturing process. Part 1 of this two-part presentation deals with the indication classes.

Materials and methods: A systematic literature search was conducted by two methodologists using MEDLINE and the Cochrane Library via the OVID platform, including studies up to December 2021. Six PICO questions were developed to guide the search. Recommendations were formulated by a panel of dental professionals from 20 national societies and organizations based on the collected evidence.

Results: Composite materials are a viable option for the direct restoration of cavity Classes I-V and may also be used for restorations with cusp replacement, and tooth shape corrections. In the posterior region, direct composite restorations should be preferred over indirect composite inlays. For Class V restorations, composite materials can be used if adequate contamination control and adhesive technique are ensured.

Conclusion: The guideline is the first to provide comprehensive evidence on the use of direct composite materials. However, further long-term clinical studies with comparators such as (modified) glass-ionomer cements are necessary. Regular updates will detail the future scope and limitations of direct composite restorations.

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