前牙和后牙恒牙的直接复合树脂修复--基于证据的临床实践指南--第二部分:复合树脂加工建议。

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

摘要

目的:这份德国 S3 临床实践指南的第二部分为复合树脂修复体的制作过程提供了建议。它涵盖了龋齿去除、现场隔离、基质和粘接技术以及光固化和抛光等关键环节。关注的结果包括存活率和修复质量: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。此外,还人工审阅了相关手稿的参考文献目录。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小组根据收集到的证据和专家意见制定了基于共识的建议:结果:该指南提倡在牙髓附近进行单阶段选择性龋齿去除,并强调了各种隔离技术、粘接系统的有效性以及光聚合的关键作用。为提高修复质量,建议使用解剖学预成型切片基质和磷酸蚀刻。此外,还建议对复合树脂修复体进行抛光,以提高表面光洁度:本指南提供了全面的建议,为临床医生优化复合树脂修复体的生产工艺提供了参考。采用这些最佳实践可以提高牙科修复体的质量和使用寿命。
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 2: Recommendations for Composite Processing.

Purpose: Part 2 of this German S3 clinical practice guideline provides recommendations for the process of manufacturing composite restorations. It covers key aspects like caries removal, field isolation, matrix and adhesive techniques, as well as light curing and polishing. The outcomes of interest include survival rates and restoration quality.

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. Additionally, the reference lists of relevant manuscripts were manually reviewed. Six PICO questions were developed to guide the search. Consensus-based recommendations were for- mulated by a panel of dental professionals from 20 national societies and organizations based on the collected evidence and ex- pert opinion.

Results: The guideline advocates for one-stage selective caries removal near the pulp and underscores the effectiveness of various isolation techniques, adhesive systems, and the crucial role of light polymerization. The use of anatomically pre- formed sectional matrices and phosphoric acid etching is recommended to enhance restoration quality. Additionally, polish- ing composite restorations is advised to improve surface finish.

Conclusion: This guideline provides comprehensive recommendations that inform clinicians on optimizing the composite restor- ation manufacturing processes. The adoption of these best practices can improve the quality and longevity of dental restorations.

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