硅酸钙基骨水泥对骨愈合的影响:系统综述和荟萃分析。

Q2 Dentistry
Journal of Conservative Dentistry Pub Date : 2023-03-01 Epub Date: 2023-03-16 DOI:10.4103/jcd.jcd_498_22
Ruchika Roongta Nawal, Sudha Yadav, Sangeeta Talwar, Rajeev Kumar Malhotra, Preeti Jain Pruthi, Shruti Goel, Reema Malik, Mayank Shailat
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引用次数: 0

摘要

目的:本系统综述的目的是分析商用硅酸钙基生物活性牙髓骨水泥(BEC)作为人类恒牙牙根修复材料对治疗效果的影响,并将其与传统材料进行比较。方法:检索PubMed、Embase和Cochrane图书馆,直至2020年6月。包括随机临床研究和观察性研究,至少1年随访,样本量至少为20。使用Cochrane的ROB工具和美国国立卫生研究院质量评估工具评估偏倚风险(ROB)。结果:39项研究被纳入系统综述。大多数研究都使用了三氧化二矿物骨料。BEC的合并成功率通过随机效应法估计为90.49%(95%置信区间[CI]:88.4992.34,I2=54%)。荟萃分析包括11项比较BEC与传统材料的研究。与传统材料相比,BEC的使用显著改善了治疗效果,优势比(OR)=2.15(95%CI:1.57-2.96,I2=0.8%,P=0.433)。结论:非常低至中等质量的证据表明,使用BEC作为根修复材料提高了治疗效果。新BEC需要高质量的研究来确定其临床性能。注册号:PROSPERO CRD42020211502。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The influence of calcium silicate-based cement on osseous healing: A systematic review and meta-analysis.

The influence of calcium silicate-based cement on osseous healing: A systematic review and meta-analysis.

The influence of calcium silicate-based cement on osseous healing: A systematic review and meta-analysis.

Objectives: The purpose of this systematic review was to analyze the effect of commercially available calcium silicate-based bioactive endodontic cement (BEC) on treatment outcome when used as root repair material in human permanent teeth and to compare it with traditional materials.

Methods: PubMed, Embase, and Cochrane Library were searched until June 2020. Randomized clinical studies and observational studies with a minimum 1-year follow-up and sample size of at least 20 were included. Risk of bias (ROB) was assessed using Cochrane's ROB tool and the National Institutes of Health Quality Assessment Tool.

Results: Thirty-nine studies were included in the systematic review. Majority of the studies used mineral trioxide aggregate. The pooled success rate for BEC was estimated by a random-effects method as 90.49% (95% confidence interval [CI]: 88.4992.34, I2 = 54%). Eleven studies comparing BEC with traditional materials were included in the meta-analysis. The use of BEC significantly improved the treatment outcome when compared to traditional materials with odds ratio (OR) = 2.15 (95% CI: 1.57-2.96, I2 = 0.8%, P = 0.433).

Conclusion: Very low-to-moderate-quality evidence suggests that the use of BEC as root repair material enhanced the treatment outcome. High-quality studies are required for the newer BEC to establish their clinical performance. Registration: PROSPERO CRD42020211502.

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来源期刊
Journal of Conservative Dentistry
Journal of Conservative Dentistry Dentistry-Dentistry (all)
CiteScore
2.10
自引率
0.00%
发文量
114
期刊介绍: The Journal of Conservative Dentistry (ISSN - 0972-0707) is the official journal of the Indian Association of Conservative Dentistry and Endodontics (IACDE). Our journal publishes scientific articles, case reports, short communications, invited reviews and comparative studies evaluating materials and methods in the fields of Conservative Dentistry, Dental Materials and Endodontics. J Conserv Dent has a diverse readership that includes full-time clinicians, full-time academicians, residents, students and scientists. Effective communication with this diverse readership requires careful attention to writing style.
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