口腔医学研究

口腔医学研究 ›› 2015, Vol. 31 ›› Issue (11): 1108-1112.

• 临床研究论著 • 上一篇    下一篇

酸蚀对轻中度氟斑牙釉质粘接强度影响的系统评价

张玲1,李爱玲2,高攀3,郭玲1*   

  1. 1. 泸州医学院附属口腔医院修复科 四川 泸州 646000;
    2. 四川医科大学预防医学教研室 四川 泸州 646000;
    3. 四川大学华西口腔医院头颈肿瘤外科 四川 成都 610041
  • 收稿日期:2015-05-13 出版日期:2015-11-28 发布日期:2016-03-21
  • 通讯作者: 郭玲,E-mail:gl2005202@foxmail.com
  • 作者简介:张玲(1987~),女,四川广元人,硕士在读,主要从事口腔颌面修复重建与再生的研究。
  • 基金资助:
    四川省教育厅课题(编号:112B128)

Systematic Review the Influence of Acid-etching Methods on the Bonding Strength of Mild-to-moderate Dental Fluorosis Enamel.

ZHANG Ling1, LI Ai-ling2, GAO Pan3, GUO Ling1*.   

  1. 1. Department of Prosthodontics, College of Stomatology, Luzhou Medical College, Luzhou 646000, China;
    2. Department of Preventive Medicine, Sichuan Medical University, Luzhou 646000, China;
    3. Department of Head and Neck Oncology, West China College of Stomatology, Sichuan University, Chengdu 610041, China.
  • Received:2015-05-13 Online:2015-11-28 Published:2016-03-21

PDF (PC)

231

被引次数

11

摘要： 目的:系统评价轻中度氟斑牙釉质粘接时更有效的酸蚀方式。方法:计算机检索8个电子数据库,结合手工检索有关氟斑牙釉质粘接的随机或半随机对照实验(RCTs/CCTs),无时间、地区和语言限制;按照纳入排除标准,筛选文献并提取相关数据,风险评估后纳入合格文献,作出定性、定量评价。结果:共纳入8篇文献,Meta分析结果:WMD(全酸蚀:轻中度氟斑牙/正常牙)=-0.00,95%CI[-0.30,0.29];WMD(自酸蚀:轻中度氟斑牙/正常牙)=-0.80,95%CI[-1.07,-0.53];WMD(轻中度氟斑牙:自/全)=-6.08,95%CI[-7.70,-4.46]。说明轻中度氟斑牙全酸蚀时抗剪切强度(SBS)与正常牙无统计学差异,自酸蚀时低于正常牙;全酸蚀时SBS高于自酸蚀。结论:相同情况下,轻中度氟斑牙釉质粘接时,全酸蚀的粘接强度不低于或高于自酸蚀。

Abstract: Objective:To investigate therhore effective acid-etching methods on the adhesion of mild-to-moderate dental fluorosis enamel. Methods: Randomized control trials (RCTs) or controlled clinical trials (CCTs) about enamel bonding of dental fluorosis were searched manually or by computer in 8 electronic databases without any time, region and languages limits. According to inclusion/exclusion criteria, related data were extracted, the risk of biases were evaluated, and the qualitative and quantitative analysis of the included studies were performed. Results: Eightstudies were included.The results of the Meta-analysis showed thatWMD(total-etching: mild-to-moderate dental fluorosis/normal)=-0.00,95%CI[-0.30,0.29];WMD(self-etching: mild-to-moderate dental fluorosis/normal)=-0.80,95%CI[-1.07,-0.53];WMD(mild-to-moderate dental fluorosis: self/total)=-6.08,95%CI[-7.70,-4.46]. There was no statistical difference of shear bond strength(SBS) of total-etching between mild-to-moderate dental fluorosis and normal teeth. The SBS of self-etching for mild-to-moderate dental fluorosis was lower than normal teeth.The SBS of total-etching was higher than that of self-etching. Conclusion: The SBS of total-etching shows no difference or even higher than the SBS of self-etching in enamel adhesion of mild-to-moderate dental fluorosis in the same condition.

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