Tooth wear against ceramic crowns in posterior region: a systematic literature review.

Tooth wear against ceramic crowns in posterior region: a systematic literature review.
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DOI:
10.1038/ijos.2013.73
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发表时间:
2013-12
影响因子:
14.9
通讯作者:
Weigl, Paul
Weigl, Paul
中科院分区:
医学1区
文献类型:
--
作者:
Hmaidouch, Rim;Weigl, Paul

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本系统综述的目的是评估离体和体内后牙区陶瓷冠对牙齿磨损的影响。进行电子PubMed检索,以识别后牙区陶瓷冠对牙齿磨损的研究。对所选研究进行了分析,包括冠的类型、天然拮抗剂、测量方案和结果。从1 000篇文献中,选择了43篇文献进行全文分析;最后,没有体外研究,只有5项体内研究符合纳入标准。由于设计、使用的测量方法、陶瓷和分析形式存在异质性,因此无法进行荟萃分析。这些研究的结果是非常有争议的,这使得科学有效的比较是不可能的。这篇综述表明,一些全瓷冠与金瓷冠一样耐磨。到目前为止,还不可能将牙齿磨损与任何特定的致病因素联系起来。陶瓷表面处理的作用,可能是牙齿磨损率的变化负责似乎尚未确定通过临床试验。文献表明,关于这一主题的研究受到大量的偏见。因此,有必要进行适当设计以减少偏倚的额外临床研究。
The objective of this systematic review was to assess tooth wear against ceramic crowns in posterior region in vitro and in vivo. An electronic PubMed search was conducted to identify studies on tooth wear against ceramic crowns in posterior region. The selected studies were analyzed in regard to type of crowns, natural antagonist, measuring protocol and outcome. From a yield of 1 000 titles, 43 articles were selected for full-text analysis; finally, no in vitro and only five in vivo studies met the inclusion criteria. As there is heterogeneity in design, used measuring method, ceramics and analysis-form, a meta-analysis was not possible. Results of these studies are very controversial which makes a scientifically valid comparison impossible. This review indicated that some all-ceramic crowns are as wear friendly as metal-ceramic crowns. Up to now, it has been impossible to associate tooth wear with any specific causal agent. The role of ceramic surface treatment that might be responsible for the changing in rate of tooth wear seems undetermined as yet through clinical trials. The literature reveals that studies on this topic are subject to a substantial amount of bias. Therefore, additional clinical studies, properly designed to diminish bias, are warranted.
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