Resin infiltration of non-cavitated caries lesions: a systematic review.

Resin infiltration of non-cavitated caries lesions: a systematic review.
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DOI:
10.1159/000371709
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发表时间:
2015
期刊:
Medical principles and practice : international journal of the Kuwait University, Health Science Centre
影响因子:
--
通讯作者:
Holmgren C
Holmgren C
中科院分区:
其他
文献类型:
--
作者:
Doméjean S;Ducamp R;Léger S;Holmgren C

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本系统综述的目的是评价树脂渗透(RI)阻止非空洞性龋损能力的体内科学证据。在PubMed数据库中检索随机对照试验,评价RI与安慰剂或其他预防性治疗对龋齿病变进展的体内影响。使用的关键词为“树脂浸润、龋齿”、“树脂浸润、龋齿病变”、“树脂浸润、龋齿病变”、“龋齿浸润”和“Icon DMG”,并激活“临床试验”过滤器。在最初使用这些关键词识别的14篇文章中,本次综述仅纳入4篇(与3项不同的体内研究相关)。所有4篇文章均报告了近端龋齿病变。其中一项研究对48名高龋齿风险儿童进行了研究,而其他3项研究(n = 22,22和39,分别)涉及中度和低龋齿风险的青少年和成人。在随机化、裂口设计和设盲方面,研究质量被评估为较高。所有纳入的研究均显示试验组和对照组/安慰剂组之间的龋齿进展存在显著差异,表明RI可能抑制龋齿过程。这项系统性综述显示,RI似乎是一种有效的方法,以阻止非空洞龋病变的进展。还需要进行长期的研究。
The aim of this systematic review was to evaluate the in vivo scientific evidence of the ability of resin infiltration (RI) to arrest non-cavitated caries lesions. The PubMed database was searched for randomized controlled trials that evaluated the in vivo effect of RI versus placebo or other preventive treatment on the progression of caries lesions. The keywords used were ‘resin infiltration, dental caries’, ‘resin infiltration, carious lesions’, ‘resin infiltration, caries lesions’, ‘caries infiltration’ and ‘Icon DMG’ with the ‘clinical trial’ filter activated. Among the 14 articles originally identified with these keywords, only 4 (related to 3 different in vivo studies) were included for this review. All 4 articles reported on proximal caries lesions. One study had been conducted on 48 high-caries-risk children while the other 3 (n = 22, 22 and 39, respectively) concerned moderate- and low-caries-risk adolescents and adults. The quality of the studies was assessed to be high with respect to randomization, split-mouth design and blinding. All the included studies showed significant differences in caries progression between test and control/placebo groups, indicating that RI may inhibit the carious process. This systematic review revealed that RI appeared to be an effective method to arrest the progression of non-cavitated caries lesions. Additional, long-term studies are required.
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