是否有证据支持联合修复性手术方法治疗非龋性牙颈部缺损相关的牙龈退缩？
Does Evidence Support a Combined Restorative Surgical Approach for the Treatment of Gingival Recessions Associated With Noncarious Cervical Lesions?
机构信息
Univ. Lille, Inserm, CHU Lille, U1008, Controlled Drug Delivery Systems and Biomaterials, Lille, France; Department of Periodontology, School of Dentistry, University of Lille, Lille, France.
Private Practice, Lille, France.
出版信息
J Evid Based Dent Pract. 2017 Sep;17(3):226-238. doi: 10.1016/j.jebdp.2017.04.001. Epub 2017 Apr 11.
OBJECTIVES
Gingival recessions are frequently associated with noncarious cervical lesions. Combined restorative surgical approaches have been suggested for the management of these combined defects. The aim of this review was to analyze the current evidence on the effectiveness of these combined restorative surgical approaches.
METHODS
A systematic review of randomized controlled studies published from January 2006 to June 2016 was performed.
RESULTS
Ten articles comparing combined restorative surgical approaches to surgery alone were included. Both the procedures showed similar outcomes in term of root coverage but the combined restorative surgical approach achieved better result in the reduction of dentin hypersensitivity. In combined restorative surgical treatments, resin-modified glass ionomers showed better antimicrobial properties but poorer esthetic outcome than resin composites.
CONCLUSION
Data to support or refute definitely the interest of combined approaches for the treatment of gingival recessions associated with noncarious cervical lesions are limited.
目的
牙龈退缩常与非龋性牙颈部缺损有关。对于这些联合缺损，联合修复手术方法已被提出。本综述的目的是分析这些联合修复手术方法的有效性的现有证据。
方法
对 2006 年 1 月至 2016 年 6 月发表的随机对照研究进行了系统性综述。
结果
纳入了 10 项比较联合修复手术方法与单纯手术的研究。两种方法在根面覆盖率方面的结果相似，但联合修复手术方法在减少牙本质敏感方面的效果更好。在联合修复治疗中，与树脂复合材料相比，树脂改良型玻璃离子体具有更好的抗菌性能，但美观效果较差。
结论
目前的数据还不足以明确支持或反对联合方法治疗与非龋性牙颈部缺损相关的牙龈退缩的效果。
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