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氧化锆全冠修复体在儿童中的应用:一项系统评价

Use of Restorative Full Crowns Made with Zirconia in Children: A Systematic Review.

作者信息

Ajayakumar Lakshmi Priya, Chowdhary Nagalakshmi, Reddy Vundela Rajashekar, Chowdhary Ramesh

机构信息

Department of Pedodontics and Preventive Dentistry, Sri Siddhartha Dental College and Hospital, Sri Siddhartha Academy of Higher Education (SSAHE), Tumakuru, Karnataka, India.

Department of Prosthodontics, RajaRajeswari Dental College and Hospital, Rajiv Gandhi University of Health Sciences, Bengaluru, Karnataka, India.

出版信息

Int J Clin Pediatr Dent. 2020 Sep-Oct;13(5):551-558. doi: 10.5005/jp-journals-10005-1822.

Abstract

AIM AND OBJECTIVE

The purpose of this systematic review is to analyze the suitability of the zirconia crowns for restoration of damaged primary teeth in children.

BACKGROUND

This systematic review has been conducted in line with the preferred reporting items for systematic reviews (which is also called as PRISMA) guidelines. A search for the relevant articles of zirconia crowns in deciduous teeth has been made in electronic database of PubMed and a study design (meta-analysis), i.e., PICOS framework. The words used in the search are "zirconia crowns" and "primary molars," "zirconia crowns" and "primary incisors," "zirconia crowns" and "children," "zirconia crowns" and "primary teeth."

REVIEW RESULTS

The database search showed 44 studies of which 20 articles were excluded as they were irrelevant, duplicates, and data were not available. In the present systematic review, the remaining 24 articles were included.

CONCLUSION

Zirconia crowns have been proved with better results than other crowns in terms of gingival and periodontal health, esthetics, and crown fractures. However, the quantity of tooth preparation and the wear of antagonist tooth are reported to be more in case of zirconia crowns. Future randomized control studies should be carried out in primary teeth due to less number of randomized studies on this topic.

CLINICAL SIGNIFICANCE

Zirconia crowns are now widely used in dentistry and there is an increase in the number of studies, so a systematic review evaluating and comparing results is warranted.

HOW TO CITE THIS ARTICLE

Ajayakumar LP, Chowdhary N, Reddy VR, . Use of Restorative Full Crowns Made with Zirconia in Children: A Systematic Review. Int J Clin Pediatr Dent 2020;13(5):551-558.

摘要

目的与目标

本系统评价的目的是分析氧化锆冠修复儿童受损乳牙的适用性。

背景

本系统评价按照系统评价的首选报告项目(也称为PRISMA)指南进行。在PubMed电子数据库中搜索了有关乳牙氧化锆冠的相关文章,并采用了一种研究设计(荟萃分析),即PICOS框架。搜索中使用的关键词为“氧化锆冠”和“乳磨牙”、“氧化锆冠”和“乳切牙”、“氧化锆冠”和“儿童”、“氧化锆冠”和“乳牙”。

评价结果

数据库搜索显示有44项研究,其中20篇文章因不相关、重复且无法获取数据而被排除。在本系统评价中,纳入了其余24篇文章。

结论

在牙龈和牙周健康、美观以及冠折方面,氧化锆冠已被证明比其他冠效果更好。然而,据报道,氧化锆冠的牙体预备量和对颌牙磨损更多。由于关于该主题的随机研究较少,未来应针对乳牙开展随机对照研究。

临床意义

氧化锆冠目前在牙科中广泛使用,且研究数量不断增加,因此有必要进行一项系统评价来评估和比较结果。

如何引用本文

Ajayakumar LP, Chowdhary N, Reddy VR, . 儿童使用氧化锆制成的修复全冠:一项系统评价。《国际临床儿科牙科学杂志》2020年;13(5):551 - 558。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f60/7887175/6d6e141dd169/ijcpd-13-551-g001.jpg

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