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关于固定义齿两个误区的批判性综述:全冠修复与树脂粘结修复,非悬臂梁修复与悬臂梁修复。

Critical review about two myths in fixed dental prostheses: Full-Coverage vs. Resin-Bonded, non-Cantilever vs. Cantilever.

作者信息

Mine Atsushi, Fujisawa Masanori, Miura Shoko, Yumitate Masahiro, Ban Shintaro, Yamanaka Azusa, Ishida Masaya, Takebe Jun, Yatani Hirofumi

机构信息

Department of Fixed Prosthodontics, Osaka University Graduate School of Dentistry, 1-8 Yamadaoka, Suita, Osaka 565-0871, Japan.

Division of Fixed Prosthodontics, Department of Restorative & Biomaterials Sciences, Meikai University School of Dentistry, Saitama 350-0283, Japan.

出版信息

Jpn Dent Sci Rev. 2021 Nov;57:33-38. doi: 10.1016/j.jdsr.2020.12.002. Epub 2021 Feb 28.

Abstract

The purpose of this review was to assess the literature regarding four types of fixed dental prostheses (FDPs)/resin-bonded FDPs (RBFDPs) to provide clinicians with a comparative overview of two myths: "RBFDPs are easy to debond in patients' mouths" and "cantilever RBFDPs still have some clinical problems, especially in terms of overloading the abutment teeth and being easy to debond". A total of 782 papers were identified, 753 of which were judged unsuitable and thus excluded, leaving a total of 29 articles for inclusion in this review. The results indicated that 1) Two-retainer RBFDPs achieve clinical results comparable to full-coverage three-unit FDPs; 2) Cantilever RBFDPs show excellent long-term clinical outcomes (especially in incisor teeth) compared with other FDPs; 3) RBFDPs typically show less catastrophic failure than conventional FDPs, rebonding should be considered when debonding occurs; and 4) Cantilever RBFDPs can be recommended as defect replacement prostheses for maxillary lateral incisors and mandibular incisor teeth. Scientific field: Prosthodontics, Adhesive dentistry, Esthetic dentistry.

摘要

本综述的目的是评估关于四种固定义齿(FDP)/树脂粘结固定义齿(RBFDP)的文献,为临床医生提供两种错误观念的比较概述:“RBFDP在患者口腔中易于脱粘”以及“悬臂式RBFDP仍存在一些临床问题,特别是在基牙过载和易于脱粘方面”。共识别出782篇论文,其中753篇被判定不适合因而被排除,最终共有29篇文章纳入本综述。结果表明:1)双固位体RBFDP的临床效果与全冠修复的三单位FDP相当;2)与其他FDP相比,悬臂式RBFDP显示出优异的长期临床效果(尤其是在前牙);3)RBFDP通常比传统FDP表现出更少的灾难性失败,脱粘发生时应考虑重新粘结;4)悬臂式RBFDP可被推荐作为上颌侧切牙和下颌切牙缺损修复的假体。科学领域:口腔修复学、粘结牙科、美容牙科。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c89f/7946345/368ec0a2527b/gr1.jpg

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