Hao Jessica, Lang Spencer, Mante Francis, Pavelić Kresimir, Ozer Fusun
Department of Biology, School of Arts and Sciences, University of Pennsylvania, Philadelphia, Pennsylvania.
Department of Preventive and Restorative Sciences, School of Dental Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Acta Stomatol Croat. 2021 Mar;55(1):76-89. doi: 10.15644/asc55/1/9.
Ion-incorporated zeolite is a widely used antimicrobial material studied for various dental applications. At present, there is no other systematic review that evaluates the effectiveness of zeolite in all dental materials. The purpose of this study was to review all available literature that analyzed the antimicrobial effects and/or mechanical properties of zeolite as a restorative material in dentistry.
Following PRISMA guidelines, an exhaustive search of PubMed, Ovid Medline, Scopus, Embase, and the Dentistry & Oral Sciences Source was conducted. No language or time restrictions were used and the study was conducted from June 1, 2020 to August 17, 2020. Only full text articles were selected that pertained to the usage of zeolite in dental materials including composite resin, bonding agents, cements, restorative root material, cavity base material, prosthesis, implants, and endodontics.
At the beginning of the study, 1534 studies were identified, of which 687 duplicate records were excluded. After screening for the title, abstract, and full texts, 35 articles remained and were included in the qualitative synthesis. An Inter-Rater Reliability (IRR) test, which included a percent user agreement and reliability percent, was conducted for each of the 35 articles chosen.
Although ion-incorporated zeolite may enhance the antimicrobial properties of dental materials, the mechanical properties of some materials, such as MTA and acrylic resin, may be compromised. Therefore, since the decrease in mechanical properties depends on zeolite concentration in the restorative material, it is generally recommended to add 0.2-2% zeolite by weight.
离子掺杂沸石是一种广泛应用于各种牙科领域的抗菌材料。目前，尚无其他系统评价评估沸石在所有牙科材料中的有效性。本研究的目的是综述所有分析沸石作为牙科修复材料的抗菌效果和/或力学性能的现有文献。
按照PRISMA指南，对PubMed、Ovid Medline、Scopus、Embase和牙科学与口腔科学资源库进行了详尽检索。未设置语言或时间限制，研究于2020年6月1日至2020年8月17日进行。仅选择了与沸石在牙科材料中的应用相关的全文文章，这些材料包括复合树脂、粘结剂、水门汀、修复性牙根材料、窝洞基底材料、假体、植入物和牙髓病学材料。
研究开始时，共识别出1534项研究，其中排除了687条重复记录。在对标题、摘要和全文进行筛选后，保留了35篇文章并纳入定性综合分析。对所选的35篇文章中的每一篇都进行了评分者间信度（IRR）测试，该测试包括用户一致率和信度百分比。
虽然离子掺杂沸石可能会增强牙科材料的抗菌性能，但某些材料（如MTA和丙烯酸树脂）的力学性能可能会受到影响。因此，由于力学性能的下降取决于修复材料中沸石的浓度，一般建议按重量添加0.2-2%的沸石。
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