Di Fiore Adolfo, Stellini Edoardo, Basilicata Michele, Bollero Patrizio, Monaco Carlo
Department of Neuroscience, Section of Prosthetic and Digital Dentistry, University of Padova, 35122 Padova, Italy.
Department of Systems Medicine, University of Rome Tor Vergata, 00133 Roma, Italy.
J Clin Med. 2022 Jan 31;11(3):767. doi: 10.3390/jcm11030767.
The purpose of this review is to describe the possible effect of toothbrushing on surface roughness of resin-contained CAD/CAM materials.
Systematic literature search for articles published in peer-reviewed journals between January 2000 and February 2020 has been conducted, which evaluated the effect of brushing on surface roughness of resin-contained CAD/CAM dental materials. The research was conducted in Scopus, PubMed/Medline, Web of Science, Embase, and Science Direct using a combination of the following MeSH/Emtree terms: "brushing", "resin-based", "dental", "CAD/CAM", and "surface roughness".
A total of 249 articles were found in the search during initial screening. Fifty-five articles were selected for the full-text evaluation after the steps of reading of abstract/title and remotion of duplicate. Only six articles fulfilled the inclusion criteria. The Cohen's Kappa agreement test showed an index of 0.91 for full-text.
Four of five selected articles identified an increase of surface roughness on resin-contained CAD/CAM materials after toothbrushing. Although all the articles examined used different toothpastes with no homogeneous relative dentine abrasivity (RDA) and cycles of brushing, the findings are about the same. The possible reason is attributable to the compositions of the resin-contained CAD/CAM materials.
The surface roughness of most resin-contained CAD/CAM materials was affected by artificial toothbrushing. Correct knowledge of the composition of the dental material and toothpastes is fundamental to avoid an increase of surface roughness on prosthetic rehabilitation.
本综述的目的是描述刷牙对含树脂的计算机辅助设计/计算机辅助制造（CAD/CAM）材料表面粗糙度的可能影响。
对2000年1月至2020年2月期间发表在同行评审期刊上的文章进行了系统的文献检索，这些文章评估了刷牙对含树脂的CAD/CAM牙科材料表面粗糙度的影响。研究在Scopus、PubMed/Medline、科学引文索引（Web of Science）、Embase和科学直报（Science Direct）中进行，使用了以下医学主题词表（MeSH）/医学树状结构表（Emtree）术语的组合：“刷牙”、“树脂基”、“牙科”、“CAD/CAM”和“表面粗糙度”。
在初步筛选的检索中总共发现了249篇文章。在阅读摘要/标题和去除重复项之后，选择了55篇文章进行全文评估。只有6篇文章符合纳入标准。全文的科恩卡帕一致性检验显示指数为0.91。
五篇入选文章中的四篇指出，刷牙后含树脂的CAD/CAM材料表面粗糙度增加。尽管所有研究的文章都使用了不同的牙膏，且相对牙本质磨损率（RDA）和刷牙周期不一致，但研究结果大致相同。可能的原因归因于含树脂的CAD/CAM材料的成分。
大多数含树脂的CAD/CAM材料的表面粗糙度受到人工刷牙的影响。正确了解牙科材料和牙膏的成分对于避免修复体表面粗糙度增加至关重要。
