美国环境保护局共识项目文件：前牙全冠或部分覆盖单颗牙修复体——生存及并发症发生率的系统评价

EPA Consensus Project Paper: Anterior Full or Partial Coverage Single Tooth Restorations - A Systematic Review of Survival and Complication Rates.

作者信息

Hjerppe J, Rus F M, Pitta J, von Felten S, Özcan M, Pradíes G

机构信息

Clinic of Reconstructive Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland.

Department of Conservative and Prosthetic Dentistry, Faculty of Dentistry, Complutense University of Madrid, Madrid, Spain.

出版信息

Eur J Prosthodont Restor Dent. 2023 Sep 11. doi: 10.1922/EJPRD_2582Hjerppe25.

DOI:10.1922/EJPRD_2582Hjerppe25

PMID:37694964

Abstract

INTRODUCTION

The aim of this systematic review was to assess the literature reporting on the failure rates, survival rates and complication rates and patient reported outcome measures (PROMs) of anterior full (FC) or partial (PC) coverage single tooth restorations after a mean observation period of at least 3 years.

METHODS

Systematic search was conducted using the electronic databases: MEDLINE, EMBASE and Cochrane library. Data regarding survival (restoration failure) and complication rates and PROMs were extracted and presented descriptively.

RESULTS

Altogether 42 studies were included in the analysis (28 with FC, 12 with PC and 2 with both types of restorations). For FC restorations the estimated annual failure rate was 0.72 (95%CI: 0.33-1.57), resulting in a 5-year survival rate of 96.4% (95%CI: 92.4-98.3). For PC restorations, the estimated annual failure rate was 0.62 (95%CI: 0.27-1.46), resulting in a 5-year survival rate of 96.9% (95%CI: 93.0-98.7). There was no significant difference between the groups regarding survival or technical complications, while significantly fewer biological complications were observed with PC compared to FC restorations (test for subgroup differences, p=0.01).

CONCLUSIONS

FC and PC restorations showed high 5-year survival rates but the teeth restored with FC restorations may be more prone to biological complications.

摘要

引言

本系统评价的目的是评估文献报道的在平均至少3年的观察期后，前牙全冠（FC）或部分覆盖（PC）单颗牙修复体的失败率、生存率、并发症发生率以及患者报告的结局指标（PROMs）。

方法

使用电子数据库MEDLINE、EMBASE和Cochrane图书馆进行系统检索。提取有关生存（修复体失败）、并发症发生率和PROMs的数据并进行描述性呈现。

结果

共有42项研究纳入分析（28项FC修复体研究，12项PC修复体研究，2项两种修复体类型均有的研究）。对于FC修复体，估计年失败率为0.72（95%CI：0.33 - 1.57），5年生存率为96.4%（95%CI：92.4 - 98.3）。对于PC修复体，估计年失败率为0.62（95%CI：0.27 - 1.46），5年生存率为96.9%（95%CI：93.0 - 98.7）。两组在生存或技术并发症方面无显著差异，而与FC修复体相比，PC修复体观察到的生物学并发症明显更少（亚组差异检验，p = 0.01）。