根尖通畅性对根管治疗效果的影响——临床研究的系统评价
Influence of apical patency in endodontic treatment outcome - A systematic review of clinical studies.
作者信息
Kuzhanchinathan Manigandan, Dhakshinamurthi Balaji, Rajendran Mathan Rajan, Kalaiselvam Rajeswari
机构信息
Department of Conservative Dentistry and Endodontics, Sri Ramachandra Dental College and Hospital, Sri Ramachandra Institute of Higher Education and Research (SRIHER - DU), Chennai, Tamil Nadu, India.
出版信息
J Conserv Dent Endod. 2024 Nov;27(11):1091-1097. doi: 10.4103/JCDE.JCDE_584_24. Epub 2024 Nov 11.
OBJECTIVE
The aim of this systematic review was to evaluate the influence of maintaining apical patency (AP) in endodontic treatment outcome.
METHODOLOGY
An electronic database search was performed in PubMed, Cochrane Library, LIVIVO, LILACS, and EBSCO host from inception till July 2024. The data from the included articles were extracted and the quality was assessed using the Cochrane Collaboration tool and ROBINS-I tool.
RESULTS
Five articles were included for the qualitative synthesis, and all the included articles were determined to have a low risk of bias. Maintaining the AP resulted in two-fold increase in the healing outcome with long-term follow-up.
CONCLUSION
It can be concluded from this systematic review that maintaining AP is likely to enhance the endodontic treatment outcome. However, more long-term clinical studies are required to further evaluate the possible influence of AP.
REGISTRATION
The protocol of this review was registered in the PROSPERO database with registration number: CRD42022374966.
目的
本系统评价旨在评估保持根尖通畅（AP）对根管治疗结果的影响。
方法
从数据库建立至2024年7月，在PubMed、Cochrane图书馆、LIVIVO、LILACS和EBSCO主机上进行电子数据库检索。提取纳入文章的数据，并使用Cochrane协作工具和ROBINS-I工具评估质量。
结果
纳入5篇文章进行定性综合分析，所有纳入文章均被判定为低偏倚风险。长期随访结果显示，保持AP可使愈合结果增加两倍。
结论
从本系统评价可以得出结论，保持AP可能会提高根管治疗效果。然而，需要更多的长期临床研究来进一步评估AP的可能影响。
注册情况
本评价方案已在PROSPERO数据库中注册，注册号为：CRD42022374966。
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