【摘要】：目的:探討CEREC全瓷嵌體在后牙缺損中單面與多面修復(fù)隨訪8年的生存情況。方法:檢索Cochrane圖書館,Pubmed,Embase,CBM,中國知網(wǎng),維普,萬方等中英文數(shù)據(jù)庫,截止至2013年12月31日所有文獻(xiàn)。納入后牙牙體缺損患者,實(shí)驗(yàn)組為CEREC全瓷嵌體單面修復(fù),對照組為多面修復(fù)。研究類型為隨機(jī)對照試驗(yàn)或同期非隨機(jī)對照試驗(yàn)。采用Cochrane手冊中偏倚風(fēng)險(xiǎn)評價(jià)方法進(jìn)行方法學(xué)質(zhì)量評價(jià),使用GRADE系統(tǒng)評估證據(jù)質(zhì)量等級。結(jié)果:3個隨訪研究納入分析。共計(jì)3538個CEREC全瓷嵌體。結(jié)果:CEREC全瓷嵌體生存率二面高于一面(8年)(HR=6.32,95%CI:1.72~23.20,P=0.005);三面高于一面(8年)(HR=5.87,95%CI:1.84~18.71,P=0.003),一面與≥四面類似(HR=1.92,95%CI:0.42~8.79,P=0.4)。GRADE系統(tǒng)評價(jià)結(jié)果顯示2個結(jié)局證據(jù)水平為低級(一面vs.二面;一面vs.三面)。1個結(jié)局證據(jù)水平為極低級(CEREC全瓷嵌體一面vs.≥四面)。結(jié)論:在隨訪8年的觀察中,當(dāng)前證據(jù)表明CEREC全瓷嵌體生存風(fēng)險(xiǎn)并不完全隨修復(fù)涉及面數(shù)增加而增加。
[Abstract]:Objective: to investigate the survival of CEREC all-ceramic inlay in the middle and multiple facets of posterior tooth defect for 8 years. Methods: the Chinese and English databases of Pubmedus Embase CBM, China knowledge Network, Weip, Wanfang, etc., as of December 31, 2013 were searched. The patients with posterior tooth defect were treated with CEREC all-ceramic inlay on one side and the control group with multiplanar restoration. The type of study was randomized controlled trial or non-randomized controlled trial at the same time. The bias risk assessment method in Cochrane manual was used to evaluate the methodological quality and the GRADE system was used to evaluate the quality of evidence. Results: three follow-up studies were included in the analysis. A total of 3 538 CEREC all-ceramic inlays were obtained. Results the survival rate of 1% CEREC inlay was higher on two sides than on one side (8 years) (HR6.3295) and higher than that on three sides (8 years) (HR5.87% 95CI1.84 ~ 18.71% P0. 003), and on the other side was similar to that of 鈮，

本文編號：2157233