国际口腔医学杂志 ›› 2023, Vol. 50 ›› Issue (2): 177-185.doi: 10.7518/gjkq.2023005
revascularization Meta-analysis of the efficacy comparison between endodontic1(),Zhuanzhuan apexification Li1,2(
)
摘要:
目的 采用 Meta 分析探讨牙髓血运重建术和根尖诱导成形术治疗年轻恒牙牙髓不可逆性损伤的疗效。 方法 从外文数据库(PubMed、Embase、Cochrane library)和中文数据库(中国知网、中国生物医学文献服务系统、万方和维普)中检索2001年1月—2021年10月公开发表的关于2种方法治疗年轻恒牙牙髓不可逆性损伤的随机对照试验研究(RCT),并由2名成员严格按照纳入和排除标准独立进行筛选、数据提取和质量评价,采用RevMan 5.3和 STATA 12.0软件进行Meta分析。 结果 最终纳入19篇RCT研究,Meta分析结果显示牙髓血运重建术治疗年轻恒牙牙髓不可逆性损伤成功率显著高于根尖诱导成形术(P<0.05),且在促进管壁厚度增加(P<0.05)、牙根延长(P<0.05)并发症的发生率(P<0.05)方面更有优势。 结论 与根尖诱导成形术相比,牙髓血运重建术的成功率更高,且在促进牙根发育方面的疗效更佳。
中图分类号:
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