比较部分去腐和完全去腐治疗急性龋的系统评价  

Comparative study on partial/ complete caries removal for acute caries: a systematic review

作　　者：孙玉亮[1] 刘媛[1] 赵今[1] 封艳[1] 

机构地区：[1]新疆医科大学第一附属医院牙体牙髓科.新疆维吾尔自治区口腔医学研究所,乌鲁木齐830054

出　　处：《现代口腔医学杂志》2016年第5期271-274,共4页Journal of Modern Stomatology

基　　金：新疆维吾尔自治区自然科学基金资助(2015211C093)

摘　　要：目的比较部分和完全去腐治疗急性龋的疗效。方法计算机检索The Cochrane Library、Pub Med、EMbase、Wan Fang Data、CBM、CNKI,查找相关随机对照试验,检索时限均为从建库至2015年10月。由两位评价员独立筛选文献、提取资料和评价研究质量后,采用Rev Man 5.3软件进行Meta分析。结果最终纳入7个RCT,共计685例患者。Meta分析结果显示:对乳牙龋进行部分去腐的牙髓暴露率低于完全去腐[RR=0.13,95%C(I0.05,0.37)],在术后牙髓病变方面两种方法的差异无统计学意义[RR=0.92,95%C(I0.34,2.50)]。乳牙[RR=1.07,95%C(I0.67,1.70)]、年轻恒牙龋[RR=1.50,95%C(I0.65,3.48)]无论是采用部分去腐还是完全去腐,修复失败的差异无统计学意义。结论部分去腐法治疗乳牙、年轻恒牙急性龋的效果是肯定的,值得在临床工作中推广使用。由于纳入研究设计存在一些缺陷,还需要今后开展更多高质量,大样本的随机对照试验来验证此结论。Objective To compare the effectiveness of partial caries removal and complete caries removal for Acute caries. Methods The Cochrane Library、 Pub Med, EMbase、 Wan Fang Data, CBM、CNKI were searched for randomized controlled trials from the date of their establishment to October 2015. Quality assessment and data extraction were performed by two reviewers independently, Meta-analysis was performed by Rev Man 5.3 software.Results 7 RCT were included at last, including 685 patients. Meta analysis indicated that partial caries removal can relieve the pulp exposure [RR=0.13,95%CI（0.05,0.37）] for primary teeth. There were no significant difference between partial and complete caries removal in postoperative pulpal disease [RR =0.92, 95% CI（0.34, 2.50）]. In failure of restorations, there were no significant difference between 2 methods for primary teeth [RR=1.07, 95%CI（0.67, 1.70）]and young permanent teeth [RR=1.50,95%CI（0.65,3.48）]. Conclusion Partial caries removal is effective for acute caries of primary teeth and young permanent teeth. Due to the limitations of the included RCTs, more large-sample and high-quality RCTs are needed to confirm the reliability of this study.

关 键 词：部分去腐 急性龋 META分析 

分 类 号：R781.1[医药卫生—口腔医学]