Carlos Eduardo Victor da Costa Ribeiro, Isabella Marian Lena, Samantha Simoni Santi, Cristiana Pereira Malta, Fabrício Batistin Zanatta, Renata Dornelles Morgental
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引用次数: 0
摘要
研究目的本研究旨在系统回顾激光治疗对环氧树脂基和硅酸钙基牙髓封闭剂与根部牙本质粘结强度的影响：搜索包括四个数据库：PubMed/MEDLINE、EMBASE、Scopus 和 ISI Web of Science。纳入标准仅限于在拔出的人类牙齿上进行的体外研究，这些研究使用推出试验评估了环氧树脂型或硅酸钙型封闭剂的粘结强度（兆帕）。两名独立评审员对所选研究的方法学质量进行了评估，以评估偏倚风险。针对不同的激光类型、根管封闭剂和对照组进行了 Meta 分析。计算了标准平均差和 95% 置信区间值：17项研究符合定性分析的纳入标准，15项符合定量分析的纳入标准。Meta 分析表明，与阴性对照组（惰性溶液）相比，某些激光（Er,Cr:YSGG、Er:YAG）能显著提高环氧树脂基封闭剂的粘接强度，但与 EDTA 药剂相比并无明显优势。与惰性溶液或 EDTA 相比，激光治疗硅酸钙封孔剂的粘接强度没有明显提高。分组分析表明，铒激光，尤其是在 PIPS 模式下，有可能提高环氧树脂基封闭剂的粘接强度：结论：与惰性溶液相比，激光治疗可增强环氧树脂封闭剂的粘接强度，但不超过 EDTA。与惰性溶液或乙二胺四乙酸乙酯相比，激光治疗并不能显著提高硅酸钙封闭剂的粘接强度：激光治疗可提高环氧树脂封闭剂的粘接强度。
Effects of laser treatment on bond strength of epoxy resin and calcium silicate-based sealers: a systematic review and meta-analysis of in vitro studies.
Objective: This study aimed to systematically review the effect of laser treatment on the bond strength of epoxy resin-based and calcium silicate-based endodontic sealers to root dentine.
Methods: The search encompassed four databases: PubMed/MEDLINE, EMBASE, Scopus, and ISI Web of Science. Inclusion criteria were limited to in vitro studies conducted on extracted human teeth evaluating bond strength in megapascals (MPa) of either epoxy resin-based or calcium silicate-based sealers, using the push-out test. Two independent reviewers appraised the methodological quality of the selected studies to assess the risk of bias. Meta-analysis was performed for different laser types, endodontic sealers, and control groups. Standard Mean Difference and 95% Confidence Interval values were calculated.
Results: 17 studies met the inclusion criteria for qualitative synthesis, and 15 for quantitative analysis. Meta-analyses revealed that certain lasers (Er,Cr:YSGG, Er:YAG) significantly increased bond strength for epoxy resin-based sealers when compared to negative controls (inert solutions), but did not show a significant advantage over EDTA agent. For calcium silicate-based sealers, laser treatment did not show significant enhancement in bond strength compared to either inert solutions or EDTA. The subgroup analysis suggested that erbium lasers, especially in the PIPS mode, potentially increase the bond strength of epoxy resin-based sealers.
Conclusion: Laser treatment enhances the bond strength of epoxy resin-based sealers compared to inert solutions, but not more than EDTA. For calcium silicate-based sealers, laser treatment does not significantly improve bond strength over inert solutions or EDTA.
Clinical relevance: Laser treatment increases the bond strength of epoxy resin-based sealers.
期刊介绍：
The journal Clinical Oral Investigations is a multidisciplinary, international forum for publication of research from all fields of oral medicine. The journal publishes original scientific articles and invited reviews which provide up-to-date results of basic and clinical studies in oral and maxillofacial science and medicine. The aim is to clarify the relevance of new results to modern practice, for an international readership. Coverage includes maxillofacial and oral surgery, prosthetics and restorative dentistry, operative dentistry, endodontics, periodontology, orthodontics, dental materials science, clinical trials, epidemiology, pedodontics, oral implant, preventive dentistiry, oral pathology, oral basic sciences and more.
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