Abstract:
The present paper is the first article providing a systematic literature review on the visualization of tertiary dentin influenced by modern bioactive materials in CBCT and micro-CT. Six database searches of studies on tertiary dentin visualization using CBCT produced 622 records in total, and the search of the studies on tertiary dentin using micro-CT produced 502 records in total. The results were thoroughly selected considering the inclusion criteria, and five research papers using CBCT and nine research papers using micro-CT for visualization of tertiary dentin were eventually qualified for the analysis. All the non-randomized and randomized studies presented good and high levels of quality evidence, respectively. Among the bioactive materials used, the most frequently analysed were: MTA, Biodentine dentin matrix hydrogel, Pro Root MTA, and EndoSequence root repair material. The highest thickness of the tertiary dentin was achieved after the use of MTA material in both imaging techniques. The remaining parameters had different results, taking into account the CBCT and micro-CT analysis. The possibilities of the qualitative and quantitative assessment of the particular parameters of tertiary dentin using CBCT and micro-CT techniques were presented and analysed. CBCT and micro-CT analyses can be useful in the assessment of tertiary dentin formed beneath the bioactive material applied during vital pulp treatment. The research argues that the presented results differ depending on the material applied to the pulp, the study duration (4-6 weeks), difference in teeth, species (rats, human), as well as the applied technique and differences in computer software used for the analysis.
摘要:
本文是第一篇关于CBCT和micro-CT中受现代生物活性材料影响的三级牙本质可视化的系统文献综述。使用CBCT对三级牙本质可视化研究的六个数据库搜索总共产生了622条记录,使用micro-CT搜索三级牙本质的研究共产生502条记录。考虑到纳入标准,对结果进行了彻底的选择,5篇使用CBCT的研究论文和9篇使用Micro-CT进行三级牙本质可视化的研究论文最终合格。所有非随机和随机研究都提供了良好和高水平的质量证据,分别。在使用的生物活性材料中,最常分析的是:MTA,生物牙本质牙本质基质水凝胶,ProRootMTA,和EndoSequence根修复材料。在两种成像技术中使用MTA材料后,三级牙本质的厚度最高。其余参数有不同的结果,同时考虑CBCT和Micro-CT分析。提出并分析了使用CBCT和micro-CT技术对三级牙本质的特定参数进行定性和定量评估的可能性。CBCT和micro-CT分析可用于评估在重要牙髓治疗期间施加的生物活性材料下方形成的三级牙本质。研究认为,根据应用于纸浆的材料,提出的结果有所不同,研究持续时间(4-6周),牙齿的差异,物种(大鼠,human),以及用于分析的计算机软件的应用技术和差异。