in vitro techniques

体外技术
  • 文章类型: Journal Article
    源自天然蛋白质的生物活性肽调节代谢途径中的生理过程。鉴于文献中的多种方案模拟了饮食成分的消化,收集使用针对蛋白质消化过程的此类模型的研究至关重要。本系统综述旨在收集采用适当实验模型来模拟人类蛋白质消化的证据。搜索的数据库是PubMed,WebofScience,ScienceDirect,Embase,虚拟健康图书馆,还有Scopus.共发现1985年的文章,导致20个合格的体外研究。健康评估和翻译办公室用于评估方法质量。七项研究使用植物性蛋白质来源,十二种用过的动物蛋白来源,一个人两者都用。口腔阶段的持续时间各不相同,尽管60%的研究采用了120分钟的蛋白质消化期。淀粉酶,胃蛋白酶,40%的研究使用了胰酶,pH值分别为7、3和7,在口服期间,胃,和肠道阶段。65%的研究采用了INFOGEST协调静态模型;INFOGEST是模拟人类胃肠道蛋白质过程的最有效模型,可用于回答几个研究问题,因为它描述的实验条件接近人体生理状况。
    Bioactive peptides derived from native proteins modulate physiological processes in the metabolic pathways. Given that multiple protocols in the literature mimic the digestion of dietary components, gathering studies that use such models directed at protein digestion processes is critical. This systematic review aimed to gather evidence that adopted adequate experimental models to simulate human protein digestion. The databases searched were PubMed, Web of Science, ScienceDirect, Embase, Virtual Health Library, and Scopus. A total of 1985 articles were found, resulting in 20 eligible in vitro studies. The Office of Health Assessment and Translation was used to evaluate methodological quality. Seven studies used plant-based protein sources, twelve used animal protein sources, and one used both. The duration of the oral phase varied, although 60% of the studies employed a protein digestion period of 120 min. Amylase, pepsin, and pancreatin enzymes were utilized in 40% of the studies, with pH levels of 7, 3, and 7, respectively, during the oral, gastric, and intestinal phases. The INFOGEST harmonized static model was adopted by 65% of the studies; INFOGEST is the most effective model for simulating gastrointestinal protein processes in humans and can be used to answer several research questions because it describes experimental conditions close to the human physiological situation.
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  • 文章类型: Journal Article
    伤口是一个日益增长的全球性问题,需要更多的关注。为了加快伤口愈合,技术正在开发中,和不同波长的发光二极管(LED)设备正在探索它们对愈合过程的刺激影响。本文提出了一个系统的文献综述,旨在汇编,组织,分析LED器件对伤口愈合的影响。此评论已在PROSPERO平台[CRD42023403870]上注册。两名失明的作者在Pubmed中进行了搜索,WebofScience,Scopus,Embase,和ScienceDirect数据库。包括评估伤口愈合过程中LED利用率的体外和体内实验研究。搜索产生了1010项研究,其中27人被列入审查范围。发现LED刺激不同的愈合途径,促进细胞增殖和迁移,血管生成刺激,胶原蛋白沉积增加,和炎症反应的调节。因此,可以得出结论,LED刺激细胞和分子过程取决于所使用的参数。效果取决于所使用的标准。绿色和红色LED对细胞迁移和增殖的影响较好。细胞外基质成分和血管生成受所有波长的调节,炎症的调节由绿色,红色,和红外LED。
    Wounds represent a growing global issue demanding increased attention. To expedite wound healing, technologies are under development, and light emitting diode (LED) devices of varying wavelengths are being explored for their stimulating influence on the healing process. This article presents a systematic literature review aiming to compile, organize, and analyze the impacts of LED devices on wound healing. This review is registered on the PROSPERO platform [CRD42023403870]. Two blinded authors conducted searches in the Pubmed, Web of Science, Scopus, Embase, and ScienceDirect databases. In vitro and in vivo experimental studies assessing LED utilization in the wound healing process were included. The search yielded 1010 studies, of which 27 were included in the review. It was identified that LED stimulates different healing pathways, promoting enhanced cell proliferation and migration, angiogenesis stimulation, increased collagen deposition, and modulation of the inflammatory response. Thus, it can be concluded that the LED stimulates cellular and molecular processes contingent on the utilized parameters. The effects depend on the standards used. Cell migration and proliferation were better influenced by green and red LED. The extracellular matrix components and angiogenesis were regulated by all wavelengths and the modulation of inflammation was mediated by green, red, and infrared LEDs.
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  • 文章类型: Journal Article
    目的:将Cantion-N®与日常实践中使用的直接修复材料的性能进行比较(例如,树脂基复合材料/RBC,玻璃离聚物水泥/GIC,生物活性树脂,银汞合金)通过系统综述研究。
    方法:审查遵循了PRISMA-NMA的建议,审查方案发表在osf.io/ybde8.搜索是在PubMed/MEDLINE进行的,Scopus,WebofScience,Embase,丁香花,和SciELO数据库,以及在灰色文献(开放灰色,Proquest,和佩里奥迪科斯CAPES)。包括具有体外实验设计的研究,该设计评估了与其他修复材料相比的Cention-N的特征和性能。使用RoBDEMAT工具评估纳入研究的偏倚风险,使用ReviewManager5.4和MetaInsightV3工具进行荟萃分析。
    结果:本综述共纳入85项研究,其中79项进行了荟萃分析。分析了直接修复材料的几个特点,包括物理(颜色变化,转换程度,硬度,微泄漏,聚合速率,粗糙度,水溶性,水吸附),机械(与牙本质的粘结强度,抗压强度,径向抗拉强度,弯曲模量,抗弯强度,载荷断裂,磨损),和生物(碱化效应,抗菌活性,钙和氟化物释放)特性。
    结论:与红细胞相比,Cention-N具有相似的物理机械性能,而是比GIC更强的行为。尽管Cantion-N具有碱解石性质,GIC仍可能从所有直接修复材料中表现出最大的氟化物释放能力。与其他几种传统使用的材料相比,这篇综述证实了Cantion-N的适当行为,确认其适用于永久修复腐烂或骨折的牙齿。
    OBJECTIVE: To compare the performance of Cention-N® with direct restorative materials used at the daily practice (e.g., resin-based composites/RBC, glass ionomer cements/GIC, bioactive resins, silver amalgam) via a systematic review study.
    METHODS: The review followed the PRISMA-NMA recommendations, and the protocol of the review was published at osf.io/ybde8. The search was conducted in PubMed/MEDLINE, Scopus, Web of Science, Embase, Lilacs, and SciELO databases, as well as in the grey literature (Open Grey, Proquest, and Periódicos CAPES). Studies with an in vitro experimental design evaluating the characteristics and properties of Cention-N in comparison to other restorative materials were included. The risk of bias of included studies was assessed using the RoBDEMAT tool, and meta-analyses were conducted using Review Manager 5.4 and MetaInsight V3 tools.
    RESULTS: A total of 85 studies were included in the review, from which 79 were meta-analyzed. Several characteristics of direct restorative materials were analyzed, including physical (color change, degree of conversion, hardness, microleakage, polymerization rate, roughness, water solubility, water sorption), mechanical (bond strength to dentin, compressive strength, diametral tensile strength, flexural modulus, flexural strength, load-to-fracture, wear), and biological (alkalinizing effect, antibacterial activity, calcium and fluoride release) properties.
    CONCLUSIONS: Cention-N presented similar physico-mechanical properties compared to RBCs, but a stronger behavior than GICs. Despite the Alkasite nature of Cention-N, GICs may still demonstrate the greatest fluoride releasing ability from all direct restorative materials. This review confirmed the adequate behavior of Cention-N when compared to several other more traditionally used materials, confirming its applicability for the permanent restoration of decayed or fractured teeth.
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  • 文章类型: Journal Article
    目的:本系统综述的目的是评估不完整套圈对牙髓治疗(ETT)的骨折的影响。
    方法:诸如\"不完整的套圈,\"\"套圈,\"\"套圈效应,\"\"残留牙本质,\"\"剩余的牙本质,“或”剩余的冠状牙本质“用于搜索,并且仅包括研究套圈对天然牙齿的不完全影响的体外研究。
    方法:PubMed,Medline,Embase,科克伦图书馆,和科学直接数据库,和手动搜索。
    方法:搜索策略产生了1633个命中,共包括19项与不完全套圈对ETT的影响密切相关的体外研究。
    结论:不完整套圈的存在可能显着增加修复的ETT的抗断裂性,与没有套圈的恢复ETT相比。不完整套圈的剩余轴向壁的数量可能对断裂阻力和断裂模式有影响。不完整套圈的剩余轴向壁的位置可能会影响抗断裂性,但不会影响断裂模式。
    结论:有限的数据表明,不完整套圈的存在对修复的ETT的抗骨折性有积极的影响。当不存在完整的套圈时,不完整的套圈可以是恢复ETT的替代方案。然而,仍需要进一步的高质量研究来提供更有力的证据,并考虑潜在的混杂因素.
    The purpose of this systematic review was to assess the impact of the incomplete ferrule on the fracture of endodontically treated teeth (ETT).
    The keywords such as \"incomplete ferrule,\" \"ferrule,\" \"ferrule effect,\" \"residual dentin,\" \"remaining dentin,\" or \"remaining coronal dentin\" were used for searching, and only in vitro studies investigating the incomplete ferrule effect on natural teeth were included.
    PubMed, Medline, Embase, Cochrane Library, and Science Direct databases, and manual-searching.
    The search strategy yielded 1633 hits, and a total of 19 in vitro studies closely related to the effect of incomplete ferrule on ETT were included.
    The presence of an incomplete ferrule may significantly increase the fracture resistance of restored ETT, compared with restored ETT without ferrule. The number of residual axial walls of the incomplete ferrule may have an impact on the fracture resistance and fracture mode. The location of residual axial walls of the incomplete ferrule may affect the fracture resistance but not the fracture mode.
    Limited data suggest that the presence of incomplete ferrule has a positive effect on the fracture resistance of restored ETT. An incomplete ferrule can be an alternative for restoring ETT when a complete ferrule is not present. Nevertheless, further high-quality studies are still needed to offer more robust evidence and to take potential confounding factors into account.
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  • 文章类型: Journal Article
    目的:本系统综述的目的是研究不同的干预措施如何影响胶结后增材制造牙冠材料的粘结强度。
    方法:四个在线数据库OvidMEDLINE,Scopus,截至2023年1月,搜索了WebofScience和GoogleScholar。纳入标准是英文出版物,全文,只有体外研究。排除标准是未评估增材制造的牙冠材料与水泥的粘合或未进行任何粘合强度测试的研究。根据修改后的合并报告试验标准(CONSORT)清单对偏差风险进行评估。根据干预措施和粘结强度结果对每项研究进行分析和比较。
    方法:六项研究满足纳入和排除标准,其中五个评估了光聚合树脂,一个通过3D打印测试了氧化锆制造。所有研究都观察到偏差的风险较低。应用的干预措施包括表面预处理的类型,空气中的颗粒磨损压力,水泥类型,牙冠锥度,和人工老化。三项研究比较了与研磨材料的粘合性能。
    结论:由光聚合物增材制造的牙冠材料的粘结强度呈现高值并且与研磨材料相当。系统评价表明,没有明确的优良水泥类型,但通常建议用氧化铝进行空气颗粒磨损。关于增材制造牙冠的粘结强度,文献中存在明显的空白。因此,进一步的研究是必要的,以评估其临床适用性的永久性修复。
    结论:应评估影响增材制造牙冠材料粘结强度的因素,以便牙科保健专业人员可以采用促进最强粘结的程序。在这样做的时候,可以确保保留恢复。
    The purpose of this systematic review was to investigate how different interventions can impact the bond strength of additively manufactured crown materials after cementation.
    Four online databases Ovid MEDLINE, Scopus, Web of Science and Google Scholar were searched up to January 2023. Inclusion criteria were English-language publications, full-text, and in vitro studies only. Exclusion criteria were studies that did not assess the bonding of an additively manufactured crown material to cement or did not conduct any bond strength tests. An assessment of risk of bias was done in accordance with a modified Consolidated Standards of Reporting Trials (CONSORT) checklist. Each study was analysed and compared based on the interventions and bond strength results.
    Six studies satisfied the inclusion and exclusion criteria, five of which evaluated photopolymerised resin and one that tested zirconia manufacturing via 3D printing. All studies observed a low risk of bias. The interventions applied included the type of surface pretreatments, airborne-particle abrasion pressure, cement type, taper of crown, and artificial aging. Three studies compared the bonding performance to milled materials.
    The bond strength of crown materials additively manufactured from photopolymers presented high values and are comparable to milled materials. The systematic review demonstrated there was no definite superior cement type, but airborne-particle abrasion with alumina was generally recommended. There is a clear gap in the literature regarding the bond strength of additively manufactured crowns. Therefore, further research is necessary to evaluate its clinical applicability for permanent restorations.
    Factors influencing the bond strength of additively manufactured crown materials should be evaluated so dental professionals can adopt procedures that promote the strongest bond.
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  • 文章类型: Journal Article
    本系统评价和荟萃分析(SRM)的目的是评估与AHPlus®密封剂相比,生物陶瓷密封剂在牙本质小管中的渗透能力和抗菌活性是否更好。此SRM记录在开放科学框架数据库中,并遵循PRISMA2020的指南。两个独立的审阅者搜索了五个数据库。仅包括评估生物陶瓷密封剂与AHPlus®密封剂相比对牙本质小管渗透和抗微生物活性结果的影响的体外研究。采用R软件进行Meta分析,采用标准化均差(SMD)和逆方差法的效果测度。修改后的乔安娜·布里格斯研究所的清单被用于偏见风险评估。总共确定了1486项研究,本综述仅纳入了符合我们资格标准的54项研究.牙本质小管渗透评估的密封剂之间没有统计学差异,在评估的三分之一中:冠状SMD0.58[0.14;1.31],p=0.12;中间SMD0.07[0.54;0.39],p=0.75;根尖SMD0.08[0.73;0.56],p=0.80。两种密封剂均表现出相似的抗微生物作用(SMD[3.42;5.32],p=0.67和SMD0.67[1.89;0.55],p=0.28)。这些研究提出了一个低风险的偏倚。基于所包括的体外研究,并根据本综述的局限性,数据表明,生物陶瓷和AHPlus®密封剂在牙本质小管中具有相似的渗透能力和抗菌作用,使它们成为临床实践中考虑的合适材料。
    The aim of this systematic review and meta-analysis (SRM) was to evaluate whether bioceramic sealers have better penetration capacity in dentinal tubules and antimicrobial activity when compared to AH Plus® sealer. This SRM was recorded in the Open Science Framework database and followed the guidelines of the PRISMA 2020. Five databases were searched by two independent reviewers. Only in vitro studies that evaluated the effects of bioceramic sealers on dentinal tubule penetration and antimicrobial activity outcomes compared to AH Plus® sealer were included. Meta-analysis was conducted using R software, using the effect measure of the standardized mean difference (SMD) and inverse variance method. A modified Joanna Briggs Institute\'s Checklist was used for the risk of bias assessment. A total of 1486 studies were identified, and only 54 studies that fulfilled our eligibility criteria were included in this review. There was no statistical difference between the sealers evaluated for dentinal tubule penetration, in the thirds evaluated: coronal SMD 0.58 [0.14; 1.31], p = 0.12; middle SMD 0.07 [0.54; 0.39], p = 0.75; and apical SMD 0.08 [0.73; 0.56], p = 0.80. Both sealers demonstrated similar antimicrobial action (SMD [3.42; 5.32], p = 0.67 and SMD 0.67 [1.89; 0.55], p = 0.28). The studies presented a low risk of bias. Based on the in vitro studies included and according to the limitations of the present review, the data suggest that bioceramic and AH Plus® sealers present similar penetration capacity in dentinal tubules and antimicrobial effect, making them suitable materials to be considered in clinical practice.
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  • 文章类型: Systematic Review
    背景:皮肤利什曼病(LC)是一种由利什曼原虫属寄生虫引起的传染性媒介传播疾病。金属纳米颗粒(MNPs)由于其小尺寸和高表面积而被研究作为LC处理的替代品。这里,我们旨在通过实验评估MNPs在LC治疗中的作用,体外和体内研究。
    方法:使用的数据库是MEDLINE/PubMed,Scopus,WebofScience,Embase,科学直接。还对所包括的研究和灰色文献的参考列表进行了手动搜索。英语语言以及使用不同利什曼原虫物种的体外和体内实验研究,两者都与MNP治疗有关,包括在内。本研究在PROSPERO(CRD42021248245)注册。
    结果:共纳入93篇文章。银纳米粒子是研究最多的MNPs,热带乳杆菌是研究最多的物种。在MNPs的体外作用机制中,我们强调活性氧的产生,MNPs与寄生虫的生物分子直接接触,释放金属离子.
    结论:MNPs可能被认为是治疗LC的一种有希望的替代方案,但需要进一步的研究来确定其疗效和安全性.
    BACKGROUND: Cutaneous leishmaniasis (LC) is an infectious vector-borne disease caused by parasites belonging to the genus Leishmania. Metallic nanoparticles (MNPs) have been investigated as alternatives for the treatment of LC owing to their small size and high surface area. Here, we aimed to evaluate the effect of MNPs in the treatment of LC through experimental, in vitro and in vivo investigations.
    METHODS: The databases used were MEDLINE/ PubMed, Scopus, Web of Science, Embase, and Science Direct. Manual searches of the reference lists of the included studies and grey literature were also performed. English language and experimental in vitro and in vivo studies using different Leishmania species, both related to MNP treatment, were included. This study was registered in PROSPERO (CRD42021248245).
    RESULTS: A total of 93 articles were included. Silver nanoparticles are the most studied MNPs, and L. tropica is the most studied species. Among the mechanisms of action of MNPs in vitro, we highlight the production of reactive oxygen species, direct contact of MNPs with the biomolecules of the parasite, and release of metal ions.
    CONCLUSIONS: MNPs may be considered a promising alternative for the treatment of LC, but further studies are needed to define their efficacy and safety.
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  • 文章类型: Journal Article
    炎症,一种身体对伤害或感染的防御,导致许多慢性疾病,包括糖尿病,心血管疾病,和癌症。因此,强烈建议发现具有许多生物活性的天然化合物来控制炎症。在天然化合物中,薄荷及其主要成分,薄荷醇,已被认为具有抗炎潜力。四个数据库,包括WebofSciences,PubMed,Scopus,和Embase进行了搜索,以确定有关薄荷及其抗炎作用的文章,直到2023年3月。在筛选的3805条记录中,14篇文章符合研究标准。这里回顾的证据提出薄荷作为抗炎药。薄荷可能通过激活AMP激活的蛋白激酶/unc-51样激酶1/核因子-E2相关因子2自噬途径抑制炎症,下调细胞外信号调节激酶-核因子κB和丝裂原活化蛋白激酶通路,减弱氧化应激,抑制促炎介质和一氧化氮的产生,并诱导抗炎前列腺素的产生。由于薄荷的有希望的抗炎作用以及在这方面缺乏人体研究,未来研究薄荷对炎症及其相关疾病的影响的随机临床试验是有必要的.
    Inflammation, a type of the body\'s defense against injury or infection, causes many chronic disorders including diabetes, cardiovascular disease, and cancer. Therefore, discovering natural compounds with numerous biological activities for the management of inflammation is highly recommended. Out of natural compounds, peppermint and its main component, menthol, has been suggested to possess antiinflammatory potential. Four databases including Web of Sciences, PubMed, Scopus, and Embase were searched to identify articles about peppermint and its antiinflammatory effects up to March 2023. Out of 3805 records screened, 14 articles met the study criteria. The evidence reviewed here proposed peppermint as an antiinflammatory agent. Peppermint may suppress inflammation by activating the AMP-activated protein kinase/unc-51 like kinase 1/nuclear factor-E2 associated factor 2 autophagy pathway, downregulating extracellular signal-regulated kinase-nuclear factor kappa B and mitogen activated protein kinases pathways, attenuating oxidative stress, suppressing the production of pro-inflammatory mediators and nitric oxide, and inducing the production of antiinflammatory prostaglandins. Due to the promising antiinflammatory effects of peppermint and the lack of human studies in this regard, future randomized clinical trials examining the effects of peppermint on inflammation and its related maladies are warranted.
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  • 文章类型: Journal Article
    本系统评价(SR)旨在评估再生治疗中常用的不同类型的富血小板纤维蛋白(PRF)的抗菌潜力。在四个数据库和灰色文献中进行了电子搜索,以查找直到1月为止的文章,2023年。合格标准包括评估不同类型PRF的抗微生物作用的体外研究。为了分析研究中的偏差风险,使用修改后的OHAT(健康评估和翻译办公室)工具。为了评估结果,在主要研究结果的综合中进行了定性的批判性分析。2013年至2021年发表的16项研究包括在此SR中。PRF变异的抗菌作用(PRF,可注射PRF[I-PRF],带有银纳米颗粒的PRF[agNP-PRF],和水平PRF[H-PRF]),对口腔中的16种细菌进行了分析,牙周,和牙髓环境。所有类型的PRF均显示出显著的抗菌作用,抗菌功效比真菌更有表现力。I-PRF,H-PRF,和agNP-PRF亚型提高抗菌活性。根据OHAT分析,没有一项研究被归类为具有高偏倚风险.证据表明,PRF变异具有显著的抗菌活性,细菌的作用大于真菌。诸如I-PRF之类的进化,H-PRF,和agNP-PRF提高抗菌活性。分析这些血小板的临床作用的未来研究是基础。该SR在INPLASY中注册,编号为INPLASY202340016。
    This systematic review (SR) aimed to evaluate the antimicrobial potential of different types of platelet-rich fibrin (PRF) often used in regenerative treatments. An electronic search was performed in four databases and in Gray literature for articles published until January, 2023. The eligibility criteria comprised in vitro studies that evaluated the antimicrobial effect of different types of PRF. For the analysis of the risk of bias within studies, the modified OHAT (Office of Health Assessment and Translation) tool was used. For the evaluation of the results, a qualitative critical analysis was carried out in the synthesis of the results of the primary studies. Sixteen studies published between 2013 and 2021 were included in this SR. The antimicrobial effects of PRF variations (PRF, injectable PRF [I-PRF], PRF with silver nanoparticles [agNP-PRF], and horizontal PRF [H-PRF]), were analyzed against 16 types of bacteria from the oral, periodontal, and endodontic environments. All types of PRF showed significant antimicrobial action, with the antibacterial efficacy being more expressive than the fungal one. The I-PRF, H-PRF, and agNP-PRF subtypes improve antimicrobial activity. According to the OHAT analysis, no study was classified as having a high risk of bias. Evidence suggests that PRF variations have significant antimicrobial activity, with bacterial action being greater than fungal. Evolutions such as I-PRF, H-PRF, and agNP-PRF improve antimicrobial activity. Future studies analyzing the clinical effect of these platelets are fundamental. This SR was registered in INPLASY under number INPLASY202340016.
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  • 文章类型: Meta-Analysis
    目的:本系统综述和荟萃分析旨在评估光固化和双固化树脂水泥的颜色稳定性差异。
    方法:两个独立的审阅者使用PubMed,Scopus,WebofScience,Embase,和Scielo数据库来执行系统审查。为了分析,使用了评估双重固化和光固化树脂水泥随时间变化的颜色稳定性的研究。Meta分析采用随机效应模型。基于老化技术进行亚组分析。根据先前系统评价的参数评估每个体外研究的方法学质量。从所有数据库中,共检索到2223篇论文。
    结果:在筛选标题和摘要之后,选择了44项研究进行全文回顾,共27篇文献进行定性分析。最后,仍有23篇文章用于定性分析。大多数研究被标记为具有中等偏倚风险。全局分析表明,双固化树脂水泥的颜色变化差异更大(p=0.006)。在分析中发现了高异质性指数(86%)。
    结论:现有的最佳体外证据表明,双重聚合水泥比光聚合材料具有更高的颜色变化。为了减少薄陶瓷修复体褪色后颜色变化的可能性,临床医生应使用光聚合树脂水泥。本文受版权保护。保留所有权利。
    OBJECTIVE: This systematic review and meta-analysis aimed to evaluate the difference in the color stability of light-cured and dual-cured resin cements.
    METHODS: Two separate reviewers used the PubMed, Scopus, Web of Science, Embase, and Scielo databases to execute the systematic review. For the analysis, studies that evaluated the color stability of dual-cured and light-cured resin cements over time were used. The random effects model was used in the meta-analysis. Analyses of subgroups were carried out based on the aging technique. The methodological quality of each in vitro study was evaluated in accordance with the parameters of a prior systematic review.
    RESULTS: From all databases, a total of 2223 articles were retrieved. Following the screening of titles and abstracts, 44 studies were selected for full text review, and a total of 27 articles were used for the qualitative analysis. Finally, 23 articles remained for the qualitative analysis. The majority of studies were labeled as having a medium risk of bias. The global analysis showed that the dual-cure resin cements had considerably greater differences in the color change (p = 0.006). A high heterogeneity index (86%) was found in the analysis.
    CONCLUSIONS: The best available in vitro evidence suggests that dual-polymerizing cement has higher color variation than light-polymerized materials. To reduce the likelihood of color change after the luting of thin ceramic restorations, clinicians should employ light-polymerizable resin cements.
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