目的:本综述的目的是比较患有牙釉质发育不全(AI)的儿童和年轻人使用的各种类型的修复体,以确定最有效的修复治疗方法。
方法:本系统综述包括随机对照试验,回顾性和前瞻性队列对诊断为牙釉质发育不全的儿童和年轻人进行,并以法语或英语撰写。使用四个数据库进行了系统的搜索,即Cochrane中央控制试验登记册(CENTRAL),MEDLINE通过PubMed,科学直接和Scopus,使用精选的MeSH术语:“暗光畸形,\“\”治疗学,\"\"治疗结果,\"\"成人,年轻,\"\"孩子,\"\"牙科修复,Permanent,\"\"牙科修复,临时,\"和\"美学,牙科。\"
结果:在最初搜索中确定的138篇文章中,四篇文章符合所有纳入标准。结果表明,与其他修复体相比,陶瓷修复体具有更好的质量评分和寿命。
结论:陶瓷修复体可以被认为是受AI影响的儿童和年轻人的首选修复治疗方式。然而,需要更多涉及AI年轻患者的高质量临床试验来评估和比较不同恢复性方法的结局.
结论:患有牙釉质不全症的年轻患者通常自卑,心理问题和社会回避,由牙齿变色等改变引起的,灵敏度,骨折和尺寸减小。对牙医来说,在年轻患者中选择合适的AI恢复性治疗可能是一个名副其实的挑战。因此,有一个基于证据的模式是很重要的。出于这个原因,在这次审查中,我们比较了在受AI影响的年轻患者中使用的不同修复方法,以推荐最有效的治疗方法.
OBJECTIVE: The aim of this review was to compare various types of restorations used in children and young adults affected with amelogenesis imperfecta (AI) to determine the most effective restorative treatment.
METHODS: This systematic review included randomized controlled trials, retrospective and prospective cohorts conducted on children and young adults diagnosed with amelogenesis imperfecta and written in French or English. A systematic search was conducted using four databases, namely Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE via PubMed, Science Direct and Scopus, using a selection of MeSH terms: \"Amelogenesis Imperfecta,\" \"Therapeutics,\" \"Treatment Outcome,\" \"Adult, young,\" \"Child,\" \"Dental Restoration, Permanent,\" \"Dental Restoration, Temporary,\" and \"Esthetics, Dental.\"
RESULTS: Out of 138 articles identified in the initial search, four articles met all the inclusion criteria. The results showed that ceramic restorations had better quality scores and longevity compared to other restorations.
CONCLUSIONS: Ceramic restorations could be considered the restorative treatment modality of choice for AI-affected children and young adults. However, more high-quality clinical trials involving young patients affected with AI are required to evaluate and compare the outcomes of different restorative approaches.
CONCLUSIONS: Young patients affected with amelogenesis imperfecta usually suffer from low self-esteem, psychological problems and social avoidance, caused by the alteration of teeth such as discoloration, sensitivity, fractures and reduced size. For the dentist, selecting the appropriate restorative treatment for AI in young patients could be a veritable challenge. Therefore, it is important to have an evidence-based modality. For this reason, in this review, the different restorative approaches used in AI-affected young patients were compared to recommend the most effective treatment.