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Impact of photodynamic therapy on the push-out bond strength of fiber posts to root dentin: A systematic review and meta-analysis

机译:光动力治疗对根牙本肽纤维柱推出键强度的影响:系统评价与荟萃分析

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Background and purpose: This systematic review documents the up-to-date evidence on the efficacy of photodynamic therapy (PDT) on the push-out bond strength of fiber posts cemented to root dentin.Materials and methods: The focused PICO question was: "What impact does PDT have on the push-out bond strength of fiber posts cemented to root dentin?" This systematic review followed the guidelines and recommendations reported in the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines chart. An electronic search was performed in MEDLINE/PubMed, SCOPUS, Web of Science, and Embase from January 1980 up to and including January 2020. Heterogeneity was calculated for push-out bond strength by means of the Chi-square test and I-2 statistics. For meta-analyses, if the I-2 was higher than 50 %, a random effects model was used, otherwise a fixed effects model for I-2 = 50 % was applied. A p-value 0.05 was set for significant heterogeneity. Forest plots were computed reporting standard mean differences (SMD) of outcomes and 95 % confidence intervals (CI).Results: In total, ten studies were included, all of wich demonstrated medium risk of bias. All studies tested the push-out bond strength by means of a universal testing machine with applying a load ranging between 0.5 and 1 mm/min speed. Of the 10 studies, nine (90 %) indicated that PDT had no effect on push-out bond strength of fiber posts to root dentin. Only one study indicated that PDT significantly improved the bond strength when compared with other control groups. The overall mean difference for push out bond strength showed no statistically significant difference between PDT and the control group (SMD = -1.11 [-3.25, 1.02], Z=-1.02, p = 0.305).Conclusion: This systematic review concludes that PDT has no effect on improving the push-out bond strength of fiber posts to root dentin.
机译:背景论文献:该系统审查记录了关于光动力治疗(PDT)的疗效对根牙本质的纤维柱的推出键强度的最新证据。材料和方法:聚焦的奇皮问题是:“ PDT对纤维柱的推出粘合强度粘在根牙本质中的推出粘合强度有什么影响?“该系统审查遵循了系统审查和Meta-Analysis(Prisma)指南图表的首选报告项目中报告的指导方针和建议。在Medline / Pubmed,Scopus,Scopus,Scopus,Scopus,Scopus Web中进行了电子搜索,并于1980年1月到2020年1月和包括1月2020年。通过Chi-Square测试和I-2统计来计算出用于推出粘合强度的异质性。对于荟萃分析,如果I-2高于50%,则使用随机效果模型,否则施加I-2 <= 50%的固定效果模型。为显着的异质性设定p值<0.05。森林地块被计算报告标准平均差异(SMD)的结果和95%置信区间(CI)。结果:总共包括十项研究,所有威廉均显示出偏见的中等风险。所有研究均通过通用试验机测试推出粘合强度,其具有施加在0.5至1mm / min速度之间的负载范围。在10项研究中,九次(90%)表明PDT对纤维柱的推出键强度没有影响到根牙本质。只有一项研究表明,与其他对照组相比,PDT显着提高了粘合强度。推出粘合强度的总体平均差异显示PDT和对照组之间没有统计学显着差异(SMD = -1.11 [-3.25,11.02],Z = -1.02,P = 0.305)。结论:这种系统评论总结了PDT对根牙本肽的纤维柱的推出键强度没有影响。

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