影响在一次访问中提取的第三牙数量的因素
Abiel Noro1, Johanna Snäll1,2, Irja Ventä1
1Department of Oral and Maxillofacial Diseases, Faculty of Medicine, University of Helsinki, Helsinki, Finland.
Acta odontologica Scandinavica
|July 11, 2023
概括
大多数第三牙拔除都需要每次一次牙. 经验丰富的操作人员增加了在一次预约中多次第三移除的可能性,可能减少了患者的访问.
科学领域:
- 口腔和牙面部外科手术
- 牙科公共卫生 牙科公共卫生
背景情况:
- 拔除第三牙 (智牙) 是一种常见的牙科手术.
- 优化提取协议可以改善患者护理和资源利用.
研究的目的:
- 为了评估在一次初级保健中提取的第三牙的数量和特征.
- 确定多次第三牙提取与患者人口统计 (年龄,性别) 和操作员经验之间的关联.
主要方法:
- 一项横截面研究分析了10894次在赫尔辛基初级保健中进行第三骨提取的预约 (2016年).
- 统计分析包括千二测试,曼-惠特尼U测试和二项逻辑回归.
- 数据包括患者年龄,性别,操作人员经验和每次检查抽取的牙数量.
主要成果:
- 平均每次诊所抽取1.2个第三牙,其中83.7%的诊所只抽取一次.
- 患者年龄的增加与多重提取的可能性较低有关 (OR 0.96).
- 经验丰富的操作人员更有可能进行多次第三牙提取 (OR 2.32),与下牙,手术牙,未喷发牙和牙相关.
结论:
- 第三个牙的提取主要是一次一次地进行.
- 在临床上有指示时,应考虑在一次访问中提取多个第三.
- 将年轻患者转向经验丰富的操作员可以减少第三手术的患者访问人数.
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