非手术重新治疗后的爆发:发生率,相关因素和预测
Ali Nosrat1, Michael Valancius2, Sahar Mehrzad3
1Division of Endodontics, Department of Advanced Oral Sciences and Therapeutics, School of Dentistry, University of Maryland Baltimore, Baltimore, Maryland; Private Practice, Centreville Endodontics, Centreville, Virginia.
Journal of endodontics
|July 14, 2023
概括
在非手术重复治疗 (NSRetx) 后的发作发生在约4%的病例中. 糖尿病和手术前疼痛等因素增加了风险,而高血压降低了风险,但预测仍然具有挑战性.
科学领域:
- 牙周内科医院 牙周内科医院 牙周内科医院
- 牙科公共卫生 牙科公共卫生
背景情况:
- 非手术重新处理 (NSRetx) 是一种常见的内牙术手术.
- 了解爆发发病率和预测因素对于患者管理至关重要.
研究的目的:
- 为了确定NSRetx.后爆发的发病率.
- 为了确定与NSRetx爆发相关的因素.
- 使用预测模型评估爆发的可预测性.
主要方法:
- 在6年内对3666个NSRetx病例进行了回顾性分析.
- 收集的数据包括人口统计,诊断和程序细节.
- 发作被定义为14天内中度至重度疼痛/胀,需要非预定的预约.
- 采用了双变量和多变量分析,以及随机森林预测模型.
主要成果:
- 爆发的发生率为3.95%.
- 相关因素包括糖尿病 (AOR=2.01),下牙 (AOR=1.67),中度至重的手术前敲击疼痛 (AOR=2.13),以及触摸时的疼痛 (AOR=1.63).
- 高血压显示出一种保护性关联 (AOR=0.44).
- 预测模型的精度很低 (0.13).
结论:
- 在NSRetx后爆发的发生率很低 (约4%).
- 糖尿病史,下牙位置和手术前疼痛是显著的危险因素.
- 高血压与发作风险降低有关.
- 在这种临床环境中预测爆发仍然很困难.
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