制定评估间接修复的临床标准
Silvana Pizzini Montenegro1,2, Juliana Cabral Ramidan1, Marcela Mendes Medeiros Michelon1,2
1Postgraduate Program in Dentistry, Rio de Janeiro State University, Rio de Janeiro, Brazil.
概括
一套新的标准,即UERJ标准,已被开发和验证,用于评估间接恢复. 该工具有效评估临床性能,识别牙科工作中的潜在失败和并发症.
科学领域:
- 牙科材料科学 牙科材料科学
- 临床假牙科 临床假牙科
- 恢复性牙科 恢复性牙科
背景情况:
- 评估间接修复的临床性能对于确保长期成功至关重要.
- 现有的标准可能无法全面解决与操作人员,材料和患者相关的变量.
- 客观评估需要一种标准化和验证的方法.
研究的目的:
- 开发和验证一套新的标准来评估间接修复的临床性能.
- 创建一个全面的工具,考虑操作员,材料和患者因素.
- 确定拟议的评估标准的可靠性和准确性.
主要方法:
- 假牙专家制定标准项目 (第一阶段).
- 创建UERJ标准,包括质量参数,并发症识别,分类描述和变量形式 (第二阶段).
- 通过统计分析验证UERJ标准 (第三阶段).
主要成果:
- 在检查者内部和检查者之间的高度一致 (科恩的卡帕> 0.91,p < 0.0001).
- 优秀的有效性,高灵敏度 (0.96) 和特异性 (0.91).
- 准确度令人满意 (92.7%),具有强大的正和负预测值 (PPV 0.84,NPV 0.98).
结论:
- 该标准作为一个有效和可靠的工具来评估间接修复的临床性能.
- 这种经过验证的工具有助于识别与间接恢复相关的故障和并发症的原因.
- 该标准提供了一个详细的框架,用于客观评估在假牙.
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