从1年到13.4年根切除的牙的生存分析:一项回顾性队列研究
Se-Lim Oh1, Jong Ryul Kim2, Emmanuel Engermann3
1Clinical Associate Professor, Department of Advanced Oral Sciences and Therapeutics, School of Dentistry, University of Maryland, Baltimore, Md.
The Journal of prosthetic dentistry
|July 19, 2023
概括
根切除可以延长长寿,但结果各不相同. 牙周问题治疗的牙存活时间更长,而没有冠状或后部位置的牙的预后更差.
科学领域:
- 牙科 牙科是指牙科的专业.
- 牙周内科医院 牙周内科医院 牙周内科医院
- 牙周科 牙周科 牙周科
背景情况:
- 根切除是一种延长长寿的手术.
- 关于患者选择和根切除结果的数据有限.
研究的目的:
- 为了分析根切除的牙的存活率.
- 确定影响决策和根切除治疗结果的因素.
主要方法:
- 一项回顾性队列研究分析了1999-2022年患者和牙数据.
- 考克斯回归模型根据初始诊断,皇冠存在和牙位置预测了牙损失的时间.
主要成果:
- 整体失败率为35% (抽取60颗牙中的21颗).
- 五年生存概率为0.58.
- 由于或内牙病变而切割的牙的存活率明显低于牙周病变的牙 (P<.05).
- 牙冠的缺失 (HR=15.6) 和后部位置 (HR=8.6) 增加了牙损失的风险.
结论:
- 局部牙周病变的根切除提供了最高的预后.
- 牙冠和后牙位置的缺失与切割后的生存结果不佳有关.
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