外部宫再吸收的患病率,特征和危险因素:基于实践的回顾性研究
Jenny Huang1, Ryan M Walsh1, David E Witherspoon2
1Department of Endodontics, Texas A&M University College of Dentistry, 3302 Gaston Ave., Dallas, TX, 75246, USA.
Clinical oral investigations
|July 26, 2023
概括
宫外根再吸收 (ECR) 在内牙患者中正在增加. 创伤和正牙治疗可能会预测严重的ECR,需要监测早期检测和管理.
科学领域:
- 牙周内脏病学 牙周内脏病学
- 牙科创伤学 牙科创伤学
- 矯正牙科 矯正牙科是一種矯正牙科.
背景情况:
- 外部宫根再吸收 (ECR) 是一种具有不明原因的侵袭性疾病.
- 在内牙科护理环境中,ECR诊断和管理至关重要.
研究的目的:
- 确定接受内牙治疗的患者中ECR的患病率和特征.
- 识别与ECR发生和严重程度相关的风险因素.
主要方法:
- 追溯分析3个私人内科医院的390个ECR病例 (2008-2022年).
- 数据收集包括患者的人口统计,病史和牙科病史以及ECR特征 (海瑟塞分类).
- 奇方位分析评估了ECR严重程度和易感因素之间的关联.
主要成果:
- 整体ECR患病率较低 (<1%),但与2010-2015相比,2016-2021年增加了两倍.
- 前牙受到影响最多 (48.7%),其中II类 (30.0%) 和III类 (45.4%) 缺陷最常见.
- 创伤或正牙治疗史与严重的ECR (III或IV类) 显著相关.
结论:
- 在内牙患者群体中观察到ECR患病率的显著增加.
- 正牙治疗和创伤性牙损伤是ECR严重程度的潜在预测因素.
- 建议对高风险患者进行密切监测,以早期检测和管理ECR.
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