冠状肺切除术对儿童永久第一牙的结果:一个回顾性队列研究
Inruja Ngamthuam1, Chanika Manmontri2, Papimon Chompu-Inwai1
1Division of Pediatric Dentistry, Department of Orthodontics and Pediatric Dentistry, Chiang Mai University, Chiang Mai, Thailand.
Clinical oral investigations
|October 19, 2023
概括
使用基于酸盐的水泥 (CSCs) 的冠状动脉切除术 (CP) 证明了对儿童永久第一 (PFMs) 的长期生存有希望. 诸如损伤位置和修复类型等因素显著影响牙存活率.
科学领域:
- 儿科牙科 儿科牙科
- 牙科材料科学 牙科材料科学
- 恢复性牙科 恢复性牙科
背景情况:
- 永久第一 (PFM) 对于维持儿童的闭塞至关重要.
- 在PFM中各种暴露往往需要重要的脉治疗.
- 用基于酸盐的水泥 (CSCs) 进行冠状动脉切除术 (CP) 是一种可行的治疗选择.
研究的目的:
- 评估冠状动脉切除术 (CP) 后永久第一 (PFMs) 的生存概率.
- 用以以成功为重点而非功能性生存为重点的定义来比较生存率.
- 确定影响PC后PFM生存的预后因素.
主要方法:
- 77名使用CSC治疗CP的儿童PFM的回顾性队列研究.
- 卡普兰-梅尔生存分析有两个不同的结果定义.
- 考克斯回归分析以确定牙存活的预后因素.
主要成果:
- 使用功能性生存定义,24-111个月的生存率为96.6%.
- 一个以成功为重点的定义产生了较低的生存率,由于不确定的结果.
- 靠近的损伤 (HR 17.17) 和树脂复合修复 (HR 13.97) 显著增加了失败的风险.
结论:
- 与CSC结合的CP为儿童中多次暴露的PFM提供了长期生存潜力.
- 仔细考虑病变位置和修复选择对于治疗成功至关重要.
- 这种方法为提取或根管治疗提供了有价值的替代方案.
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