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残留口袋对牙周牙损失的影响:一个回顾性分析

Muhammad H A Saleh¹, Debora R Dias^2,3, Obada Mandil¹

¹Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, Michigan, USA.

Journal of periodontology

|December 19, 2023

概括

在超过15%的部位有5mm或更多的残留口袋 (RPc) 的患者面临因牙周炎 (TLP) 导致牙损失的风险增加. 牙周炎分级和RPc是TLP的强有力的预测指标.

科学领域:

牙周病学牙周病学
牙科研究牙科研究
临床牙周科临床牙周科

背景情况:

支持性牙周治疗 (SPT) 可能无法完全预防牙周炎 (TLP) 导致的牙损失.
关于残留口袋 (RPc) 作为TLP风险指标的证据有限.
没有为RPc确定一个指向高TLP风险的定义值.

研究的目的:

评估RPc对TLP的影响.
为了确定与牙周炎分期和TLP风险分级相比RPc的预后性能.

主要方法:

对168名患有牙周炎的患者进行了回顾性研究,这些患者接受了SPT≥10年.
收集的TLP数据和RPc≥5mm或≥6mm的部位的百分比.
使用多级Cox回归来比较预后表现.

主要成果:

在25年内,4.6%的牙由于牙周炎而丢失.
90.8%的TLP患者的RPc≥5mm,而77.6%的RPc≥6mm.
患者>15%的网站与RPc≥5mm具有TLP的2.34的危险比率;C级牙周炎的危险比率为4.6.

结论:

RPc ≥5mm在>15%的部位表明牙损失的风险.
牙周炎分级和RPc≥5mm显示了TLP的强有力的预测能力.

关键词:

牙周连接损失的牙周连接损失.牙周口袋牙周口袋牙周炎是指牙周炎的一种疾病.牙的损失牙的损失

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