牙腐烂和牙周炎的同时发生:多层次建模方法
Lina Stangvaltaite-Mouhat1,2, Rasa Skudutyte-Rysstad3, Hayley Ko3
1Oral Health Centre of Expertise in Eastern Norway, Sørkedalsveien 10A, Oslo, 0369, Norway. linas@ofk.no.
BMC oral health
|January 31, 2024
概括
牙腐烂和牙周炎症经常同时发生在同一颗牙上,这表明需要综合口腔健康策略. 这项研究强调了在预防和治疗中同时解决这两种疾病的重要性.
科学领域:
- 口腔健康 口腔健康
- 牙周病学 牙周病学
- 皮肤病学 皮肤病学 皮肤病学
背景情况:
- 之前关于牙腐烂和牙周炎之间的关系的研究已经产生了不一致的结果.
- 了解这些疾病在牙层面的同时发生对于有效的口腔健康管理至关重要.
研究的目的:
- 在同一牙中调查牙经验和牙周炎症之间的关联.
- 为了提供证据证明牙和牙周病的同时存在.
主要方法:
- 使用立陶宛国家口腔健康调查 (N=1405,年龄34-78) 数据进行的横截面研究.
- 通过世卫组织口腔健康问卷和使用世卫组织标准的临床检查收集的数据.
- 牙被评估为腐烂和填充的牙 (DT,FT);牙周状况通过探针口袋深度 (PPD ≥ 4 mm) 和探针出血 (BOP) 进行评估.
- 统计分析采用单变量和多变量二元逻辑回归.
主要成果:
- 在牙 (DT) 和探针出血 (BOP) (OR 1.42) 之间观察到显著的积极关联.
- 填充牙 (FT) 也显示出与 BOP (OR 2.07) 的强烈积极关联.
- DT和FT都与探测口袋深度 (PPD ≥4毫米) (或分别为1.38和2.01) 有积极关联.
结论:
- 研究结果证实,在同一颗牙上同时出现牙周炎症和牙损伤.
- 强调需要在口腔健康干预中采用跨学科方法,以牙损伤和牙周病为目标.
- 建议进行纵向研究,进一步探索共发生,考虑疾病水平和遗传因素.
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