一个邮件需要多长时间? 一个回顾性生存分析在一个大型队列长期随访
Sarah Marie Reich1, Kay-Arne Walther1, Bernd Wöstmann1
1Justus Liebig University, Dental Clinic - Department of Prosthodontics, Schlangenzahl 14, 35392 Giessen, Germany.
Journal of dentistry
|February 4, 2024
概括
为了获得最佳的后期和核心治疗成功,请确保后期至少与临床冠状一样长,并且不超过根的中间三分之一. 这提高了生存率,并降低了牙损失等风险.
科学领域:
- 牙科材料科学和修复性牙科.
背景情况:
- 后和核心 (PC) 程序在修复性牙科中很常见.
- 指导最佳后期长度的临床证据有限,建议各不相同.
- 目前的做法包括将一半的根结合到过深的制剂,冒着根穿孔和牙损失的风险.
研究的目的:
- 以回顾评估后长度和临床后冠状比对PC治疗的存活率的影响.
- 为准备后的深度和长度提供基于证据的建议.
主要方法:
- 在731名患者中分析了1026次PC治疗 (2004-2023年).
- 使用X射线评估后长度和临床后冠状比率.
- 统计分析包括卡普兰-梅尔和考克斯回归,考虑了假肢修复,牙位置和光材料等因素.
主要成果:
- 幸存率受到骨附着和假肢修复的显著影响.
- 与冠状或顶端位置相比,根的中间三分之一的位置显示出明显更高的存活率 (p < 0.001).
- 一个长度等于或大于临床冠的帖子显示出比较短的帖子更好的生存率 (p < 0.001).
结论:
- 后空间准备不应超过根的中间三分之一.
- 该职位必须至少与临床冠状一样长,以获得最佳的生存.
- 这些发现为改善PC治疗结果提供了关键指导.
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