永久牙水平根骨折的长期结果:一个回顾性队列研究
Mahshid Sheikhnezami1, Reza Shahmohammadi2, Hamid Jafarzadeh1
1Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada; Dental Trauma Center, Iranian Academic Center for Education, Culture, and Research, Mashhad, Iran.
Journal of endodontics
|February 14, 2024
概括
永久牙的水平根骨折 (HRF) 的及时治疗导致92%的良好结果. 诸如男性性别和不完整的根部发育等因素可以改善预后,而治疗延迟增加了对内牙科干预的需求.
科学领域:
- 牙科创伤学 牙科创伤学
- 牙周内科医院 牙周内科医院 牙周内科医院
- 恢复性牙科 恢复性牙科
背景情况:
- 水平根骨折 (HRF) 是一种复杂的牙损伤,影响牙结构和支组织.
- 这项研究调查了诊断为HRF的永久牙的治疗结果.
研究的目的:
- 为了评估横向根骨折的永久牙的治疗结果.
- 确定影响HRF治疗成功的预后因素.
主要方法:
- 追溯队列研究分析了2006-2022年的临床和放射数据.
- 包括HRF的永久牙和≥12周的随访,评估正常性和放射性愈合.
- 多变量逻辑回归确定了预后因素 (P ≤0.05).
主要成果:
- 在125颗牙 (103名患者) 中,经过平均79周的随访后,观察到92%的良好结果.
- 在62.2%的病例中使用了紧急 splinting / repositioning; 85-91.8%接受了牙周干预.
- 男人性别和不完整的根部发育与更好的 splinting 结果和减少内牙需求有关.
- 与24小时内呈现相比,延迟治疗>1周显著增加了需要内牙治疗的可能性.
结论:
- 及时诊断,治疗和监测为HRF带来了92%的有利结果.
- 男性的性别和不完整的根部发育与更好的结果和更少的内牙治疗需求有关.
- 延迟呈现显着增加了需要内牙干预的风险.
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