在支持性牙周护理期间失去牙:一个前性研究
Fatemah Hasan1, Antonio Magan-Fernandez1,2, Aliye Akcalı3,4
1Periodontology Unit, Centre for Host Microbiome Interactions, Faculty of Dentistry, Oral and Craniofacial Sciences, King's College London, London, UK.
Journal of clinical periodontology
|February 27, 2024
概括
在支持性牙周护理 (SPC) 中的牙周炎患者经历了较低的牙损失率. 预测系统识别了高风险病例,但其预测牙损失的准确性需要改进.
科学领域:
- 牙周病学 牙周病学
- 牙科公共卫生 牙科公共卫生
- 临床牙周科 临床牙周科
背景情况:
- 牙周炎的管理需要长期支持性牙周护理 (SPC).
- 预测牙周炎患者的牙损失风险对于治疗规划至关重要.
- 了解SPC期间影响牙损失的因素对于患者的治疗结果至关重要.
研究的目的:
- 在接受支持性牙周护理 (SPC) 的患者中评估牙周稳定性.
- 在SPC期间识别与牙损失相关的牙和患者相关因素.
- 评估预后系统在预测牙损失方面的有效性.
主要方法:
- 一项前性观察性研究在SPC中跟踪了143名先前接受治疗的牙周炎患者5年.
- 牙周风险评估 (PRA) 评分用于将患者分类为基线低风险,中度风险和高风险组.
- 分析了牙损失率和相关因素.
主要成果:
- 整体每年牙损失率很低 (0.07牙/患者/年).
- 老年,吸烟和疾病阶段/分级与增加牙损失有关.
- 大多数拔出的牙来自PRA高风险组的患者.
- 预测系统显示了牙损失的高负值但低正值预测值.
结论:
- 在SPC中的牙周炎患者在私人诊所中表现出较低的牙损失率.
- 预测系统可以识别高风险个体,但它们对牙损失的积极预测值需要增强.
- 需要进一步改进预后工具,以提高SPC期间牙损失的预测准确度.
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