根断裂永久牙的愈合和长期预后:一个追溯纵向研究
Natália de Oliveira Murta Pedrosa1, Rayner Afonso Santos2, Sylvia Cury Coste1
1Restorative Dentistry Department, School of Dentistry, Universidade Federal de Minas Gerais, R. Prof. Moacir Gomes de Freitas, 688, Pampulha, Belo Horizonte, MG, 31270-901, Brazil.
Clinical oral investigations
|March 12, 2024
概括
大多数创伤后横向根骨折都能愈合,而愈合受到相关冠状损伤的影响. 这表明对这些牙损伤采取保守的治疗方法.
科学领域:
- 牙科 牙科是指牙科的专业.
- 口腔和牙面部外科手术
- 牙周内科医院 牙周内科医院 牙周内科医院
背景情况:
- 横向根骨折是一种复杂的牙损伤.
- 了解愈合模式和预后因素对于治疗规划至关重要.
研究的目的:
- 评估创伤后横向根骨折永久牙的愈合方式和长期预后.
- 确定影响骨折愈合和结果的预测因素.
主要方法:
- 对患有横向根骨折的患者记录进行了回顾性的纵向研究.
- 对短期和长期愈合的放射性评估.
- 竞争风险生存分析和分发回归 (Fine & Gray) 来评估预后因素.
主要成果:
- 61.4%的短期愈合,受伴随的损伤 (冠骨折,脱,脱) 的影响,对愈合产生负面影响.
- 75.9%的长期愈合,主要是硬和结缔组织.
- 短期和长期愈合模式之间的良好一致性.
结论:
- 愈合是横向根骨折中最常见的结果.
- 同时的冠状损伤显著恶化预后.
- 积极的预后支持在激进治疗之前保守的管理.
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