低影响下第三关联囊性病变和相邻牙根再吸收的全生命周期变化:一项回顾性研究
Jiankang Zhang1, Kun Zhang1, Xueer Zhou1
1State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, No. 14, 3rd section of Renmin South Road, Chengdu, Sichuan, 610041, China.
BMC oral health
|May 2, 2024
概括
低受影响的下第三 (LIMTMs) 的管理应该是个性化的. 建议45岁以下的患者进行手术切除,特别是那些反向冲击患者,而老年患者可能需要保守治疗.
科学领域:
- 口腔和牙面部外科手术
- 牙科 牙科是指牙科的专业.
- 放射学 放射学是一门学科.
背景情况:
- 无症状的下下第三 (LIMTMs) 呈现出临床管理困境.
- 它们的去除是口腔外科手术中一个有争议的话题.
研究的目的:
- 调查LIMTM中囊性病变和相邻牙根再吸收的患病率和危险因素.
- 在整个患者生命周期中分析这些因素.
主要方法:
- 分析了806名患有全骨受影响的LIMTMs的患者.
- 评估与年龄相关的患病率和并发症的风险因素.
主要成果:
- 在LIMTM中根吸收和囊的患病率与年龄有关,在41-45岁之间达到顶峰.
- 年龄是根部再吸收的一个独立风险因素.
- 年龄和冲击类型 (特别是反向的) 是囊性病变的危险因素.
结论:
- 对于LIMTM,需要个性化的管理策略.
- 建议在45岁以下的患者进行外科手术,特别是具有特定冲击类型的患者.
- 对老年患者来说,保守的管理与监测是一种选择,但反向影响需要手术切除以防止囊.
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