与年轻患者相比,老年患者的下第三提取的原因和并发症是否有差异?
Jae-Young Kim1, Michael D Han2, Haneul Lee3
1Associate Professor, Department of Oral and Maxillofacial Surgery, Yonsei University College of Dentistry, Gangnam Severance Hospital, Seoul, Republic of Korea.
概括
在40岁以上的患者中,受影响的第三牙 (ITM) 的提取更有可能具有症状并与增加的并发症相关. 这些发现凸显了需要在临床决策过程中对需要ITM提取的老年人进行仔细考虑的需要.
科学领域:
- 口腔和牙面部外科手术
- 牙科公共卫生 牙科公共卫生
背景情况:
- 大多数受影响的第三 (ITM) 在年轻人中被提取.
- 40岁以上患者的抽取较少,与年轻患者相比,原因和结果不清楚.
研究的目的:
- 确定患者年龄与受影响的第三骨提取原因之间的关联.
- 为了评估年龄和术后并发症发生的关系,在ITM提取后.
主要方法:
- 对831名接受下内切除术的患者进行了回顾性队列研究.
- 年龄分为三组:20岁,30岁和40岁以上.
- 摘取的原因 (症状与预防性) 和术后并发症使用千二测试进行了分析.
主要成果:
- 在40岁以上的患者中,与20多岁的患者 (69.4%) 相比,具有症状的ITM提取率 (92.3%) 显著更高.
- 在40岁以上的群体中,并发症率明显高 (7.7%),而在20多岁的群体中则高 (1.8%).
- 提取难度和提取ITM的指示也在不同年龄组之间有很大的差异.
结论:
- 症状,提取困难和术后并发症在40岁以上的患者中增加了受影响的第三牙.
- 这些与年龄相关的差异需要在老年人ITM管理的共享决策过程中仔细考虑.
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