使用直接和间接证据对牙周炎分级的十年变化:回顾性评估
Quintessence international (Berlin, Germany : 1985)
|August 16, 2024
概括
在支持性牙周治疗期间评估牙周炎进展的两种方法产生了不同的结果. 选择分级标准,间接或直接的证据,显著影响了牙周炎随时间变化的感知.
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:
- 牙周炎分级对于监测疾病进展至关重要.
- 支持性牙周治疗 (SPT) 旨在长期管理牙周炎.
- 评估牙周炎等级的变化需要可靠的方法.
研究的目的:
- 为了比较两种不同的方法来评估牙周炎等级变化10年后的SPT.
- 调查使用间接证据与直接证据对牙周炎进展评估的影响.
主要方法:
- 评估51名SPT患者的牙周炎等级在基线和10年 (T10).
- 方法1:使用间接证据 (放射性骨损失/年龄指数,表型) 来确定基线和T10的进展情况.
- 方法2:使用了基线间接证据和T10的直接证据 (超过5年的临床依附损失).
主要成果:
- 间接评分显示,在10年内,从C级患者转移到B级患者.
- 在T10的直接分级将所有患者归类为C级.
- 第1方法表明了改善 (P=.0030),而第2方法表明了评分的恶化 (P=.0369);科恩的卡帕是0.116.
结论:
- 牙周炎分级可以在SPT期间发生变化.
- 选择分级标准 (间接证据与直接证据) 影响牙周炎变化的评估.
- 牙周炎评估的方法差异对于准确的患者管理至关重要.
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The visible part of the tooth is referred to as the crown. It's covered by enamel, the hardest substance in the human body. The crown is uniquely shaped for each type of tooth, allowing for different functions such as cutting, tearing, or grinding food.