成年人的病变进展:一个前性的2年队列研究
Hoda Abdalla1, Paul J Allison1, Sreenath A Madathil1
1Faculty of Dental Medicine and Oral Health Sciences, McGill University, Montreal, Quebec, Canada.
Community dentistry and oral epidemiology
|August 20, 2024
概括
成年人中的活跃病变比不活跃的病变更容易进展,更严重,洞和裂,近位病变在两年内表现出更高的进展率.
科学领域:
- 牙科公共卫生 牙科公共卫生
- 皮肤病学 皮肤病学 皮肤病学
- 流行病学 流行病学
背景情况:
- 牙损是全球普遍存在的一种慢性疾病.
- 关于成年人病进展的证据有限,特别是关于病变的严重程度,活性和表面特征.
研究的目的:
- 为了比较两年内成年人活跃与非活跃的牙损伤病变的进展情况.
- 分析病变的严重程度,牙表面类型和活动如何影响病的进展.
主要方法:
- 在白俄罗斯,对322名成年人 (18-64岁) 进行了前性队列研究.
- 在两年内,使用国际虫检测和评估系统 (ICDAS) 和Nyvad系统进行了虫病变的评估.
- 多级波桑回归分析了基线病变特征与进展之间的关联.
主要成果:
- 在两年内,24%的活跃非化病变和31%的活跃微化病变/阴影病变进展,相比之下,不活跃病变的15%.
- 更严重的病变 (ICDAS 3-4) 的进展率比较轻微的病变 (ICDAS 1-2) 高1.41倍.
- 活跃的病变 (ICDAS 1-2和3-4) 的进展率明显高 (分别为1.78和1.97倍) 比不活跃的病变. 靠近和坑/裂病变比光滑表面病变进展得更快.
结论:
- 大多数活跃和不活跃的病变在成年人中不会在两年内进展.
- 进展在更严重,活跃,坑和裂和近位病变中更有可能发生,而在不那么严重,不活跃和光滑表面病变中更有可能发生.
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