在一般牙科实践中发现的根充满牙的干预措施:一项为期6年的纵向观察性研究
Sara Olsson1,2, Jakob Jonsson Sjögren1,2, Maria Pigg1
1Department of Endodontics, Faculty of Odontology, Malmö University, Malmö, Sweden.
International endodontic journal
|September 20, 2024
概括
根充满牙的牙有顶疾病或轻度疼痛的迹象,通常在一般牙科中没有得到治疗. 然而,牙上有牙周炎,疼痛或恢复不良的牙在六年内更有可能接受干预.
科学领域:
- 牙周内脏病学 牙周内脏病学
- 牙科公共卫生 牙科公共卫生
- 临床牙科 临床牙科
背景情况:
- 牙根填充的牙在牙科实践中很常见.
- 在一般牙科中,根充满牙的长期结果没有得到充分的记录.
- 了解这些牙的命运对于患者管理至关重要.
研究的目的:
- 在六年内追踪根充满牙的临床过程.
- 为了确定与这些牙的干预 (再处理或提取) 相关的因素.
- 评估根充满牙的牙的管理,并显示出尖顶疾病或疼痛的迹象.
主要方法:
- 一组先前有根充满牙的成年患者被跟踪了6年.
- 牙医从业人员管理基于标准化协议的治疗.
- 用回归模型收集和分析了有关牙事件和基线因素的数据.
主要成果:
- 在六年内,2.0%的根充满牙接受了重新处理,14.9%的牙被拔掉.
- 牙具有周周放射性,对打击乐器有敏感性或冠状元恢复不良的牙更有可能被退缩或提取.
- 许多牙有尖端辐射发光或疼痛没有接受干预.
结论:
- 根充满牙的牙,有顶病的放射性迹象,在一般牙科机构中经常没有得到治疗.
- 稍微疼痛的根充满牙可能无法接受必要的干预.
- 基线指标,如顶端牙周炎,疼痛和不充分的修复预测了未来的干预措施.
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