在牙科全身麻醉下进行的肺切除术后,对初级牙的生存分析:一项为期五年的回顾性研究
Zhaohong Chen1, Meimei Li1, Yanan Chen1
1Stomatological Hospital, School of Stomatology, Southern Medical University, S366 Jiangnan Boulevard, Haizhu District, Guangzhou city, Guangdong Province, China.
BMC oral health
|October 9, 2024
概括
在牙科全身麻醉下进行初级牙的肺切除术的五年生存率很低,为38.32%. 仔细评估和遵守指南对于成功治疗和预防永久性牙问题至关重要.
科学领域:
- 儿科牙科 儿科牙科
- 牙周内科医院 牙周内科医院 牙周内科医院
- 牙科公共卫生 牙科公共卫生
背景情况:
- 在牙科全身麻醉下进行一次性腹切除术的指示在全球范围内有所不同.
- 需要对治疗结果和对永久继承者的影响进行回顾性分析.
研究的目的:
- 为了研究在牙科全身麻醉下抽血术后,初级牙的五年生存率.
- 评估脉冲切除术对永久继承者的影响.
- 为了确定影响肺切除术存活率的危险因素,并完善说明.
主要方法:
- 追溯对320名来自161名儿童 (2013-2023) 在牙科全身麻醉下进行肺切除术的320名初级牙的回顾.
- 使用考克斯回归分析风险因素 (性别,年龄,健康状况,牙类型/位置,诊断,根填充质量) 的分析.
- 卡普兰-梅尔生存分析和根填充再吸收和永久继任者发展的评估.
主要成果:
- 总体而言,五年生存率为38.2% (平均生存时间为54.2个月).
- 内牙诊断是一个显著的风险因素 (P<0.05).
- 观察到根管填充材料的高吸收率; 7 颗永久牙显示出改变的喷发, 4 颗质低成形.
结论:
- 在牙科全身麻醉下进行原发性脉切除术的60个月生存率很低 (38.32%).
- 精确的纸评估,严格遵守手术前的指示和基于指南的治疗选择至关重要.
- 过度填充,过度延伸和周围牙周炎可能会对永久牙的发育产生负面影响 (牙质缺血,牙突发改变).
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