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Caspar Victor Bumm¹, Falk Schwendicke¹, Vinay Pitchika¹

¹Department of Conservative Dentistry and Periodontology, University Hospital, LMU Munich, Munich, Germany.

Journal of periodontology

|October 22, 2024

概括

牙类型,门,根数和探针出血显著影响持久性牙周炎非手术再仪器化 (NSRI) 的结果. 根据这些因素定制干预措施,可以改善对深层残留口袋的治疗.

科学领域:

牙周病学牙周病学
牙科治疗学牙科治疗学

背景情况:

持续性牙周炎需要在初始治疗后进行进一步的干预.
非手术重新仪器化 (NSRI) 是第三步治疗的关键组成部分.
了解影响NSRI结果的因素对于有效治疗至关重要.

研究的目的:

在NSRI后调查影响口袋闭合 (PC) 和探测深度减少 (PPD) 的牙相关因素.
在重复的非手术性牙周治疗中确定成功结果的预测因素.
为残留牙周缺陷量身定制的再干预策略提供信息.

主要方法:

在480名患者 (10,807颗牙) 的回顾性分析中,在初始治疗后出现残留口袋.
牙相关因素 (类型,门,根,FI,活力,流动性,恢复,斑块,BOP) 与NSRI后PPD降低和PC率的关联.
使用混合效应回归模型进行统计分析.

主要成果:

美国NSRI降低了PPD1.32±1.79毫米,PC率为40%.
中等口袋 (4-5毫米) 显示出更好的PC (51%),而不是深口袋 (≥6毫米,16%).
深度残留口袋的结果受到牙类型,门,根数和BOP的显著影响.

结论:

在NSRI之前的牙类型,门,根数和BOP显著影响治疗成功.
考虑到这些因素,可以制定更个性化的再干预策略.
这种方法可能会导致对深度残留牙周缺陷的侵袭性治疗较少.

关键词:

多变量分析是多变量分析.非手术性牙周除.牙周炎是指牙周炎的一种疾病.

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