在全身麻醉下治疗儿童第一个永久性牙的生命脉治疗结果:一项回顾性研究
Shlomo Elbahary1, Bradford Ray Johnson1, Yara Nimer2
1Department of Endodontics, College of Dentistry, University of Illinois Chicago, Chicago.
Journal of endodontics
|December 13, 2024
概括
在全身麻醉 (GA) 下的肺切除术对于儿童的永久性牙非常成功,总体成功率为93.36%. 病因学显著影响结果,但年龄和性别没有.
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
- 牙科麻醉 牙科麻醉
背景情况:
- 脉冲切除术表现出高的成功率,相当于根管治疗永久牙的脉参与.
- 一般麻醉 (GA) 在传统方法具有挑战性时用于儿科牙科手术,尽管GA下的内治疗数据有限.
- 当前的指导方针通常在特定的儿科牙科情景中偏好拔牙而不是内牙干预.
研究的目的:
- 为了评估在全身麻醉下在儿童的第一个永久性牙中进行的脉冲切除术的成功率.
- 为了确定影响GA下进行的脉冲切除术治疗结果的因素.
主要方法:
- 一组由171名儿科患者 (8-12岁) 组成的队列,在2018年1月至2022年7月期间,在197个第一个永久性牙上进行了脉冲切除术.
- 在不同间隔进行临床和放射性随访,达到83%的回忆率.
- 数据分析的重点是评估治疗的有效性和确定预后因素.
主要成果:
- 在GA下进行的脉冲切除术的整体成功率为93.36%.
- 随着时间的推移,成功率下降了:1-12个月100%,97.70%在13-24个月,97.76%在25-36个月.
- 牙疾病的病因显著影响了结果,而患者的年龄,性别和牙成熟度没有显著影响.
结论:
- 脉冲切除术是一种有效的内牙治疗方法,用于治疗永久性牙的病变,特别是在全身麻醉下进行时.
- 这些发现支持脉冲切除术作为在需要GA的儿科病例中提取的可行替代方案.
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