在第三级医院患者中,具有挑战性的下第三骨提取所引起的并发症的危险因素
Sanna J Koskela1, Irja Ventä2, Johanna Snäll3
1Department of Oral and Maxillofacial Diseases, University of Helsinki, Helsinki, Finland; Department of Oral and Maxillofacial Diseases, Helsinki University Hospital, Helsinki, Finland. sanna.j.koskela@helsinki.fi.
Acta odontologica Scandinavica
|December 18, 2024
概括
具有挑战性的下第三牙提取有16.7%的并发症率,感染和神经损伤是最常见的. 苛刻的手术和急性感染显著增加风险.
科学领域:
- 口腔和牙面部外科手术
- 手术并发症 手术并发症
- 牙科公共卫生 牙科公共卫生
背景情况:
- 第三个牙的提取是一种频繁的手术手术.
- 尽管偶尔会出现并发症,但第三移除可能会引起并发症.
- 确定并发症的危险因素对于患者的安全至关重要.
研究的目的:
- 为了确定挑战第三下部提取的并发症的发生率和类型.
- 确定这些并发症的患者和手术相关风险因素.
- 在第三级医院环境中为临床实践提供信息.
主要方法:
- 对354名接受单边下第三牙提取的患者进行了回顾性队列研究.
- 在2018-2019年间从赫尔辛基大学医院收集的数据.
- 统计分析包括曼-惠特尼U,Chi-平方测试和二进制物流回归.
主要成果:
- 整体并发症率为16.7%.
- 最常见的并发症是局部感染 (7.6%) 和神经损伤 (5.6%).
- 苛刻的提取显示出3.7倍的风险 (p < 0.001),而急性感染的牙则显示出2.0倍的风险 (p = 0.027).
结论:
- 具有挑战性的下第三牙提取具有显著的并发症率.
- 对于接受这些手术的患者来说,随访是必不可少的.
- 风险因素,特别是苛刻的手术和急性感染,需要仔细考虑,以减轻并发症.
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