在年轻人中对牙磨损的定性和定量评估
Maria Tummasdóttir Ellingsgaard1, Floora Khesrawi1, Anne Peutzfeldt2
1Department of Odontology, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Journal of dentistry
|December 31, 2024
概括
这项研究发现,数字牙科模型上的定量测量可靠地检测儿童和青少年的牙磨损. 定性指数的可靠性较低,强调了数字工具在早期检测牙磨损方面的有效性.
科学领域:
- 牙科科学 牙科科学
- 儿科牙科 儿科牙科
- 数字牙科数字牙科
背景情况:
- 牙磨损是儿童和青少年日益关注的问题.
- 评估牙磨损的严重程度和患病率对于早期干预至关重要.
- 数字模型为准确的牙磨损评估提供了一个潜在的工具.
研究的目的:
- 评估定性磨损指数和数字牙科模型的定量测量可靠性,以评估年轻人的牙磨损.
- 测试假设数字模型上的定量测量对于可靠测量牙磨损是敏感的.
主要方法:
- 分析了24个现有的数字牙科模型,来自11-16岁的个体,在两个时间点进行扫描.
- 两名检查员对每位六分仪的牙磨损进行了定性评分.
- 对参考牙 (中切牙,狗牙,第一个牙) 的牙磨损的定量测量.
- 使用科恩卡帕,克鲁斯卡尔-瓦利斯,曼-惠特尼U和相关性测试进行统计分析.
主要成果:
- 所有受试者都表现出牙磨损的迹象,前牙的严重程度更高.
- 检查人员之间的可靠性为0.652;检查人员内部的可靠性为0.618和0.571.
- 定量分析显示,牙磨损的中位数为0.09毫米 (范围:0-0.56毫米).
- 在量化磨损测量和年龄,性别,扫描间的时间或定性指数得分之间没有发现显著的相关性.
结论:
- 量化方法可靠地测量了超过92%的牙在数字模型上的牙磨损.
- 质量磨损指数显示了数字模型中适度的可靠性问题.
- 儿童和青少年牙磨损率增加表明生活方式相关的担忧.
- 口腔内扫描有效量化早期牙磨损,帮助预防策略.
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