在积极的牙周治疗后,重新治疗的频率,成本和时间
Shahad Alhazmi1, Sawsan Abu-Reyal1,2, Yi-Chen Chiang1
1Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, Michigan, USA.
Journal of periodontology
|February 10, 2025
概括
患有更严重牙周炎的患者,特别是那些接受手术治疗的患者,在支持性牙周治疗 (SPT) 期间需要更频繁的重新治疗. 最初的治疗选择显著影响后续干预和成本.
科学领域:
- 牙周病学 牙周病学
- 牙科公共卫生 牙科公共卫生
- 纵向临床研究 纵向临床研究
背景情况:
- 支持性牙周治疗 (SPT) 对于管理牙周炎,减少复发和疾病进展至关重要.
- 然而,患者和牙相关因素甚至在SPT期间也会影响牙损失.
- 了解重新治疗的预测因素对于优化长期牙周护理至关重要.
研究的目的:
- 调查牙周阶段,分级和初始治疗 (缩放和根平整与手术) 之间的相关性.
- 分析这些因素对积极牙周治疗 (APT) 后的治疗频率,成本和时间的影响.
主要方法:
- 长度研究包括接受缩放和根平整 (SRP) 或手术 (SUR) 作为APT的患者.
- 收集的数据:人口统计,病史,每年SPT访问,放射性骨损失 (RBL),探测深度 (PD) 和临床附着损失.
- 后勤回归模型评估了重新治疗的概率,并根据性别,年龄,SPT访问频率和基线数据等混因素进行调整.
主要成果:
- 在24年的随访期间,63.7%的患者需要第二次干预.
- 与SRP相比,手术APT (SUR) 与需要第二次干预的可能性更高.
- 到第一次干预和复发的时间受到牙周阶段和患者遵守的显著影响,但并不总是按级别影响.
结论:
- 更高的牙周阶段和最初的手术治疗与更高的重新治疗频率相关.
- 最初的干预类型会影响后续治疗的可能性和性质.
- 一小部分患者 (12.4%) 占重复治疗成本的很大一部分 (64%).
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