在正牙科实践中影响下第三牙预防性提取的因素:一个横截面研究
Hila Ziv-On1, Amir Laviv2, Moshe Davidovitch1
1Department of Orthodontics, Goldschleger School of Dentistry, Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
概括
在决定预防性第三牙提取时,正牙医优先考虑冲击特征和拥挤,而不是患者的人口统计. 这凸显了在正牙治疗期间管理智慧牙的标准化指导方针的需要.
科学领域:
- 牙科 牙科是指牙科的专业.
- 矯正牙科 矯正牙科是一種矯正牙科.
- 在口腔外科手术.
背景情况:
- 下第三牙的预防性提取是牙正学中争论的一个话题.
- 关于这些提取的临床决策在从业者之间显示出显著的变化.
研究的目的:
- 在以色列的正牙医中确定影响下第三牙预防性提取决定的因素.
主要方法:
- 通过在线问卷分发给88名以色列牙科专家进行了一项横截面调查.
- 收集的数据包括人口特征和影响预防性提取决策的因素.
- 统计分析涉及描述性统计,奇平方测试,费舍尔精确测试,皮尔森相关性,科克兰的Q测试和多变量逻辑回归.
主要成果:
- 冲击特征 (35.2%) 和下弓拥挤 (26.1%) 是提取决定中最有影响力的因素.
- 只有4.5%的正牙医经常进行预防性提取.
- 人口统计因素和提取实践之间没有发现任何显著的相关性,尽管年龄与考虑下弓拥挤显示出微弱的正相关性.
结论:
- 预防性下第三取的决定主要是由冲击特征和拥挤问题驱动的.
- 人口因素并没有显著影响这些决定.
- 这种变异性强调了需要基于证据的指导方针来管理正牙治疗中的第三牙.
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