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影响手术治疗骨内缺陷口袋关闭的因素. 一个回顾性分析

Anna Simonelli^1,2, Roberto Farina^3,4, Luigi Minenna³

¹Research Centre for the Study of Periodontal and Peri-Implant Diseases, University of Ferrara, Corso Giovecca 203, Ferrara, 44121, Italy. anna.simonelli@unife.it.

Clinical oral investigations

|May 28, 2025

概括

使用单片方法 (SFA) 进行骨内缺陷的手术治疗显示出口袋关闭的可能性很高. 更深的初始探测深度和双壁缺陷形态减少了成功封闭口袋的机会.

科学领域:

牙周病学牙周病学
恢复性牙科恢复性牙科
在口腔外科手术.

背景情况:

骨内缺陷在牙周再生手术中是一个挑战.
单片方法 (Single Flap Approach,SFA) 是一种用于治疗这种缺陷的手术技术.
预测治疗结果对于临床决策至关重要.

研究的目的:

为了确定与SFA手术后成功关闭口袋相关的患者和局部因素.
为了评估在治疗后12个月达到探测深度 (PD) ≤4mm的概率.
为临床医生提供信息,以优化SFA治疗骨内病变的结果.

主要方法:

用SFA治疗的101个骨内缺陷的回顾性分析.
单独使用SFA或与质矩阵衍生物和/或来自牛的异种移植一起使用.
双变和阶段逻辑回归分析了基线PD和缺陷形态等因素.

主要成果:

在74.3%的病例中,在12个月内实现了口袋关闭 (PD ≤4 mm).
较低的基线探测深度 (PD) 与口袋关闭的几率增加显著相关 (OR=0.741).
缺陷形态显著影响了结果,一壁和三壁缺陷的关闭几率高于二壁缺陷.

结论:

使用SFA的再生手术表明,实现口袋关闭的可能性很高.
手术前的因素,特别是更深的探测深度和双壁缺陷形态,与成功关闭的可能性较低有关.
了解这些因素有助于临床医生管理用SFA治疗的深层骨内病变.

关键词:

最少侵入性的外科手术程序.牙周口袋牙周口袋牙周病是指牙周病的发生.预测预后预测预测再生医学是一种再生医学.

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