牙的长期预后与II类裂参与:一个回顾性队列研究
P Eickholz1, T Cordis1, B Dannewitz1,2
1Department of Periodontology, Center for Dentistry and Oral Medicine (Carolinum), Goethe-University Frankfurt am Main, Frankfurt am Main, Germany.
Journal of clinical periodontology
|June 2, 2025
概括
大多数患有II类裂 (FI) 的牙在经过牙周治疗后会长期保留. 然而,不规则的支持性护理,根管填充和多重FI影响牙的存活率.
科学领域:
- 牙周病学 牙周病学
- 牙科研究 牙科研究
- 口腔健康 口腔健康
背景情况:
- 在牙周治疗中,II类裂参与 (FI) 是一个重大挑战.
- 对于II类FI的活跃牙周治疗 (APT) 后的长期牙存活需要进一步调查.
研究的目的:
- 评估牙的存活率与II类FI至少5年后APT.
- 确定影响这些牙长期存活的预后因素.
主要方法:
- 从一所大学牙周病科的患者病历的回顾分析.
- 纳入标准:II类FI接受APT治疗,已完成≥5年前.
- 在基线 (T0),APT后 (T1) 和支持性牙周护理 (SPC/T2) 期间收集的数据.
主要成果:
- 在具有II类FI的543颗牙中,83%的牙在SPC的平均108.6个月内被保留.
- 增加的牙损失与不规则的SPC,前位置,根管填充 (RCF) 和多次II类FI在T1.1相关.
- 统计分析包括后勤和Cox比例危险混合模型回归.
结论:
- 在适当的牙周护理下,可以实现II类FI的长期保留牙.
- 预后因素,如不规则的SPC,RCF,前牙和T1的多重FI,会对牙存活产生负面影响.
- 这些发现有助于预测II类FI的结果和改进处理策略.
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