审美学和患者报告的 parodontology 和植入口牙科的结果:共识报告
Maurizio Tonetti1, Mariano Sanz2, Francesco Cairo3
1Shanghai PerioImplant Innovation Center, Institute for Oral, Craniofacial and Sensory Research, Shanghai Key Laboratory of Stomatology, National Clinical Research Centre for Oral Diseases, Shanghai Ninth People Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Journal of clinical periodontology
|June 10, 2025
概括
患者和临床医生对美学和结果的看法在牙周病理学和植入式牙科中至关重要. 整合这两种观点可以改善牙衰退和植入程序的治疗决策.
科学领域:
- 牙周病学和植入物牙科 牙科
- 牙科的美学 牙科的美学
- 患者报告的结果
背景情况:
- 审美学和患者报告的经验 (PREs) 和结果 (PROs) 显著影响治疗选择,但在牙周科和植入式牙科中经常被忽视.
- 这次共识会议的重点是牙衰退缺陷 (GRDs),植入物安置时间和周围植入物软组织衰变.
研究的目的:
- 评估美学和患者报告结果在牙周病理学和植入式牙科的影响.
- 评估临床医生报告的结果 (CROs) 与PREs和PROs一起.
主要方法:
- 对PREs,PRO和CRO委托进行系统审查,包括有效性和美学评估.
- 通过这些系统性审查进行的研讨会讨论.
主要成果:
- 对于用冠状腺先进片 (CAF) 和结合组织移植 (CTG) 治疗的GRD,临床医生报告的美学与根覆盖相关,但患者的感知没有.
- 在立即植入物放置时,CTG的添加减轻了粘膜水平的变化,但临床医生和患者的美学得分并没有反映这一点,也没有捕捉软组织体积的改善.
- 软组织增强 (STA) 与CTG用于周围植入物脱色产生了有利的临床医生和患者的美学结果.
结论:
- 临床医生和患者的观点为牙科治疗中的基于证据的决策提供了互补的见解.
- 将患者报告的经验和结果整合到临床干预中是必要的.
- 未来的试验应该包括PREs,PROs和CROs,报告好处和危害.
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