传统和直接全牙假牙之间的插入后调整的比较,以及它们与假牙存活率的关联
Neena L D'Souza1, Ana Vasconcelos2, Beshr HajHamid3
1Adjunct Professor, Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada; and Private practice, Mississauga, Ontario, Canada.
The Journal of prosthetic dentistry
|July 8, 2025
概括
立即整形牙的失败率更高,并且在五年内需要比标准整形牙更多的插入后预约和调整. 这凸显了需要对即时假牙进行仔细管理,以改善假牙的存活率.
科学领域:
- 牙修复 牙修复 牙修复 牙修复 牙修复
- 牙科材料科学 牙科材料科学
- 临床牙科 临床牙科
背景情况:
- 患者对完整假牙的满意度受到插入后调整的影响.
- 有限的证据存在于插入后预约,调整和完全假牙存活之间的关系.
研究的目的:
- 为了比较患者人口统计学,插入后的预约,以及常规和即时完全假牙之间的调整类型.
- 评估这些因素与5年内假牙存活率的关联.
主要方法:
- 对2013-2015年间插入的完整假牙进行了回顾性临床研究,并对其进行了5年的跟踪.
- 结果变量包括插入后的预约,调整类型和假牙存活率.
- 统计分析包括生存分析 (Kaplan-Meier,Cox回归) 和后勤/Poisson回归.
主要成果:
- 整体5年假牙失效率为8.1% (25/246个假牙).
- 与标准假牙相比,即时假牙的失败率显著更高 (13.3%) 和更多的插入后预约.
- 患有心血管疾病的参与者比患有其他疾病的参与者需要更大的调整.
结论:
- 完整的假牙显示5年生存率为91.9%.
- 与标准完整牙相比,即时完整牙与失败率,预约和调整的增加有关.
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