需要住院治疗的内牙感染:基于两个瑞典人群数据的绝对风险估计
Krister Sevä1, Thomas Kvist2, Fredrik Frisk3
1Department of Radiology, Sunderby Hospital, Sunderbyn, Sweden.
Journal of endodontics
|July 18, 2025
概括
患有牙感染的住院治疗是罕见的,但在患有精神疾病和下牙感染的吸烟者中更有可能发生. 根管治疗后住院的风险很低.
科学领域:
- 牙科公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 对于导致需要住院治疗的口腔感染的口腔疾病的了解有限.
- 这项研究调查了与因牙感染住院相关的因素,并量化了特定内牙疾病的住院风险.
研究的目的:
- 为了确定与因牙感染而住院的相关变量.
- 计算各种内牙病症住院的风险.
主要方法:
- 在瑞典的一个地区,对因牙感染而住院的患者进行了为期9年的回顾性研究.
- 审查患者记录和先前的牙科治疗,并进行统计分析和与国家数据的比较.
- 计算由于内牙疾病而导致住院的绝对风险.
主要成果:
- 包括97名患者 (平均年龄为47.03岁,52%为男性). 吸烟者和患有精神病的个人更频繁地住院 (P = .001).
- 80%的住院病例源于下牙菌感染,其中49.5%与内牙感染有关.
- 初级顶性牙周炎 (AP) 的绝对风险为74.3/100,000人/年;对于二级AP,它是0.7/100,000人/年. 根管治疗后住院的风险为30/100,000次治疗.
结论:
- 医院治疗的odontogenic感染是罕见的.
- 增加住院的风险与下牙感染,吸烟,诊断出精神健康障碍和延迟寻求牙科护理有关.
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