永久牙入侵的结果;肉质缩,缩和牙损失
Brittany M Schweiger1,2, Hancong Tang3, Janice A Townsend1
1Division of Pediatric Dentistry, The Ohio State University, Columbus, Ohio, USA.
概括
带有成熟根的永久牙,严重的入或手术重新定位面临着较高的脉死和牙损失的风险. 这些因素对治疗结果产生重大影响,强调需要仔细规划治疗.
科学领域:
- 牙科创伤学 牙科创伤学
- 牙周内科医院 牙周内科医院 牙周内科医院
- 在口腔外科手术.
背景情况:
- 牙侵入伤害影响永久牙,结果受根部发育和伤害严重程度的影响.
- 了解诸如真皮枯,化和牙脱落等并发症的时间表对于管理这些损伤至关重要.
研究的目的:
- 为了研究脉死,化和牙损失的时间在侵入的永久牙中.
- 分析根部发育阶段,侵入程度和初始治疗对这些结果的影响.
主要方法:
- 在77名患者 (2013-2021) 进行了112个入口永久牙的回顾性审查.
- 使用了卡普兰-梅尔生存分析和考克斯比例危险模型.
- 基于根成熟度,入侵严重程度和治疗类型的结果比较.
主要成果:
- 成熟的牙与不成熟的牙相比,脉死的风险明显更高 (HR=4.30).
- 严重的侵入 (HR=16.85) 和中度的侵入 (HR=13.92) 显著增加了牙损失的危险.
- 在成熟的牙,严重的入侵和手术重新定位的牙中观察到亡,化和牙损失的可能性更高.
结论:
- 成熟的根部发育,侵入的严重程度增加,以及手术重新定位,都与脉死亡,化和牙损失的风险增加有关.
- 考克斯模型证实了脉死和成熟的根,以及牙损失和侵入程度之间的显著联系.
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