内牙治疗中的临床结果和预后因素:从2002年至2022年的系统性审查
Rocío Piñas-Alonzo1, Rebeca Bello2, Andrés Hernández2
1Department of Endodontics, Rey Juan Carlos University, Madrid, Spain.
British dental journal
|August 5, 2025
概括
在内牙治疗前出现顶部牙周炎显著影响成功率. 手术前的因素,如纸状况和填充质量,对于预测治疗结果至关重要.
科学领域:
- 牙周内科医院 牙周内科医院 牙周内科医院
- 牙科公共卫生 牙科公共卫生
- 再生医学是一种再生医学.
背景情况:
- 牙周内治疗的目的是解决顶端牙周炎并保持牙功能.
- 影响内牙成功的预后因素需要持续评估以优化临床结果.
- 了解影响治疗结果的变量对于初级和再治疗病例至关重要.
研究的目的:
- 系统地审查在牙周顶部牙周炎治疗成功的内牙治疗预后因素.
- 在20年期间 (2002-2022) 确定影响初级和非手术再治疗病例结果的关键临床变量.
主要方法:
- 从2002年1月到2022年12月,在主要数据库 (PubMed,Scopus,ScienceDirect,Embase) 中进行了全面的系统文献搜索.
- 包括专注于临床和放射性结果的研究,遵守系统性审查和元分析准则的首选报告项目.
- 偏差风险使用Cochrane风险偏差工具和纽卡斯尔-太华尺度进行了评估.
主要成果:
- 13项研究符合纳入标准.
- 先前存在的尖端牙周炎是显著的负面预后因素.
- 其他影响因素包括肉质状况,病变大小以及之前根管填充的质量/长度.
结论:
- 内牙治疗的成功是多因素的,手术前的条件起着关键的作用.
- 牙周炎和其他手术前的因素显著影响治疗的预后.
- 考虑这些预后因素的综合方法对于改善内牙治疗结果至关重要.
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