带有和没有修复的内牙接入腔的皇冠的生存结果:回顾性倾向得分匹配研究
Patrawee Sinkanarak1, Sittichoke Osiri1, Kanet Chotvorrarak1
1Department of Operative Dentistry and Endodontics, Mahidol University, Faculty of Dentistry, Bangkok, Thailand.
European endodontic journal
|September 25, 2025
概括
与完整的皇冠 (IC) 相比,修复了内牙接入腔 (CRA) 的皇冠的存活率较低. 偶发性准功能习惯或干扰显著影响CRA的寿命,强调需要谨慎管理.
科学领域:
- 牙科修复材料 牙科修复材料
- 牙周内科医疗治疗结果
- 牙修复 牙修复 牙修复 牙修复 牙修复
背景情况:
- 恢复内牙治疗的牙往往涉及通过现有的冠状创建通道腔.
- 根管治疗后,修复了内牙接入腔 (CRA) 的冠状和完整的冠状 (IC) 的长期存活需要进一步调查.
研究的目的:
- 为了比较CRA和IC之间的生存结果.
- 确定影响CRA修复寿命的因素.
主要方法:
- 120个CRA和120个匹配的IC病例 (2012-2023) 的回顾性分析.
- 根据年龄,性别,牙类型和皇冠类型进行倾向性得分匹配.
- 卡普兰-梅尔分析和Cox相称危险回归用于生存分析.
主要成果:
- 与IC (91.7%) (p=0.004) 相比,CRA的生存率 (85.8%) 显著较低.
- 鉴定出闭合性准功能习惯或干扰是唯一影响CRA存活率的显著因素.
结论:
- 与完整的皇冠相比,修复了内牙通道腔的皇冠降低了存活率.
- 闭合因子是CRA修复寿命的关键决定因素.
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