在自移植牙中术后并发症的发生率:长期回顾性队列
Juraj Marton1, Radovan Žižka1, Linda Kučerová1
1Department of Dentistry and Oral Science, Faculty of Medicine and Dentistry, Palacký University Olomouc, Olomouc, Czech Republic.
概括
牙自移植并发症通常会在18个月内发生. 早期检测和监测对于管理移植后问题以及确保长期牙存活和成功至关重要.
科学领域:
- 牙科 牙科是指牙科的专业.
- 在口腔外科手术.
- 再生医学是一种再生医学.
背景情况:
- 牙自移植是一种可行的替代缺失牙的选择.
- 手术后的并发症可能会影响这种手术的长期结果.
- 了解影响这些并发症的时间和因素对于临床实践至关重要.
研究的目的:
- 为了确定牙自移植后手术后并发症的发生率和时间.
- 确定与这些并发症的早期诊断相关的因素.
- 报告自移植牙的长期存活率和成功率.
主要方法:
- 在20年内对111名患者进行了134个自移植牙的回顾性队列研究.
- 牙分为前牙,牙和前牙;根发育分类.
- 使用卡普兰-梅尔分析的生存率和成功率;用考克斯回归评估并发症时间和风险因素.
主要成果:
- 一半的并发症在18个月内被诊断出,炎症再吸收最早 (11.7个月).
- 五年生存率:前牙 (95.4%),下牙 (86.6%),前牙 (75.8%). 在前牙中,前牙是最常见的.
- 年龄≥30岁,男性性别和前牙等因素与早期的并发症有关;抗生素对感染有保护作用.
结论:
- 大多数并发症可以通过早期检测有效地管理.
- 移植后的前18个月代表了并发症发展的关键窗口.
- 建议加强后续检查计划,并继续长期监测晚期并发症.
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