桃体的特征与牙周骨损失和牙科病理的关联:基于圆束计算断层扫描的回顾性研究
Gülbahar Ustaoğlu1, Duygu Göller Bulut2, Banu Aydin3
1Department of Periodontology, Gulhane Faculty of Dentistry, University of Health Sciences, Emrah Mah. Etlik, Kecioren, Ankara, 06018, Türkiye. gulbaharustaoglu@hotmail.com.
Scientific reports
|December 4, 2025
概括
桃体石或桃体石与显著的牙周骨损失和牙损失有关. 圆束计算机断层扫描 (CBCT) 可以帮助评估这种联系,揭示牙科健康中的潜在跨学科联系.
科学领域:
- 牙科和口腔卫生 牙科和口腔卫生
- 放射学和成像学 放射学和成像学
- 牙周病学 牙周病学
背景情况:
- 结石是常见的偶然发现,怀疑与口腔病理有关.
- 有限的圆束计算断层扫描 (CBCT) 证据表明桃体和牙周病之间的关联.
- 桃体和牙周生物膜之间的微生物相似性表明临床相关性.
研究的目的:
- 研究桃体存在,大小和数量与牙周骨损失和其他牙科病理之间的关联.
- 评估CBCT在识别这些关联方面的实用性.
- 探索桃体质的特征与牙周缺陷的严重程度之间的关系.
主要方法:
- 对342名全身健康患者的CBCT扫描进行了回顾性分析.
- 将患者分为桃石存在/不存在组 (每组n=171) 的分类.
- evaluation of tonsillolith characteristics (location, size) and dental findings (骨质损失,裂纹发生,牙缺失/腐烂/恢复,牙顶部牙周炎) 的评价,以及牙方面的发现 (骨质损失,裂纹发生,牙缺失/腐烂/恢复,牙顶部牙周炎).
主要成果:
- 桃体石经常是双边或右侧的,平均尺寸为3.98毫米.
- 桃体石组显示出明显更多的缺失牙 (p=0.040).
- 在桃石组中,中度 (1/3-2/3) 和严重 (>2/3) 牙周骨损失的患病率增加 (p<0.001).
- 桃体大小与骨损失严重程度正相关 (ρ=0.274,p<0.001),并与裂缺陷有关 (p<0.001).
结论:
- 桃体的存在和大小与晚期牙周骨损失和牙损失有关.
- 在跨学科牙周评估中,CBCT成像发挥着至关重要的作用.
- 进一步的研究可能会阐明桃体石和牙周病之间的因果机制.
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