牙周内科病例难度对牙周内科事故和治疗次数的影响:一项临床研究
Arzu Kaya Mumcu1, Mehmet Çorak2, Safa Kurnaz2
1Department of Endodontics, Faculty of Dentistry, Kutahya Health Sciences University, Kutahya, 43100, Turkey. arzu.kayamumcu@ksbu.edu.tr.
BMC medical education
|December 9, 2025
概括
根管治疗的失败在牙和高难度病例中更为常见. 评估内牙科病例的难度可以帮助预测和减少程序错误,提高治疗成功率.
科学领域:
- 牙周内科医院 牙周内科医院 牙周内科医院
- 牙科教育 牙科教育
- 临床牙科 临床牙科
背景情况:
- 根管治疗 (RCT) 可能由于复杂的解剖学或程序限制而失败.
- 研究生牙科学生评估了内牙科病例困难对意外事件和访问的影响.
- 美国内牙科医生协会 (AAE) 的评估表格将病例分为低,中等和高难度.
研究的目的:
- 评估内牙科病例困难对程序失误的影响.
- 确定病例难度与所需治疗次数之间的关系.
- 评估AAE案例难度评估表格在预测风险方面的有用性.
主要方法:
- 一项前性临床研究分析了200个由研究生进行的RCT.
- 案件使用AAE案件难度评估表格进行分类.
- 错误包括过度仪表,工作长度损失,填充不足,过填充,顶端运输,仪器断裂和穿孔. 进行了统计分析.
主要成果:
- 48.5%的病例是高难度的,31.5%是中度的,20%是低难度的
- 在牙上,内失误发生的频率明显高于牙 (p=0.001).
- 较高的病例难度与更多的意外事件 (r=0.344) 和更多的治疗访问 (r=0.433) 有正相关. 填充不足和填充过多与困难相关 (p<0.050).
结论:
- 根管治疗中的大多数程序失误发生在牙和高难度病例中.
- AAE案例难度评估表格是预测牙周内科手术潜在风险的宝贵工具.
- 结构化的病例难度评估可以帮助临床医生最大限度地减少意外事件并提高RCT成功率.
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