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Updated: Jan 20, 2026
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影响初级牙肺切除术成功和失败的因素:系统性审查
Shrikant Bhujangrao Kendre1, Anuja U Bhatane1, Yogesh Jagannath Kale1
1Department of Pedodontics, Maharashtra Institute of Dental Sciences & Research (Dental College), Latur, Maharashtra, India.
International journal of clinical pediatric dentistry
|January 19, 2026
概括
在母牙中切术的成功取决于诸如最小的根吸收和充足的填充等因素. 识别这些风险因素可以提高治疗的可预测性,并保护儿童的牙.
科学领域:
- 儿科牙科 儿科牙科
- 牙周内科医院 牙周内科医院 牙周内科医院
- 系统审查是系统的审查.
背景情况:
- 在母牙中切术的成功是由没有临床和放射性病理学而定义的.
- 结果的变化受众因素的影响,长期证据有限.
- 本次审查解决了对长期肺切除术成功和失败风险因素的综合数据的需求.
研究的目的:
- 系统地审查长期结局在母牙的肺切除术.
- 为了确定影响脉冲切除术成功和失败的关键因素.
主要方法:
- 在PubMed,EBSCOhost,Scopus和Cochrane (1990-2024) 中进行了全面的电子数据库搜索.
- 偏差风险使用可克莱恩偏差风险工具 (ROB 2.0) 评估RCT和ROBINS-I用于观察性研究.
- 关键词被组合在一起,以确保对相关文章的彻底搜索.
主要成果:
- 在360篇审查文章中,有12篇符合入选标准.
- 肺部切除术的成功率在5年内差异很大 (38.5%-96.2%).
- 关键的成功因素包括手术前最少的根部再吸收和足够的根管填充长度;18个月后,氧化尤根醇 (ZOE) 的成功率为90%.
结论:
- 没有手术前的周周病变,根部的吸收最小,足够的根管填充和适当的牙周后修复与脉冲切除术的成功有关.
- 失败的因素包括周周病变,手术前胀,,创伤病例和根充填质量不足.
- 年龄,性别,牙位置,治疗方式和预约次数没有显著影响结果.
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