基于形光束CT的特定年龄风险预测模型,用于大前额外的牙
Mingxia Li1,2, Jingwen Mao1,3, Yiwen Huang1,3
1Oral & Maxillofacial Reconstruction and Regeneration of Luzhou Key Laboratory, The Affiliated Stomatological Hospital, Southwest Medical University, No. 10, Section 2, Yunfeng Road, Jiangyang District, Luzhou, 646000, China.
Scientific reports
|February 14, 2026
概括
超数牙 (ST) 的并发症因年龄而异. 根曲率预测成年人的骨损坏,而ST数影响儿童牙异常,指导特定年龄的治疗.
科学领域:
- 牙科 牙科是指牙科的专业.
- 口腔和牙面部外科手术
- 放射学 放射学是一门学科.
背景情况:
- 大上位牙 (ST) 可以引起严重的牙和骨并发症.
- 对于ST并发症的准确风险分层目前具有挑战性.
- 在ST并发症中,与年龄相关的差异尚未得到很好的定义.
研究的目的:
- 分析来自ST患者的形光束计算机断层扫描 (CBCT) 数据.
- 开发与ST相关并发症的年龄分层风险模型.
- 为了比较年龄分层模型与非分层模型的性能.
主要方法:
- 对217名患者的CBCT扫描进行了回顾性分析,分层分为童年 (6-12岁) 和成年 (≥19岁).
- 对ST特征的形态评估.
- 开发和验证年龄分层后勤回归模型,用于预测骨破坏和牙异常.
主要成果:
- 形形态是最常见的 (77.1%),女性患病率更高.
- 在成年人中,根曲率强烈预测骨损伤 (aOR=3.5,AUC=0.80).
- 在儿童中,ST的数量预测了牙异常 (aOR=4.2,AUC=0.69).
结论:
- 存在特定于年龄的ST并发症风险因素,儿童和成人有不同的预测因素.
- 年龄分层模型提高了成年人骨损伤风险预测的准确性.
- 这些发现支持针对儿童早期干预和成人优先手术的量身定制的临床策略.
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