内牙复杂性:对病例难度评估工具和指标的全面审查
Galvin S S Lin1, Nicholas P Chandler1, Henry F Duncan2
1Faculty of Dentistry, Sir John Walsh Research Institute, University of Otago, Dunedin, New Zealand.
International endodontic journal
|February 26, 2026
概括
对牙科从业者来说,精确评估内牙科病例的难度至关重要. 本综述确定并评估了评估内牙复杂性的工具,帮助临床决策和患者安全.
科学领域:
- 牙科科学 牙科科学
- 牙周内科医院 牙周内科医院 牙周内科医院
- 临床实践 临床实践
背景情况:
- 精确评估内牙科病例难度对于临床成功,转诊和患者安全至关重要,特别是对于全科医生 (GDPs).
- 内牙治疗的复杂性有很大差异,需要可靠的评估工具.
研究的目的:
- 识别和评估现有的工具和指数,以评估内牙病例的难度.
- 提供这些评估工具的特征,组件,评分系统和验证方法的概述.
主要方法:
- 根据PRISMA-ScR指南进行范围审查.
- 针对2000年1月至2025年7月期间发表的研究,对7个数据库进行了全面搜索.
- 来自15项研究的数据进行了主题综合,包括评估内牙障碍评估工具的研究.
主要成果:
- 十五项研究评估了各种内牙科病例难度评估工具 (例如,AAECDA,ECAF,E-CAT,EndoApp,DETI).
- 工具主要集中在非手术性根管治疗上,其中一个针对内牙微手术.
- 在工具结构,评分,验证严格性和可靠性 (评价者之间和评价者内部协议) 中存在显著差异.
结论:
- 牙周内障碍评估工具是多样化和不断发展的,支持临床决策和教育.
- 精细化,心理测量验证和全球适用性是提高工具实用性的关键.
- 这些工具有助于在不同环境中标准化内牙病例评估.
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