患病率和与放射性骨损失相关的局部因素在初级牙科:一个回顾性研究
Murilo C Paraluppi1, Camila S Stolf1, Bianca Mendes1
1Periodontics Division, Department of Prosthodontics and Periodontics, Piracicaba Dental School, University of Campinas, Piracicaba, São Paulo, Brazil.
Journal of periodontology
|February 26, 2026
概括
在巴西,13.28%的儿童受到原始牙的放射性骨损失的影响,当地因素发挥了作用. 然而,近一半的这些病例在研究中没有显示出可识别的局部风险因素.
科学领域:
- 儿科牙科 儿科牙科
- 牙周病学 牙周病学
- 牙科放射学 牙科放射学
背景情况:
- 在儿童和青少年中,初级上可能发生骨损失.
- 放射性评估对于评估患病率和相关因素至关重要.
研究的目的:
- 为了评估巴西人群中主要牙的放射性骨水平.
- 为了确定骨损失的流行率,并确定相关的局部因素.
主要方法:
- 分析了来自527名巴西儿童 (年龄为8.27±1.71岁) 的828张咬翼放射图.
- 测量水泥合点到骨 (CEJ-BC) 距离的测量;CEJ-BC>2毫米定义的骨损失.
- 使用多个线性回归和物流回归对局部因素的选和统计分析.
主要成果:
- 骨损失的发病率在部位水平为2.62%,在患者水平为13.28%.
- 较高的CEJ-BC距离与男性患者,年龄较大,大牙,第一个初级牙,肉切除术,填充物和相邻牙喷发有关.
- 在42.4%的骨损失部位中,存在统计学意义上的局部因素.
结论:
- 在13.28%的研究儿童中,发现了原始牙的放射性骨变化.
- 在58.8%的病例中,局部因素与骨质损失有关,但41.2%的病例缺乏已识别的局部危险因素.
- 强调放射检查对于早期诊断和预防儿科患者牙周炎的重要性.
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