Institute of Postgraduate Dental Education, Jönköping, Sweden.
Acta Odontol Scand. 2011 Nov;69(6):401-5. doi: 10.3109/00016357.2011.572291. Epub 2011 Apr 15.
The aim of the study was to test the hypothesis that root-filled teeth are at a higher caries risk than non-root-filled teeth.
Two sub-samples from epidemiologically obtained data collected in 1983, 1993 and 2003 in the city of Jönköping, Sweden, were analysed. All the participants were examined clinically and radiographically and the type of filling and the presence or absence of caries were recorded. Sub-sample 1 comprised 832 individuals (9202 teeth) aged 20-70 years with at least eight premolars/molars. In sub-sample 2, 163 subjects (577 teeth) with only one or two decayed tooth surfaces and at least one tooth with full crown coverage were analysed.
Logistic regression analysis found that root-filled teeth were predictive of recurrent caries when controlling for the type of restoration in sub-sample 1 (OR = 1.68; 1.41-2.0; CI 95%) and sub-sample 2 (OR = 2.20; 1.07-4.52; CI 95%).
In support of the suggested hypothesis, the data revealed a significant association between root-filled teeth and recurrent caries.
本研究旨在检验以下假设,即已填充的牙根患龋齿的风险高于未填充的牙根。
对瑞典延雪平市 1983 年、1993 年和 2003 年通过流行病学方法收集的数据中的两个子样本进行了分析。所有参与者均进行了临床和影像学检查,并记录了填充类型以及是否存在龋齿。子样本 1 包括 832 名(9202 颗牙)年龄在 20-70 岁之间、至少有 8 颗前磨牙/磨牙的患者。在子样本 2 中,分析了 163 名(577 颗牙)仅有 1 至 2 个龋齿表面且至少有一颗牙全冠覆盖的患者。
逻辑回归分析发现,在控制子样本 1(OR=1.68;1.41-2.0;95%CI)和子样本 2(OR=2.20;1.07-4.52;95%CI)中修复类型后,已填充的牙根是复发性龋齿的预测因素。
支持提出的假设,数据显示已填充的牙根与复发性龋齿之间存在显著关联。