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牙根完全形成的自体移植前磨牙的存活率:一项回顾性临床调查。

Survival rate in autotransplanted premolars with complete root formation: a retrospective clinical survey.

作者信息

Yoshino Koichi, Kariya Noriaki, Namura Daisuke, Noji Ichinari, Mitsuhashi Kenichiro, Kimura Hiroyuki, Fukuda Akiharu, Kikukawa Ikuo, Hayashi Tomoko, Yamazaki Naoyuki, Kimura Morihiro, Tsukiyama Koken, Yamamoto Kazuie, Fukuyama Ai, Hidaka Daijiro, Shinoda Jun, Mibu Hideaki, Shimakura Yozo, Saito Akihito, Ikumi Shuji, Umehara Kazuhiro, Kamei Fumio, Fukuda Hirofumi, Toake Tomohiko, Takahashi Yoshito, Miyata Yasushi, Shioji Shogo, Toyoda Masamoto, Hattori Natsuo, Nishihara Hideshi, Matsushima Ryoji, Nishibori Masakazu, Hokkedo Osamu, Nojima Masahiko, Kimura Toshiyuki, Fujiseki Masatsugu, Okudaira Shinichiro, Tanabe Kazunari, Nakano Masahiro, Ito Koji, Kuroda Masahiko, Takiguchi Toru, Fukai Kakuhiro, Matsukubo Takashi

机构信息

Department of Epidemiology and Public Health, Tokyo Dental College, Mihama-ku, Chiba, Japan.

出版信息

Bull Tokyo Dent Coll. 2013;54(1):27-35. doi: 10.2209/tdcpublication.54.27.

Abstract

The purpose of this study was to analyze the survival rate in autotransplanted premolars with complete root formation in dental clinics. Participating dentists were requested to provide information on transplantations they had undertaken between 1 January 1990 and 31 December 2010. Data on a total of 708 teeth from 637 patients were collected. Data for other tooth types and for teeth with incomplete root formation were eliminated. In this study, data on 40 teeth in 35 patients were analyzed. Participants consisted of 17 men and 18 women ranging from 24 to 79 years in age (mean age, 43.7 years). The cumulative survival rate was 100% at the 5-year mark and 72.7% at 10 years, as calculated by the Kaplan-Meier method. Single-factor analysis revealed that "transplanted to the molar regions" was a significant risk factor (p<0.05) influencing the survival of transplanted teeth. However, a Cox regression analysis showed no significance. The results of this study suggest that, in cases where there is a suitable donor tooth and the oral condition is good, premolar autotransplantation is a viable treatment option, even when there is complete root formation in the donor teeth.

摘要

本研究的目的是分析牙科诊所中牙根完全形成的自体移植前磨牙的存活率。要求参与的牙医提供他们在1990年1月1日至2010年12月31日期间进行的移植手术信息。共收集了来自637名患者的708颗牙齿的数据。排除了其他牙型和牙根未完全形成的牙齿的数据。在本研究中,分析了35名患者的40颗牙齿的数据。参与者包括17名男性和18名女性,年龄在24岁至79岁之间(平均年龄43.7岁)。采用Kaplan-Meier法计算,5年时的累积存活率为100%,10年时为72.7%。单因素分析显示,“移植到磨牙区”是影响移植牙存活的一个显著危险因素(p<0.05)。然而,Cox回归分析显示无显著性。本研究结果表明,在有合适的供体牙且口腔状况良好的情况下,即使供体牙牙根完全形成,前磨牙自体移植也是一种可行的治疗选择。

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