Ottaviani G, Costantinides F, Perinetti G, Luzzati R, Contardo L, Visintini E, Tirelli G, Di Lenarda R, Gobbo M, Biasotto M
Department of Dental Science, University of Trieste, Trieste, Italy.
Oral Dis. 2014 Jul;20(5):499-504. doi: 10.1111/odi.12164. Epub 2013 Jul 23.
The objective of this epidemiologic study was to estimate the healing time of acute dental abscesses and to evaluate the main variables involved in the healing process itself.
Among a sample of over 24 000 patients visited at the emergency dental unit, 688 subjects were diagnosed with dental abscess and enrolled in the study. Case histories of all patients were collected to investigate the clinical course and healing time of dental abscess according to anamnestic and diagnostic data and therapeutic management. A multiple logistic regression model was performed to evaluate the association of each variable with the healing time required for dental abscess.
Variables associated with increased healing time were spring seasonality at admission, pyretic state, trismus, involvement of multiple anatomic spaces, and spontaneous drainage. Moreover, administration of some, but not all, classes of antibiotics was also associated with an increased healing time.
The knowledge of variables involved in healing time for dental abscess is crucial in the optimization of managing such infections in terms of cost-benefit ratio. This would represent a valuable way to ensure a shortened and more effective healing.
本流行病学研究的目的是估计急性牙脓肿的愈合时间，并评估愈合过程中涉及的主要变量。
在急诊牙科就诊的24000多名患者样本中，688名被诊断为牙脓肿并纳入研究。根据既往病史、诊断数据和治疗管理收集所有患者的病历，以调查牙脓肿的临床病程和愈合时间。采用多元逻辑回归模型评估每个变量与牙脓肿愈合所需时间的相关性。
与愈合时间延长相关的变量包括入院时的春季季节性、发热状态、牙关紧闭、多个解剖间隙受累以及自发引流。此外，使用某些（但并非所有）类别的抗生素也与愈合时间延长有关。
了解牙脓肿愈合时间相关变量对于优化此类感染的管理（从成本效益比角度）至关重要。这将是确保缩短愈合时间并提高愈合效果的宝贵方法。
