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根管治疗的存在对牙周骨丧失没有影响。

Presence of root canal treatment has no influence on periodontal bone loss.

机构信息

Department of Periodontology Endodontology and Cariology, University Centre for Dental Medicine, University of Basel, Hebelstrasse 3, CH-4056, Basel, Switzerland.

Volkszahnklinik Basel, University Centre for Dental Medicine, Basel, Switzerland.

出版信息

Clin Oral Investig. 2017 Dec;21(9):2741-2748. doi: 10.1007/s00784-017-2076-4. Epub 2017 Feb 17.

Abstract

AIM

The aim of this study was to compare the interproximal bone level at root canal-filled teeth and non-root canal-filled teeth.

MATERIALS AND METHODS

The records of patients from the department were consecutively screened from January 2009 to October 2011. The distance between the coronal reference point to the alveolar bone crest (AC) was assessed at the mesial and distal aspects of root canal-filled teeth (RCF+) and their contralateral non-root canal-filled teeth (RCF-) on periapical radiographs. Generalised linear mixed-effects models were applied.

RESULTS

The sample consisted of 128 pairs of teeth comprising data from 72 patients. The results for AC revealed a median distance of 3.2 mm for RCF+ and 3.4 mm for RCF- (p = 0.61). Using the maximal distance on either the distal or the mesial tooth surface, a median distance of 3.6 mm was detected for RCF+ and 3.8 mm for RCF-, respectively (p = 0.42). Even after taking several tooth- and subject-specific variables into account, the differences between AC on RCF+ and RCF- were statistically not significant (p > 0.05).

CONCLUSION

The interproximal bone loss did not differ statistically significant between root canal-filled teeth and non-root canal-filled teeth.

CLINICAL RELEVANCE

Existence of appropriately done root canal fillings in periodontitis patients has no effect on the prognosis of periodontal disease.

摘要

目的

本研究旨在比较根管填充牙和非根管填充牙的近中牙槽骨水平。

材料与方法

连续筛选 2009 年 1 月至 2011 年 10 月该科患者的记录。在根尖片上评估根管填充牙(RCF+)及其对侧非根管填充牙(RCF-)近中和远中牙面的冠方参考点到牙槽嵴顶(AC)的距离。应用广义线性混合效应模型。

结果

该样本包括 128 对牙齿,共 72 名患者的数据。AC 的结果显示 RCF+的中位数距离为 3.2mm,RCF-为 3.4mm(p=0.61)。使用远中或近中牙面的最大距离,RCF+的中位数距离为 3.6mm,RCF-的中位数距离为 3.8mm(p=0.42)。即使考虑了几个牙和个体特定的变量,RCF+和 RCF-之间的 AC 差异在统计学上无显著性(p>0.05)。

结论

根管填充牙和非根管填充牙之间的近中牙槽骨丧失无统计学差异。

临床意义

在牙周炎患者中进行适当的根管填充对牙周病的预后没有影响。

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