Kafantaris S N, Tortopidis D, Pissiotis A L, Kafantaris N M
PhD Candidate, Department of Prosthodontics, School of Dentistry, Health Sciences Faculty, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Associate Professor, Department of Prosthodontics, School of Dentistry, Health Sciences Faculty, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Eur J Prosthodont Restor Dent. 2020 Feb 27;28(1):43-52. doi: 10.1922/EJPRD_1959Kafantaris10.
The aims of this study were as follows: 1) to retrospectively evaluate clinical situations of patients with congenitally missing permanent maxillary lateral incisors (CMPMLI) who were referred to three dental clinics specialised in prosthodontics over a 14-year period and 2) to investigate the factors affecting decision-making for patients with CMPMLI. The records of 46 patients with CMPMLI who were treated over a period of 14 years were examined to determine the mechanism of decision-making for treatment planning and factors affecting the decision. Descriptive statistics were used in the initial analysis of the entire data set. In addition, a correlation coefficient-the nonparametric Spearman's rho coefficient-was calculated to trace any possible relation between variables or rank orders. The significance level was set at 0.05 for the analysis. The results of this study revealed that decision-making for treatment of CMPMLI is directly dependent mainly on the following four factors: 1. Patient's age at treatment commencement 2. Individual characteristics of each clinical situation, which play a crucial but not an exclusive role in the treatment approach 3. Synthesis of the participating specialists in the treating team, which plays a crucial role in the decision-making 4. Use of pin-retained resin-bonded bridges (RBBs), either bilaterally attached or cantilevered, proved to be a reliable solution in terms of aesthetics, function and soft tissue response during the study period. Clinical implication: The rationale in the decision-making process for patients with congenitally missing permanent maxillary lateral incisors was investigated in this study to determine whether specific treatment options are superior to others.
1）回顾性评估在14年期间转诊至三家专门从事口腔修复学的牙科诊所的先天性上颌侧切牙缺失（CMPMLI）患者的临床情况；2）调查影响CMPMLI患者决策的因素。检查了14年间接受治疗的46例CMPMLI患者的记录，以确定治疗计划的决策机制和影响决策的因素。对整个数据集进行初步分析时使用了描述性统计。此外，计算了相关系数——非参数斯皮尔曼等级相关系数——以追踪变量或等级顺序之间的任何可能关系。分析的显著性水平设定为0.05。本研究结果表明，CMPMLI治疗的决策主要直接取决于以下四个因素：1. 开始治疗时患者的年龄；2. 每种临床情况的个体特征，其在治疗方法中起关键但非唯一作用；3. 治疗团队中参与专家的综合意见，其在决策中起关键作用；4. 在研究期间，使用双侧附着或悬臂式的桩固位树脂粘结桥（RBB）在美学、功能和软组织反应方面被证明是一种可靠的解决方案。临床意义：本研究调查了先天性上颌侧切牙缺失患者决策过程中的基本原理，以确定特定治疗方案是否优于其他方案。
