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恒牙活髓治疗预后与牙位、牙弓位置、治疗类型以及乳磨牙破坏牙面数的相关性:一项回顾性研究。

Association of Vital Pulp Therapy Outcomes with Tooth Type, Arch Location, Treatment Type, and Number of Surfaces Destroyed in Deciduous Teeth: A Retrospective Study.

机构信息

Paediatric Dentistry Unit, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, Kota Bharu 16150, Kelantan, Malaysia.

Conservative Dentistry Unit, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, Kota Bharu 16150, Kelantan, Malaysia.

出版信息

Int J Environ Res Public Health. 2021 Jul 28;18(15):7970. doi: 10.3390/ijerph18157970.

Abstract

There is a paucity of information concerning vital pulp treatment outcomes in the undergraduate teaching setting. This study aimed to determine which type of deciduous molar, arch location, type of vital pulp therapy, and the number of carious surfaces involved had a better prognosis when carried out by undergraduate dental students. The method used was the review of clinical records of 590 patients with 600 deciduous molars, that visited the outpatient undergraduate dental clinics for vital pulp therapy. Statistical analysis used to determine the associations of tooth type, arch location, treatment type, and the number of carious surfaces involved in successful outcomes was logistic regression analysis with significance set at < 0.05. According to the regression analysis model results, there was a significant association based on tooth type ( < 0.05) and arch location ( = 0.003). In addition, there was a significant association based on the type of treatment performed ( = 0.036). However, there was no significant association in success rates based on the number of carious surfaces involved ( = 0.873). In conclusion, second deciduous molars and maxillary deciduous molars had a better overall prognosis, and indirect pulp therapy was revealed to be more highly associated with successful treatment outcomes in comparison to ferric sulfate pulpotomy in our setting.

摘要

有关本科生教学环境中活髓治疗结果的信息很少。本研究旨在确定在本科生进行活髓治疗时,哪种类型的乳牙、牙弓位置、活髓治疗类型以及涉及的龋损表面数量具有更好的预后。方法是回顾性分析 590 名患者的临床记录,这些患者因活髓治疗而到门诊本科生牙科诊所就诊。采用逻辑回归分析来确定牙位、牙弓位置、治疗类型和涉及的龋损表面数量与成功治疗结果的相关性,显著性水平设为<0.05。根据回归分析模型结果,牙位(<0.05)和牙弓位置(=0.003)有显著相关性。此外,治疗类型(=0.036)也有显著相关性。然而,涉及的龋损表面数量与成功率之间没有显著相关性(=0.873)。总之,第二乳磨牙和上颌乳磨牙的总体预后较好,与硫酸铁牙髓切断术相比,间接牙髓治疗在我们的研究环境中与成功的治疗结果更相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6767/8345547/660bde3be2e5/ijerph-18-07970-g001.jpg

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