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龋齿保守治疗与手术治疗的长期疗效

Long-Term Outcomes of Conservative versus Surgical Management of Dental Caries.

作者信息

Parmar Digvijaysinh, Alghamdi Nuha, Bellam Swetha, Kaur Jasmine, Panda Abikshyeet, Yedla Rasangnya, Roja Nallamilli Lalitha Sri

机构信息

Dental Public Health (DPH) Residency Program, University of California, San Francisco, USA.

Department of Restorative Dental Sciences, King Khalid university, College of Dentistry, Abha, Saudi Arabia.

出版信息

J Pharm Bioallied Sci. 2024 Jul;16(Suppl 3):S2746-S2748. doi: 10.4103/jpbs.jpbs_424_24. Epub 2024 Jul 1.

DOI:10.4103/jpbs.jpbs_424_24
PMID:39346416
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11426869/
Abstract

INTRODUCTION

The management of dental caries presents challenges for oral health professionals, with options including conservative and surgical interventions. However, debate persists regarding the long-term efficacy of these strategies.

METHODS

This retrospective cohort research involved 500 subjects diagnosed with dental caries at the University Dental Clinic between January 1, 2018, and December 31, 2020. Data on demographics, dental history, treatments, and follow-up were collected from patient records. Subjects were categorized into conservative and surgical groups based on treatment received. Outcome measures included tooth survival, caries recurrence, and patient satisfaction.

RESULTS

The research included 300 subjects, with 60% under conservative management and 40% under surgical management. Demographics were comparable between groups, and both groups showed similar outcomes in tooth survival, caries recurrence, and patient satisfaction. Statistical analysis revealed no significant differences in these outcomes between groups.

CONCLUSION

Conservative and surgical management approaches demonstrate comparable long-term outcomes in treating dental caries, emphasizing the importance of personalized treatment decisions. Further research with larger samples and prospective designs is needed to validate these findings and guide evidence-based practice in dental caries management.

摘要

引言

龋齿的治疗给口腔健康专业人员带来了挑战,治疗选择包括保守治疗和手术干预。然而,关于这些策略的长期疗效仍存在争议。

方法

这项回顾性队列研究涉及2018年1月1日至2020年12月31日期间在大学牙科诊所被诊断为龋齿的500名受试者。从患者记录中收集了人口统计学、牙科病史、治疗情况和随访数据。根据接受的治疗将受试者分为保守治疗组和手术治疗组。结果指标包括牙齿留存率、龋齿复发率和患者满意度。

结果

该研究纳入了300名受试者,其中60%接受保守治疗,40%接受手术治疗。两组的人口统计学特征具有可比性,两组在牙齿留存率、龋齿复发率和患者满意度方面的结果相似。统计分析显示两组在这些结果上没有显著差异。

结论

保守治疗和手术治疗方法在治疗龋齿方面显示出相似的长期效果,强调了个性化治疗决策的重要性。需要进行更大样本量和前瞻性设计的进一步研究来验证这些发现,并指导龋齿管理中的循证实践。

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本文引用的文献

1
Using Resin Infiltration Technique and Direct Composite Restorations for the Treatment of Carious Lesions with Different Depths.使用树脂渗透技术和直接复合树脂修复术治疗不同深度的龋损
Case Rep Dent. 2023 Apr 15;2023:5908006. doi: 10.1155/2023/5908006. eCollection 2023.
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Resin Infiltration of Non-Cavitated Proximal Caries Lesions in Primary and Permanent Teeth: A Systematic Review and Scenario Analysis of Randomized Controlled Trials.乳牙和恒牙非龋性邻面龋损的树脂浸润:随机对照试验的系统评价和情景分析
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Resin Infiltration of Non-Cavitated Enamel Lesions in Paediatric Dentistry: A Narrative Review.儿童牙科中非龋性釉质病变的树脂浸润:一项叙述性综述。
Children (Basel). 2022 Dec 2;9(12):1893. doi: 10.3390/children9121893.
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Cognizance and Use of Minimally Invasive Dentistry Approach by General Dentists: An Overlooked Companion.普通牙医对微创牙科方法的认知与应用:一个被忽视的伙伴。
J Pharm Bioallied Sci. 2021 Jun;13(Suppl 1):S199-S202. doi: 10.4103/jpbs.JPBS_674_20. Epub 2021 Jun 5.
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Infiltration and sealing for managing non-cavitated proximal lesions: a systematic review and meta-analysis.渗透和密封治疗非腔化近中病变:系统评价和荟萃分析。
BMC Oral Health. 2021 Jan 7;21(1):13. doi: 10.1186/s12903-020-01364-4.
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How to Intervene in the Caries Process in Children: A Joint ORCA and EFCD Expert Delphi Consensus Statement.如何干预儿童龋齿进程:ORCA 和 EFCD 联合专家德尔菲共识声明。
Caries Res. 2020;54(4):297-305. doi: 10.1159/000507692. Epub 2020 Jul 1.
7
How to intervene in the caries process: proximal caries in adolescents and adults-a systematic review and meta-analysis.如何干预龋齿进程:青少年和成年人的邻面龋——一项系统评价和荟萃分析。
Clin Oral Investig. 2020 May;24(5):1623-1636. doi: 10.1007/s00784-020-03201-y. Epub 2020 Apr 18.
8
Best-practice prevention alone or with conventional or biological caries management for 3- to 7-year-olds: the FiCTION three-arm RCT.最佳实践预防单独或与常规或生物龋病管理相结合,用于 3 至 7 岁儿童:FiCTION 三臂 RCT。
Health Technol Assess. 2020 Jan;24(1):1-174. doi: 10.3310/hta24010.
9
Effects of different anti-caries procedures on microhardness and micromorphology of irradiated permanent enamel.不同防龋方法对受照恒磨牙牙釉质显微硬度和微观形态的影响。
Dent Mater J. 2020 Jan 31;39(1):118-125. doi: 10.4012/dmj.2018-385. Epub 2019 Oct 2.