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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.

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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