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下颌第三磨牙解剖特征与冠周炎相关性的多变量分析

Multivariable Analysis of Correlation Between Anatomical Features of Mandibular Third Molars and Pericoronitis.

作者信息

Nguyen Bao-Ngoc Thi, Nguyen-Le Chi-Tam, Nguyen Bich-Ly Thi, Le Son Hoang

机构信息

Department of Oral Surgery, Faculty of Odonto-Stomatology, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.

出版信息

Int J Dent. 2024 Dec 12;2024:8260559. doi: 10.1155/ijod/8260559. eCollection 2024.

DOI:10.1155/ijod/8260559
PMID:39703785
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11658846/
Abstract

The correlation between anatomy features of impacted mandibular third molars (M3Ms) and prevalence of pericoronitis was only interpreted using univariate analysis. This study investigated this correlation using multivariable analysis to determine the relationship between pericoronitis prevalence and the M3Ms' anatomical features. This cross-sectional study recruited 245 patients with 338 impacted M3Ms. One researcher collected participants' demographic characteristics such as sexes, age, side, and pericoronitis condition. The radiographic characteristics of M3Ms, including eruption direction and impacted levels according to Pell-Gregory classification, were assessed based on their orthopantomograms. Initially, univariate analyses were used to determine potential demographic and radiographic factors that correlated to pericoronitis. These factors were, then, analyzes using Firth's logistic regression. No significant difference was found between non- and pericoronitis groups about sexes, age, side (  > 0.05). The univariate analyses showed that proportion of vertical impacted levels and eruption direction of M3Ms were significantly different between non- and pericoronitis groups. Firth's logistic regression analysis indicated that M3Ms with impacted level A were more likely to suffer from pericoronitis than ones at level B (odds ratio (OR) = 3.34), wheraes M3Ms impacted level II had higher risk of pericorinitis than ones at level I (OR = 1.63). Vertical M3Ms were more likely to develop pericoronitis than horizontal (OR = 5.78) ones. M3M angulation and impacted level are significant factors relating to pericoronitis prevalence. M3Ms with vertical eruption, vertically level A, and horizontally level B are more likely to have pericoronitis.

摘要

以往仅采用单因素分析来解释下颌阻生第三磨牙(M3M)的解剖特征与冠周炎患病率之间的相关性。本研究采用多因素分析来探究这种相关性,以确定冠周炎患病率与M3M解剖特征之间的关系。这项横断面研究招募了245例患者,共338颗下颌阻生第三磨牙。一名研究人员收集了参与者的人口统计学特征,如性别、年龄、患侧以及冠周炎情况。根据全景曲面断层片评估M3M的影像学特征,包括根据佩尔-格雷戈里分类法确定的萌出方向和阻生水平。最初,采用单因素分析来确定与冠周炎相关的潜在人口统计学和影像学因素。然后,使用费思逻辑回归对这些因素进行分析。非冠周炎组和冠周炎组在性别、年龄、患侧方面无显著差异(P>0.05)。单因素分析显示,非冠周炎组和冠周炎组M3M的垂直阻生水平比例和萌出方向存在显著差异。费思逻辑回归分析表明,A类阻生水平的M3M比B类阻生水平的M3M更易患冠周炎(比值比(OR)=3.34),而Ⅱ类阻生水平的M3M患冠周炎的风险高于Ⅰ类阻生水平的M3M(OR=1.63)。垂直位M3M比水平位M3M更易发生冠周炎(OR=5.78)。M3M的倾斜角度和阻生水平是与冠周炎患病率相关的重要因素。垂直萌出、垂直A类阻生和水平B类阻生的M3M更易患冠周炎。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4e5/11658846/f5d9e9118cc0/IJD2024-8260559.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4e5/11658846/b9e3768049e5/IJD2024-8260559.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4e5/11658846/f5d9e9118cc0/IJD2024-8260559.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4e5/11658846/b9e3768049e5/IJD2024-8260559.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4e5/11658846/f5d9e9118cc0/IJD2024-8260559.002.jpg

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本文引用的文献

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Risk factors associated with the severity of pericoronitis of mandibular third molar.与下颌第三磨牙冠周炎严重程度相关的危险因素。
Clin Oral Investig. 2024 May 11;28(6):307. doi: 10.1007/s00784-024-05714-2.
2
What is the Most Prevalent Type of Third Molar Impaction in Patients with Pericoronitis?患有冠周炎的患者中最常见的第三磨牙阻生类型是什么?
World J Plast Surg. 2023;12(2):57-63. doi: 10.52547/wjps.12.2.57.
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Anatomical Positions of Mesially/Horizontally Impacted Mandibular Third Molars are Significant Predictors for Distal Caries in Adjacent Second Molars.
近中/水平阻生下颌第三磨牙的解剖位置是相邻第二磨牙远中龋的重要预测因素。
Int J Dent. 2022 Mar 10;2022:8482209. doi: 10.1155/2022/8482209. eCollection 2022.
4
The Pattern of Mandibular Third Molar Impaction and Assessment of Surgery Difficulty: A Retrospective Study of Radiographs in East Baltic Population.下颌第三磨牙阻生模式及手术难度评估:波罗的海东部人群的 X 光片回顾性研究。
Int J Environ Res Public Health. 2021 Jun 3;18(11):6016. doi: 10.3390/ijerph18116016.
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Pathologies associated with the mandibular third molar impaction.与下颌第三磨牙阻生相关的病变。
Sci Prog. 2021 Apr-Jun;104(2):368504211013247. doi: 10.1177/00368504211013247.
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An Insight into Acute Pericoronitis and the Need for an Evidence-Based Standard of Care.急性冠周炎洞察及基于证据的护理标准的必要性
Dent J (Basel). 2019 Sep 2;7(3):88. doi: 10.3390/dj7030088.
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Association between mandibular third molar position and the occurrence of pericoronitis: A systematic review and meta-analysis.下颌第三磨牙位置与冠周炎发生的关系:系统评价和荟萃分析。
Arch Oral Biol. 2019 Nov;107:104486. doi: 10.1016/j.archoralbio.2019.104486. Epub 2019 Jul 25.
8
Does the Winter or Pell and Gregory Classification System Indicate the Apical Position of Impacted Mandibular Third Molars?冬季分类系统或佩尔与格雷戈里分类系统能否表明下颌阻生第三磨牙的根尖位置?
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The predictivity of mandibular third molar position as a risk indicator for pericoronitis: A prospective study.下颌第三磨牙位置作为冠周炎风险指标的预测性:一项前瞻性研究。
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