一项关于筛查或选择性X线摄影对无牙患者治疗及产后结局影响的研究。

A study of the impact of screening or selective radiography on the treatment and postdelivery outcome for edentulous patients.

作者信息

Bohay R N, Stephens R G, Kogon S L

机构信息

University of Western Ontario, Canada.

出版信息

Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998 Sep;86(3):353-9. doi: 10.1016/s1079-2104(98)90185-8.

DOI:10.1016/s1079-2104(98)90185-8

PMID:9768428

Abstract

OBJECTIVE

The purpose of this study was to assess the impact of radiographic findings on complete denture treatment and on the postdelivery course of those patients who had pretreatment radiographs (the screening group) and those who did not (the selection group).

METHOD

In total, 375 cases were randomly selected by systematic sampling. Data collected included patient demographic information and denture history, predenture fabrication radiographic findings, and postdenture delivery complaints.

RESULTS

Of the screening patients, 100% had pretreatment radiographs made; this compared with 13.5% of the selection patients. In the screening group, 68.3% of patients had one or more positive radiographic findings recorded. Of the screening patients, 8.3% received treatment before denture fabrication; this compared with 1.2% of the selection patients. Of the 375 cases, 2 screening patients had postdelivery complaints that required management other than denture adjustment.

CONCLUSION

The results indicate that there is weak scientific support for the guideline recommending routine pretreatment radiography for new denture patients.

摘要

目的

本研究旨在评估影像学检查结果对全口义齿治疗以及对有治疗前X光片患者（筛查组）和无治疗前X光片患者（选择组）戴牙后病程的影响。

方法

通过系统抽样共随机选取375例病例。收集的数据包括患者人口统计学信息和义齿史、义齿制作前影像学检查结果以及戴牙后投诉情况。

结果

筛查组患者中，100%拍摄了治疗前X光片；相比之下，选择组患者的这一比例为13.5%。在筛查组中，68.3%的患者记录有一项或多项阳性影像学检查结果。筛查组患者中，8.3%在义齿制作前接受了治疗；相比之下，选择组患者的这一比例为1.2%。在375例病例中，有2例筛查组患者戴牙后出现需要进行义齿调整以外处理的投诉。