Epidemiological evaluation of the outcomes of initial root canal therapy in permanent teeth of a publicly insured paediatric population.
Epidemiological evaluation of the outcomes of initial root canal therapy in permanent teeth of a publicly insured paediatric population.
复制标题
DOI：
10.1111/ipd.12953
复制
发表时间：
2022-09
影响因子：
3.8
通讯作者：
Gold, Heather T.
中科院分区：
文献类型：
--
作者：
Burns, Lorel E.;Terlizzi, Kelly;Solis-Roman, Claudia;Wu, Yinxiang;Sigurdsson, Asgeir;Gold, Heather T.
以前发表的流行病学结果研究的非手术根管治疗（NSRCT）在美国使用的数据只从一个单一的，私人牙科保险公司的成年人口。本研究的目的是调查结果的初始NSRCT，恒牙进行，在公共保险的儿科人口。纽约州医疗补助管理索赔被用于跟踪51545名6-18岁患者的77741例牙髓手术，从最初的NSRCT开始，直到发生不良事件（再治疗，根尖切除术和拔牙）。初始治疗和不良事件通过当前牙科术语代码识别。在1年、3年和5年时计算Kaplan-Meier生存率估计值。使用考克斯比例风险模型计算永久修复时间和修复类型的风险比。中位随访时间为44个月[范围：12-158个月]。手术，NSRCT，1年生存率为98%，3年生存率为93%，5年生存率为88%。拔牙是最常见的不良事件。牙尖覆盖永久修复的治疗效果最好。总体而言，89%的牙齿被保留，并在至少5年的随访时间内保持功能。这些结果阐明了NSRCT在具有公共支付牙科福利的儿科患者的恒牙中的预期结局。
Previously published epidemiological outcome studies of nonsurgical root canal therapy (NSRCT) in the United States utilize data only from a single, private dental insurer for adult populations. This study aimed to investigate the outcomes of initial NSRCT, performed on permanent teeth, in a publicly insured paediatric population. New York State Medicaid administrative claims were used to follow 77 741 endodontic procedures in 51 545 patients aged 6–18, from the time of initial NSRCT until the occurrence of an untoward event (retreatment, apicoectomy, and extraction). The initial treatment and untoward events were identified by Current Dental Terminology codes. The Kaplan–Meier survival estimates were calculated at 1, 3, and 5 years. Hazard ratios for time to permanent restoration and restoration type were calculated using the Cox proportional hazards model. The median follow‐up time was 44 months [range: 12–158 months]. Procedural, NSRCT, survival was 98% at 1 year, 93% at 3 years, and 88% at 5 years. Extraction was the most common untoward event. Teeth permanently restored with cuspal coverage had the most favorable treatment outcomes. Overall, 89% of teeth were retained and remained functional over a minimum follow‐up time of 5 years. These results elucidate the expected outcomes of NSRCT in permanent teeth for paediatric patients with public‐payer dental benefits.
登录
查看更多内容
影响因子：
4.2
作者：
VIRE, DE
通讯作者：
VIRE, DE
影响因子：
4.2
作者：
Salehrabi, R;Rotstein, I
通讯作者：
Rotstein, I
影响因子：
4.2
作者：
Lazarski, MP;Walker, WA;Hargreaves, KM
通讯作者：
Hargreaves, KM
影响因子：
4.2
作者：
Pratt, Isaac;Aminoshariae, Anita;Mickel, Andre
通讯作者：
Mickel, Andre
影响因子：
4.2
作者：
Burry, Jacob C.;Stover, Sheila;Bhagavatula, Pradeep
通讯作者：
Bhagavatula, Pradeep