Dental treatment under intravenous sedation prolongs longevity of a fixed prosthesis in patients with intellectual disabilities
Dental treatment under intravenous sedation prolongs longevity of a fixed prosthesis in patients with intellectual disabilities
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静脉镇静下的牙科治疗可延长智障患者固定假体的寿命
DOI：
10.1111/scd.12677
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发表时间：
2022
影响因子：
1.4
通讯作者：
Ayuse Takao
中科院分区：
文献类型：
--
作者：
Yamaguchi‐Komeyama Kaori;Tanoue Naomi;Kurata Shinji;Ayuse Takao
目的本研究旨在评估智力残疾（ID）患者固定假体的寿命方法回顾性分析76例ID患者315个修复体的临床资料，计算其存活率，并对15个修复体的存活率进行评估使用多变量考克斯回归分析与患者的共同脆弱性潜在相关的假体失败的变量。结果我们的样本人群中有四分之三有严重或严重的ID。最长观察期为31.0年，相应的生存率为32.5%; 10年生存率为59.4%。静脉镇静的使用显著影响了假体的成功，其风险比（HR）是没有改变行为的药物治疗的常规治疗的0.49倍。假体失败的最重要的危险因素是年龄在放置; HR为年龄≥31岁的患者是2.82倍，年龄≤ 20 years.ConclusionsIn患者严重ID，适当的静脉镇静是有效的，在延长固定假体的寿命。
AimsThis study aimed to assess the longevity of a fixed prosthesis in patients with intellectual disability (ID) and to investigate the risk factors associated with the failure of a prosthesis due to abutment tooth extraction or prosthesis dislodgement or removal.MethodsWe studied past medical records to evaluate the longevity of 315 prostheses that were luted in 76 patients with ID. We calculated the survival rates and assessed 15 variables potentially associated with prosthetic failure using multivariate Cox regression analyses with shared frailty for patients.ResultsThree‐quarters of our sample population had severe or profound ID. The maximum observation period was 31.0 years, and the corresponding survival ratio was 32.5%; the survival ratio at 10 years was 59.4%. The use of intravenous sedation significantly influenced the success of the prosthesis, with the hazard ratio (HR) being 0.49 times that of conventional treatment without behavior‐altering drug therapy. The most significant risk factor for prosthetic failure was age at placement; the HR for patients aged ≥31 years was 2.82 times that for patients aged ≤ 20 years.ConclusionsIn patients with severe ID, appropriate intravenous sedation was effective in prolonging the longevity of a fixed prosthesis.