Loss of molars in periodontally treated patients: results 10years and more after active periodontal therapy
Loss of molars in periodontally treated patients: results 10years and more after active periodontal therapy
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DOI：
10.1111/jcpe.12488
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发表时间：
2016-01-01
影响因子：
6.7
通讯作者：
Pretzl, Bernadette
中科院分区：
文献类型：
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作者：
Dannewitz, Bettina;Zeidler, Anna;Pretzl, Bernadette
AimTo识别风险因素的损失磨牙在支持性牙周治疗（SPT）。材料和方法A共136名受试者1015磨牙在基线进行了回顾性研究。使用多水平考克斯回归分析评估风险因素与磨牙缺失的相关性。在牙周治疗开始时对根分叉受累（FI）进行临床评估，并根据Hamp埃塔尔进行分配。结果在主动牙周治疗（APT）期间拔除磨牙50颗，在平均13.22.8年的SPT期间拔除磨牙154颗。FI III度（HR 4.68，p60%（HR 3.74，p=0.009））、剩余平均探诊袋深度（PPD，HR 1.43，p=0.027）和牙髓治疗（HR 2.98，p60%）分别为11.8年和14.4年。在患者的数据，年龄（HR 1.57，p=0.01），女性性别（HR 1.99，p=0.035），吸烟（HR 1.97，p=0.034），糖尿病（HR 5.25，p=0.021）是显着的预测损失molars.ConclusionOverall，牙周治疗结果在一个良好的预后磨牙。III度FI、进行性BL、根管治疗、残留PPD、年龄、女性、吸烟和糖尿病强烈影响APT后磨牙的预后。
AimTo identify risk factors for loss of molars during supportive periodontal therapy (SPT).Materials and MethodsA total of 136 subjects with 1015 molars at baseline were examined retrospectively. The association of risk factors with loss of molars was assessed using a multilevel Cox regression analysis. Furcation involvement (FI) was assessed clinically at start of periodontal therapy and assigned according to Hamp etal. (1975).ResultsFifty molars were extracted during active periodontal therapy (APT) and 154 molars over the average SPT period of 13.22.8years. FI degree III (HR 4.68, p60% (HR 3.74, p=0.009), residual mean probing pocket depth (PPD, HR 1.43, p=0.027), and endodontic treatment (HR 2.98, p60% were 11.8 and 14.4years, respectively. Among the patient data, age (HR 1.57, p=0.01), female gender (HR 1.99, p=0.035), smoking (HR 1.97, p=0.034), and diabetes mellitus (HR 5.25, p=0.021) were significant predictors for loss of molars.ConclusionOverall, periodontal therapy results in a good prognosis of molars. Degree III FI, progressive BL, endodontic treatment, residual PPD, age, female gender, smoking, and diabetes mellitus strongly influence the prognosis for molars after APT.