J Clin Periodontol:牙周病患者积极牙周治疗20年后牙周缺失的研究结果

2018-11-18 MedSci MedSci原创

评估积极牙周治疗(APT)20年后牙周受损患者的牙齿缺失情况,并检测患者牙齿缺失的潜在影响因素。

评估积极牙周治疗(APT)20年后牙周受损患者的牙齿缺失情况,并检测患者牙齿缺失的潜在影响因素。

方法:在APT后10年重新评估的100名患者中,70名患者可在APT后20年±12个月重新检查。检测20年内的牙齿缺失情况,并根据回归分析估计患者水平因素的影响。

结果:在1.639颗牙齿中,201颗牙齿缺失(平均2.87颗牙齿/患者,范围0-19颗牙齿,SD 3.49),即20年内平均牙齿缺失率为0.14颗牙齿/患者/年。在支持性牙周治疗(SPT)的第二个十年期间,与第一个患者相比,每位患者的平均牙齿缺失更高(1.20对1.67牙齿/患者)。影响因素包括:年龄(p <0.001),吸烟(p <0.001),遵守SPT(p <0.001),婚姻状况(p <0.001),糖尿病(p <0.001)和心脏病(p = 0.001)都可以检测到。

经过20多年的随访发现,大多数重度牙周炎患者都失去了少量牙齿。从长远来看,吸烟、不按时SPT、年龄、独居和全身性疾病如糖尿病血管疾病都会对牙齿脱落产生负面影响。

原始出处:

Bernadette Pretzl, et al.糖尿病(p <0.001)和心脏病(p = 0.001)都可以检测到。 经过20多年的随访发现,大多数重度牙周炎患者都失去了少量牙齿。从长远来看,吸烟、不按时SPT、年龄、独居和全身性疾病如糖尿病或血管疾病都会对牙齿脱落产生负面影响。 原始出处: Bernadette Pretzl, et al.Tooth loss in periodontally compromised patients: Results 20?years after active periodontal therapy.Journal of Clinical Periodontal.2018 November. Doi:10.1111/jcpe.13010" target="_blank">Tooth loss in periodontally compromised patients: Results 20 years after active periodontal therapy.Journal of Clinical Periodontal.2018 November. Doi:10.1111/jcpe.13010

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