对美国牙髓病学家协会成员的再生牙髓治疗实践进行网络调查。

IF 3.5 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Journal of endodontics Pub Date : 2024-09-01 DOI:10.1016/j.joen.2024.05.016
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引用次数: 0

摘要

简介:AAE再生牙髓病学委员会(REC)在此报告2008年至2019年期间AAE成员实施的再生牙髓病学手术(REP)的网络调查数据:网络调查包括两份问卷、一次血管重建和一次随访,包括治疗后3、6、12或>12个月的临床和放射学数据。调查记录了临床医生认为的人口统计学、病因学、临床方案、放射学和临床结果等数据。从 927 个条目中,提交了 184 个完整病例,其中 126 个适合进行放射学分析。数据分为 6-12 个月的病例和 12 个月以上的病例。对数据进行了描述性统计和单变量分析:患者主要为男性(63%),平均年龄为 10 岁,前牙(77.2%)为外伤所致(69.6%)。AAE成员报告的REP方案差异很大。最常见的临床方案是使用最少的器械(75.5%)、2.5% 或更高浓度的次氯酸钠(83.7%)和抗生素糊剂作为根管内药物(58.7%)。大多数患者报告有血凝块形成(56%),最常见的冠状盖材料是白色 MTA(50.5%)。放射根长度和放射根面积的增加与治疗后的时间成正比。总体而言,临床医生将病例结果分为成功(54.3%)、不确定(23.9%)和不成功(3.8%):这项基于网络的调查为 REP 的病例选择、临床方案和预期结果提供了宝贵的视角,并支持了未来进行更高级别的证据研究的必要性。
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Web-Based Survey on Regenerative Endodontic Practices among Members of the American Association of Endodontists

Introduction

The American Association of Endodontics (AAE) Regenerative Endodontics Committee reports here the web-based survey data of regenerative endodontic procedures performed by the AAE members from 2008 to 2019.

Methods

The web-based survey consisted of 2 questionnaires, a revascularization and a follow-up, including clinical and radiographic data at 3, 6, 12 or >12 months after treatment. Data from demographics, etiology, clinical protocols, radiographic, and clinical outcome as perceived by the clinicians were recorded. From 927 entries, 184 full cases were submitted and 126 were suitable for radiographic analysis. The data were divided into cases with 6–12 months and cases with >12 months recall time. Descriptive statistics and univariate analyses were performed.

Results

Predominantly patients were male (63%), average 10 years-old with anterior teeth (77.2%) due to trauma (69.6%). A wide variation in regenerative endodontic procedures protocols was reported by the AAE members. The most common clinical protocols used minimal instrumentation (75.5%), 2.5% or higher concentrations of sodium hypochlorite (83.7%), and antibiotic paste as intracanal medication (58.7%). The majority reported blood clot formation (56%) and most common coronal capping material was white mineral trioxide aggregates (50.5%). Increases in radiographic root length, and radiographic root area were proportional to the time lapsed after treatment. Overall, case outcomes were categorized by clinicians as successful (54.3%), uncertain (23.9%), and unsuccessful (3.8%).

Conclusions

This web-based survey provides a valuable perspective on case selection, clinical protocols, and perceived outcomes for regenerative endodontic procedures and supports the need for future higher level evidence studies.

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来源期刊
Journal of endodontics
Journal of endodontics 医学-牙科与口腔外科
CiteScore
8.80
自引率
9.50%
发文量
224
审稿时长
42 days
期刊介绍: The Journal of Endodontics, the official journal of the American Association of Endodontists, publishes scientific articles, case reports and comparison studies evaluating materials and methods of pulp conservation and endodontic treatment. Endodontists and general dentists can learn about new concepts in root canal treatment and the latest advances in techniques and instrumentation in the one journal that helps them keep pace with rapid changes in this field.
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