非手术再镶牙的效果:与牙齿有关的因素

IF 4.2 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Journal of periodontology Pub Date : 2024-10-22 DOI:10.1002/jper.24-0178
Caspar Victor Bumm, Falk Schwendicke, Vinay Pitchika, Katrin Heck, Elias Walter, Christina Ern, Richard Heym, Nils Werner, Matthias Folwaczny
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Reduction of PPD and PC rates following NSRI were associated with tooth‐related factors, namely tooth type, arch, number of roots, furcation involvement (FI), pulp vitality, mobility, type of restoration, presence of plaque, and bleeding on probing (BOP), using mixed‐effects regression models.ResultsNSRI reduced periodontal pockets persisting after initial cause‐related therapy by (mean ± SD) 1.32 ± 1.79 mm in PPD, and PC rate was 40%. Moderate pockets (4–5 mm) responded better to NSRI than deep pockets (≥ 6 mm) in terms of PC (51% vs. 16%). Both PPD reduction and PC rates of deep residual pockets were significantly influenced by tooth type, arch, number of roots, and presence of BOP.ConclusionTooth type, arch, number of roots, and presence of BOP at re‐evaluation (before NSRI) had a significant and clinically relevant influence on NSRI as part of step 3 therapy. 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Healing of deep defects after repeated nonsurgical therapy; however, was significantly influenced by the factors: tooth type, location, number of roots, and bleeding on probing. 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Reduction of PPD and PC rates following NSRI were associated with tooth‐related factors, namely tooth type, arch, number of roots, furcation involvement (FI), pulp vitality, mobility, type of restoration, presence of plaque, and bleeding on probing (BOP), using mixed‐effects regression models.ResultsNSRI reduced periodontal pockets persisting after initial cause‐related therapy by (mean ± SD) 1.32 ± 1.79 mm in PPD, and PC rate was 40%. Moderate pockets (4–5 mm) responded better to NSRI than deep pockets (≥ 6 mm) in terms of PC (51% vs. 16%). Both PPD reduction and PC rates of deep residual pockets were significantly influenced by tooth type, arch, number of roots, and presence of BOP.ConclusionTooth type, arch, number of roots, and presence of BOP at re‐evaluation (before NSRI) had a significant and clinically relevant influence on NSRI as part of step 3 therapy. 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引用次数: 0

摘要

背景研究作为第三步治疗一部分的非手术再探查术(NSRI)后,影响牙周袋闭合(PC)和牙周袋探查深度(PPD)降低的牙齿相关因素。方法共纳入了480名患者(10,807颗牙齿),他们在牙周治疗第一步和第二步后6.33 ± 3.79个月出现残留牙周袋,并对NSRI前和NSRI后5.93 ± 4.31个月进行了回顾性分析。采用混合效应回归模型,将NSRI后PPD和PC率的降低与牙齿相关因素(即牙齿类型、牙弓、牙根数、毛面受累(FI)、牙髓活力、活动度、修复类型、牙菌斑的存在以及探诊出血(BOP))相关联。结果NSRI将初始病因相关治疗后持续存在的牙周袋的PPD降低了(平均±标度)1.32±1.79 mm,PC率为40%。就PC而言,中度牙周袋(4-5毫米)对NSRI的反应优于深度牙周袋(≥6毫米)(51%对16%)。结论牙齿类型、牙弓、牙根数和重新评估时(NSRI 之前)是否存在 BOP 对作为第三步治疗一部分的 NSRI 有显著的临床相关影响。考虑到这些因素,尤其是对深残留牙周袋的影响,可能会使再次干预更有针对性。本研究旨在探讨与牙齿相关的因素对牙周炎反复非手术治疗结果的影响。因此,对初次治疗后出现顽固性牙周炎临床症状的 480 例患者(10807 颗牙齿)进行了反复非手术治疗并进行了回顾性分析。采用混合效应模型,将治疗结果与牙齿相关因素(即牙齿类型、牙齿位置(上颌/下颌)、牙根数量、多根牙齿的牙根窝沟区受累情况、牙髓活力、活动度、修复情况、牙菌斑存在情况以及牙周探诊出血情况)联系起来。结果显示,反复非手术治疗能有效减轻炎症和疾病的临床症状,中度残留牙周缺损的反应优于深度缺损。然而,反复非手术治疗后深层缺损的愈合受到以下因素的显著影响:牙齿类型、位置、牙根数量和探诊出血。考虑到这些因素,尤其是通常建议手术治疗的深度残留缺损,可以减少创伤,从而进行更有针对性的再干预。
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Effectiveness of nonsurgical re‐instrumentation: Tooth‐related factors
BackgroundTo investigate tooth‐related factors that influence pocket closure (PC) and the reduction of pocket probing depths (PPD) after nonsurgical re‐instrumentation (NSRI) as part of step 3 therapy.MethodsA total of 480 patients (10,807 teeth) presenting with residual pockets 6.33 ± 3.79 months after steps 1 and 2 of periodontal therapy were included and retrospectively analyzed before and 5.93 ± 4.31 months after NSRI. Reduction of PPD and PC rates following NSRI were associated with tooth‐related factors, namely tooth type, arch, number of roots, furcation involvement (FI), pulp vitality, mobility, type of restoration, presence of plaque, and bleeding on probing (BOP), using mixed‐effects regression models.ResultsNSRI reduced periodontal pockets persisting after initial cause‐related therapy by (mean ± SD) 1.32 ± 1.79 mm in PPD, and PC rate was 40%. Moderate pockets (4–5 mm) responded better to NSRI than deep pockets (≥ 6 mm) in terms of PC (51% vs. 16%). Both PPD reduction and PC rates of deep residual pockets were significantly influenced by tooth type, arch, number of roots, and presence of BOP.ConclusionTooth type, arch, number of roots, and presence of BOP at re‐evaluation (before NSRI) had a significant and clinically relevant influence on NSRI as part of step 3 therapy. Considering these factors, particularly for deep residual pockets, may allow more tailored re‐intervention.Plain language summaryThe present study aimed to investigate the influence of tooth‐related factors on the outcome of repeated nonsurgical therapy of periodontitis. Therefore, 480 patients (10,807 teeth) presenting with clinical symptoms of persistent periodontitis after initial therapy were administered repeated nonsurgical therapy and retrospectively analyzed. Therapy outcomes were associated with tooth‐related factors, namely tooth type, tooth location (maxilla/mandible), number of roots, involvement of the root furcation area in multi‐rooted teeth, pulp vitality, mobility, restoration, presence of plaque and bleeding upon periodontal probing, using mixed‐effects models. The results revealed that repeated nonsurgical therapy was effective in reducing inflammation and clinical signs of disease, with moderate residual periodontal defects responding better than deep defects. Healing of deep defects after repeated nonsurgical therapy; however, was significantly influenced by the factors: tooth type, location, number of roots, and bleeding on probing. Considering these factors, particularly in deep residual defects which are commonly suggested to be treated surgically, may allow less invasiveness and thus a more tailored re‐intervention.
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来源期刊
Journal of periodontology
Journal of periodontology 医学-牙科与口腔外科
CiteScore
9.10
自引率
7.00%
发文量
290
审稿时长
3-8 weeks
期刊介绍: The Journal of Periodontology publishes articles relevant to the science and practice of periodontics and related areas.
期刊最新文献
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