J Endod:牙髓感染与牙周病之间的联系以及它们与慢性上颌窦炎间的关联:一项临床断层研究

2017-10-20 lishiting MedSci原创

上颌后牙牙根靠近上颌窦底,这种位置关系常被联系到慢性上颌窦炎(CMS)的发生。因此,这篇研究的目的是为了评估上颌后牙牙髓感染与牙周病之间的联系以及它们与CMS存在的关联。

上颌后牙牙根靠近上颌窦底,这种位置关系常被联系到慢性上颌窦炎(CMS)的发生。因此,这篇研究的目的是为了评估上颌后牙牙髓感染与牙周病之间的联系以及它们与CMS存在的关联。研究选取了83名患者(79.5对上颌窦)做为评估对象,并对其进行临床牙齿的检查以评估牙齿的松动度和牙髓状态。除此之外,通过CBCT评估患牙的尖周损伤和尖周骨缺损情况,并测量牙根尖至上颌窦骨皮质之间的距离。研究将上颌窦分为2组:CMS和非上颌窦炎。实验数据通过χ2检验和二元logistic回归分析进行统计学检验(P < .05)。结果显示,牙周病的发生与CMS呈正相关,致使这些疾病之间的关联性高达3.45倍(P < .05)。在临近上颌窦的牙齿罹患牙周病或牙髓感染时,患者CMS发生的更加普遍。而罹患牙周病或牙髓感染远离上颌窦时,患者CMS发生的几率明显减少(P < .05)。在某种程度上讲,牙齿远离上颌窦底,发生CMS的机会可以减少2.5倍(P < .05)。结论:在CMS病例中,靠近上颌窦牙周病的发生率更加普遍。因此,一方面需要对涉及的牙齿进行评估,另一方面需要通过CBCT对CMS患者的治疗是否

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    2018-05-16 jxrzshh
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    2017-10-20 方舒

    好的

    0