Long-Term Treatment Success Rate after Stepwise Caries Removal: A Registry Study.

IF 2.5 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Caries Research Pub Date : 2026-03-17 DOI:10.1159/000551560

Joy Malmberg, Anders Hedenbjörk-Lager

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引用次数: 0

Abstract

Introduction: The objective of this study was to investigate the treatment success rate of teeth treated with stepwise caries removal procedure (SWP) using SKaPa registry data.

Methods: Study design was a retrospective analysis of longitudinal SKaPa database data. SWP treated teeth with a minimum of one follow-up visit was included (January 1, 2013-April 1, 2022). Teeth that had not been treated endodontically or extracted during the follow-up period was considered successful. The Kaplan-Meier survival analysis (p < 0.01) in combination with descriptive statistics was used for statistics.

Results: A total of 111,771 teeth were included (50.7% women; 49.3% men). The most frequent tooth group was molars (71.5%). The results demonstrate a treatment success rate of over 60% after 110 months for teeth with deep caries lesions treated with SWP. Age was a statistically significant variable (p = 0.00) with increased survival rate for younger age-groups.

Conclusion: Although SWP is performed on teeth with poor prognoses, the overall treatment success rate is over 60% after 9 years. Age, tooth group, localization, and caries risk are factors that could affect the outcome after SWP, with an improved prognosis for premolars, subjects under 40 years of age, and subjects with low or medium caries risk.

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分步除龋后的长期治疗成功率：一项登记研究。

本研究的目的是利用SKaPa登记数据，调查采用逐步除龋术（SWP）治疗的牙齿的治疗成功率。方法采用纵向SKaPa数据库资料的回顾性分析。SWP治疗的牙齿至少有一次随访（2013年1月1日至2022年4月1日）。在随访期间未进行牙髓治疗或未拔除的牙齿被认为是成功的。Kaplan-Meier生存分析(p

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Caries Research 医学-牙科与口腔外科

CiteScore

6.30

自引率

7.10%

发文量

审稿时长

6-12 weeks

期刊介绍： ''Caries Research'' publishes epidemiological, clinical and laboratory studies in dental caries, erosion and related dental diseases. Some studies build on the considerable advances already made in caries prevention, e.g. through fluoride application. Some aim to improve understanding of the increasingly important problem of dental erosion and the associated tooth wear process. Others monitor the changing pattern of caries in different populations, explore improved methods of diagnosis or evaluate methods of prevention or treatment. The broad coverage of current research has given the journal an international reputation as an indispensable source for both basic scientists and clinicians engaged in understanding, investigating and preventing dental disease.