龋损在深牙周水平病理改变发生中的作用-影像学评价

A. Lazar, A. Vlasa, Bukhari Csilla, Buka Imola, L. Lazăr
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引用次数: 0

摘要

摘要在牙周病的病因学中,龋齿是一个有利因素。我们的研究目的是评估未经治疗或不正确治疗的龋齿病变在牙周支持发生病理变化中的作用。材料和方法:为了评估龋齿对牙周水平破坏性病变外观的影响,我们检查了378张x光片。x线片的选择是基于是否存在未治疗或治疗不当的近似蛀牙,我们很欣赏这些因素与牙间隔的存在和骨吸收水平的联系。结果:我们检查了378张x线片,发现398个近似龋齿病变,其中146个与骨吸收有关。通过检查x线片,我们评估了1512个第二类腔内的填充物,其中1103个是正确的,309个是不正确的,并且与骨吸收现象有关。不正确的修复与骨吸收现象有关,因为其中213例与邻近牙齿缺乏接触,96例由于牙龈阈值水平的不准确适应。结论:牙医师必须特别注意冠状动脉近端修复,因为这有利于细菌菌斑的保留,在大多数情况下,可能导致牙槽嵴区域的骨渗漏。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The role of carious lesions in the occurrence of pathological modifications in deep periodontal level – radiographic evaluation
Abstract In the etiology of periodontal disease, dental caries act as a favoring factor. The purpose of our study was to evaluate the role of untreated or incorrectly treated carious lesions in the occurrence of pathological changes in the periodontal support. Material and methods: In order to evaluate the impact of the dental caries in the appearance of destructive lesions at the periodontal level, we examined 378 X-rays. The radiographies were selected based on the presence of approximal dental cavities, untreated or incorrectly treated and we appreciated the association of these factors with the presence and the level of bone resorption of the interdental septum. Results: On the 378 radiographies we examined, it was discovered the presence of 398 approximal carious lesions, of which 146 were associated with bone resorption. The examined radiographies permitted us to evaluate 1512 fillings inserted in second class cavities, of which 1103 were correctly done, and 309 were incorrect and associated with bone resorption phenomena. Incorrectly done restorations were associated with bone resorption phenomena due to the lack of contact with the adjacent tooth for 213 of these, and because of an inaccurate adaptation at the level of the gingival threshold for 96. Conclusions: The dentist has to pay a special attention to the approximal coronary restorations because these can favor the retention of bacterial plaque and, in most cases, can lead to bone loos in the alveolar ridge area.
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