ⅱ类分叉受累牙齿的远期预后：一项回顾性队列研究。

IF 6.8 1区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Clinical Periodontology Pub Date : 2025-06-02 DOI:10.1111/jcpe.14186

P. Eickholz, T. Cordis, B. Dannewitz, B. Pretzl, M. Schröder, N. Lingwal, N. El Sayed

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引用次数: 0

摘要

目的：评价主动牙周治疗（APT）后ⅱ类分岔累及（FI）牙≥5年的存活率，并探讨影响预后的因素。方法：在德国法兰克福歌德大学牙周病科接受APT治疗的所有患者的病历中，筛选ⅱFI级牙齿。APT必须在≥5年前完成。用图表分析II类FI牙齿在基线（T0）、APT后（T1）和最后一次牙周支持护理（SPC/T2）时的数据。结果：222例患者(年龄：56.5±10.1岁；118女性;活跃吸烟者35人；糖尿病患者17例（III期154例，IV期68例，B级94例，C级128例），543颗牙为II级FI。61例患者丢失牙齿93颗（17%），平均（108.4±36.5）个月。Logistic/Cox比例风险混合模型回归与不规则SPC （p = 0.023/0.073）、前磨牙vs磨牙（p = 0.041/0.017）、根管充填（RCF）相关的牙损失增加(p)。结论：543颗II类FI牙中，83%的牙保留时间为108.6±36.5个月。T1、RCF、前磨牙和不规则SPC多发II型FI损害II型FI牙齿的长期预后。

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Long-Term Prognosis of Teeth With Class II Furcation Involvement: A Retrospective Cohort Study

Objective

To evaluate the survival of teeth with class II furcation involvement (FI) ≥ 5 years after active periodontal treatment (APT) and to identify the prognostic factors.

Methods

All charts of patients having undergone APT at the Department of Periodontology of Goethe-University Frankfurt, Germany, were screened for teeth with class II FI. APT had to be accomplished ≥ 5 years ago. Charts were analysed for data of class II FI teeth at baseline (T0), after APT (T1) and at the last supportive periodontal care (SPC/T2).

Results

Two-hundred and twenty-two patients (age: 56.5 ± 10.1 years; 118 females; 35 active smokers; 17 diabetics, 154 stage III, 68 stage IV, 94 grade B, 128 grade C) presented 543 teeth with class II FI. Sixty-one patients lost 93 teeth (17%), on average, over 108.4 ± 36.5 months of SPC. Logistic/Cox proportional hazards mixed-model regressions associated increased tooth loss with irregular SPC (p = 0.023/0.073), premolar versus molar (p = 0.041/0.017), root canal filling (RCF) (p < 0.001) and multiple class II FI per tooth at T1 (p = 0.001/0.024).

Conclusions

Of a total of 543 teeth with class II FI, 83% were retained for 108.6 ± 36.5 months. Multiple class II FI at T1, RCF, premolars and irregular SPC were found to compromise the long-term prognosis of teeth with class II FI.

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来源期刊

Journal of Clinical Periodontology 医学-牙科与口腔外科

CiteScore

13.30

自引率

10.40%

发文量

175

审稿时长

3-8 weeks

期刊介绍： Journal of Clinical Periodontology was founded by the British, Dutch, French, German, Scandinavian, and Swiss Societies of Periodontology. The aim of the Journal of Clinical Periodontology is to provide the platform for exchange of scientific and clinical progress in the field of Periodontology and allied disciplines, and to do so at the highest possible level. The Journal also aims to facilitate the application of new scientific knowledge to the daily practice of the concerned disciplines and addresses both practicing clinicians and academics. The Journal is the official publication of the European Federation of Periodontology but wishes to retain its international scope. The Journal publishes original contributions of high scientific merit in the fields of periodontology and implant dentistry. Its scope encompasses the physiology and pathology of the periodontium, the tissue integration of dental implants, the biology and the modulation of periodontal and alveolar bone healing and regeneration, diagnosis, epidemiology, prevention and therapy of periodontal disease, the clinical aspects of tooth replacement with dental implants, and the comprehensive rehabilitation of the periodontal patient. Review articles by experts on new developments in basic and applied periodontal science and associated dental disciplines, advances in periodontal or implant techniques and procedures, and case reports which illustrate important new information are also welcome.