乳牙外伤性损伤致髓管闭塞相关因素的回顾性研究。

IF 1.4 Q3 EMERGENCY MEDICINE
International Journal of Burns and Trauma Pub Date : 2021-08-15 eCollection Date: 2021-01-01
Thais Oliveira Fernandes, Mariana Gouvea Latini Abreu, Leonardo Santos Antunes, Livia Azeredo Alves Antunes
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引用次数: 0

摘要

髓管闭塞症(PCO)是创伤性乳牙中常见的牙髓并发症,其特征是硬组织在根管内的进行性沉积。在此背景下,本研究旨在评估乳牙创伤性牙损伤(TDI)所致PCO与特定因素的关系。为此,对2012年至2019年从牙科创伤护理项目中选择的210份医疗记录进行了回顾性研究。应用资格标准后,共纳入371颗乳牙。采用卡方检验和Fischer精确检验进行统计分析。PCO的发生率为4.9%。年龄(P=0.63)、性别(P=0.47)、就诊情况(P=0.87)等相关因素对PCO的发生无影响。TDI的类型与PCO的发展,半脱位损伤有统计学意义(P=0.01)。PCO与其他TDI并发症如冠变色相关(P0.05)。本研究发现,在被评估人群中,PCO并不是TDI乳牙的常见并发症。PCO与半脱位、冠变色和生理性根吸收加速有关。然而,它没有显示出与任何相关因素(年龄、性别和就诊)以及永久性继发患者的临床或影像学后遗症的发展有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Factors associated with pulp canal obliteration due to traumatic injuries in deciduous teeth: a retrospective study.

Pulp canal obliteration (PCO) presents itself as a frequent pulp complication in traumatized primary teeth, characterized as a progressive deposition of hard tissue in the root canal. In this context, this study aimed to evaluate the association between PCO due to the occurrence of traumatic dental injuries (TDI) in deciduous teeth and specific factors. For this, a retrospective study was carried out through 210 medical records selected from the Dental Trauma Care Program from 2012 to 2019. After applying the eligibility criteria, 371 deciduous teeth were included. Statistical analysis was performed using chi-square and Fischer's exact test. The occurrence of PCO was observed in 4.9%. Associated factors such as age (P=0.63), sex (P=0.47) and search for care (P=0.87) did not influence the occurrence of PCO. Concerning the type of TDI and development of PCO, the injury of subluxation showed a statistically significant association (P=0.01). There was an association of PCO with other TDI complications such as crown discoloration (P<0.01) and acceleration of physiological root resorption (P=0.01). No statistically significant association was found regarding the development of sequelae in permanent successors and PCO (P>0.05). Based on this study, PCO was not a frequent complication of TDI in deciduous teeth in the population evaluated. PCO was associated with subluxation, crown discoloration, and acceleration of physiological root resorption. However, it did not show association with any related factor (age, sex, and seeking care) and the development of clinical or radio graphical sequelae in permanent successors.

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