Gradvis ekskavering af profund caries: Retrospektiv analyse af forskellige faktorers betydning for behandlingsresultatet. (Danish)
In: Tandlaegebladet, Jg. 123 (2019-03-01), Heft 3, S. 204-211
serialPeriodical
Zugriff:
BACKGROUND - Recent scientific evidence regarding the stepwise excavation procedure (SWP) has not addressed the consideration of patient factors when selecting SWP as treatment for deep carious lesions (DCLs). This study assessed patient factors predicting a successful SWP defined as a tooth restored with SWP and did not result in root canal treatment or a dental extraction. METHODS - SWPs completed in 626 patients without symptomatic irreversible pulpitis at the University of Iowa College of Dentistry from January 2004 through December 2012 were evaluated. Patient demographic and tooth-specific characteristics were assessed in their relationship with the main outcome. RESULTS - SWPs had a 75% success rate when evaluated within 36 months of the initial treatment. Findings showed that patients who had successful SWP treatment of DCLs were somewhat younger than patients whose SWP treatment was not successful (mean age, 37.4 years and 40.5 years, respectively; odds ratio, 0.981; 95% confidence interval, 0.967 to 0.994; P = 0.0058). Patients who returned to their second appointment within 5 to 9 months were more likely to have a successful SWP treatment than those returning sooner than 5 months (odds ratio, 0.338; 95% confidence interval, 0.210 to 0.545; P < 0.0001). CONCLUSION - Treatment of deep carious lesions with SWP is effective for pulp preservation and patient age may influence the outcome. [ABSTRACT FROM AUTHOR]
Den nyere videnskabelige litteratur vedrørende gradvis ekskavering har ikke inddraget patientfaktorer i overvejelserne om, hvornår man skal vælge gradvis ekskavering som behandling af profunde carieslæsioner. Denne undersøgelse har vurderet, hvilke patientfaktorer der kan betinge et vellykket resultat af gradvis ekskavering, dvs. en behandling, der ikke ender med rodbehandling eller ekstraktion. METODER - Gradvis ekskavering blev foretaget på 626 patienter uden symptomer på irreversibel pulpitis. Behandlingerne blev udført på University of Iowa College of Dentistry fra januar 2004 til udgangen af december 2012. Patienternes demografiske og odontologiske karakteristika blev bedømt i forhold til behandlingsresultatet. RESULTATER - Succesraten for gradvis ekskavering var 75 % inden for de første 36 måneder efter behandlingen. Resultaterne viste, at patienter med vellykket behandlingsresultat i gennemsnit var lidt yngre end patienter med mislykket behandling (gennemsnitsalder henholdsvis 37,4 år og 40,5 år; odds ratio 0,981; 95 % konfidensinterval 0,967-0,994; P = 0,0058). Patienter, der mødte op til anden seance efter 5-9 måneder, havde større sandsynlighed for en vellykket gradvis ekskavering end patienter, der mødte op mindre end fem måneder efter første seance (odds ratio 0,338; 95 % konfidensinterval 0,210-0,545; P < 0,0001). KONKLUSION - Gradvis ekskavering er en effektiv, pulpabevarende behandling af profund caries. Patientens alder kan påvirke behandlingsresultatet. [ABSTRACT FROM AUTHOR]
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Titel: |
Gradvis ekskavering af profund caries: Retrospektiv analyse af forskellige faktorers betydning for behandlingsresultatet. (Danish)
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Autor/in / Beteiligte Person: | ORTEGA-VERDUGO, PAULA ; WARREN, JOHN J. ; KOLKER, JUSTINE L. ; CARTER, KNUTE D. ; GUZMÁN-ARMSTRONG, SANDRA ; GOMEZ, MANUEL R. |
Zeitschrift: | Tandlaegebladet, Jg. 123 (2019-03-01), Heft 3, S. 204-211 |
Veröffentlichung: | 2019 |
Medientyp: | serialPeriodical |
ISSN: | 0039-9353 (print) |
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