• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Odontology >Risk stratification against inferior alveolar nerve injury after lower third molar extraction by scoring on cone-beam computed tomography image
【24h】

Risk stratification against inferior alveolar nerve injury after lower third molar extraction by scoring on cone-beam computed tomography image

机译：锥梁梁计算机断层扫描图像较低的第三摩尔萃取后对较低肺泡神经损伤的风险分层

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

The study aimed to stratify the risk of inferior alveolar nerve injury (IANI) after lower third molar (LM3) surgery with a scoring system using identified predictive factors based on cone-beam computed tomography (CBCT) images. In a case-control study, the primary outcome was IANI occurrence. The control group included randomly selected patients without IANI. Predictor variables included patient demographics, surgical situations, Pell-Gregory classification, and inferior alveolar canal (IAC)-associated factors on CBCT. Study variables were analyzed using logistic regression models. Risk stratification was assessed by a scoring system that was constructed using independent predictors. The 858 patients who underwent LM3 surgery (1177 teeth) after CBCT scan were divided into case (25 patients, 2.9%, 27 teeth) and control (235 patients, 300 teeth) groups. In the multivariate model, lingual/inter-radicular position of IAC [odds ratio (OR) 7.21; P 30 years (OR 4.99; P = 0.008; 2) were associated with an increased IANI-risk. The IANI-risk scoring system could be stratified into low- and high-risk groups at a cutoff score of 3 (sensitivity, 68.0%; specificity, 90.6%; positive predictive value, 17.8%; positive likelihood ratio, 7.23). In conclusion, the high-risk group of IANI after LM3 surgery corresponded to individuals with multiple factors: lingual/inter-radicular IAC position to LM3, multiple roots with perforated IAC, and increased age (> 30 years). Raising awareness of the higher probability for IANI is needed for patients with multiple aforementioned factors.
机译：该研究旨在利用基于锥形束计算机断层扫描（CBCT）图像的识别的预测因子，分层较低的第三摩尔（LM3）手术后的肺泡神经损伤（IANI）的风险。在一个病例对照研究中，主要结果是IANI发生。对照组包括无因素的随机选择的患者。预测变量包括CBCT上的患者人口统计学，手术情况，沉积物分类和较低的肺泡管（IAC）分配因子。使用Logistic回归模型分析研究变量。通过使用独立预测器构建的评分系统评估风险分层。在CBCT扫描后接受LM3手术（1177颗牙齿）的858名患者分为案例（25例，2.9％，27颗牙齿）和对照（235名患者，300颗牙齿）组。在多变量模型中，舌序/间自由度的IAC [差距（或）7.21; P 30岁（或4.99; p = 0.008; 2）与IANI-RIVEL增加有关。 IANI-RIVILE评分系统可以在截止得分为3（敏感度，68.0％;特异性，90.6％;阳性预测值，17.8％;阳性似然比，7.23）中，7.23）。总之，LM3手术后IANI的高风险组对应于具有多种因素的个体：舌/间的IIAC位置至LM3，多根具有穿孔IAC的根，年龄增加（> 30岁）。提高对具有多种上述因素的患者需要提高对IANI较高概率的认识。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号