Invasive dental treatment

  • 文章类型: Journal Article
    目的:了解个体如何感知口腔疾病的影响以及与这些疾病相关或接受的治疗对其生活质量的影响至关重要。口腔健康相关生活质量(OHRQoL)的一个相对较新但迅速传播的概念,特别影响三个领域,临床牙科实践,牙科研究,和牙科教育使它能够找出口腔健康和它对个人生活质量的影响之间的关系。OHRQoL可以通过各种方式进行测量;最受欢迎的方法使用多项目问卷。以前没有任何尝试比较各种侵入性和非侵入性牙科疗法对OHRQoL的影响,尽管很少有研究在接受独立牙科手术的患者中评估OHRQoL.这样的比较不仅有助于我们理解各种牙科状况如何影响OHRQoL,以及患者的OHRQoL是否由于这些疾病的各种疗法而得到改善。
    方法:在TeerthankerMahaveer牙科学院和研究中心对接受侵入性和非侵入性牙科治疗的患者进行了一项纵向研究,莫拉达巴德.一份由两部分组成的问卷,第一部分由与患者的人口统计细节相关的问题组成,第二部分由一组14个口腔健康影响概况(OHIP)-14个问题组成,用于评估OHRQoL,在研究中使用。在开始任何治疗之前通过访谈方法评估患者基线OHRQoL,并在3天评估随访OHRQoL。七天,一个月,和六个月后的电话治疗。OHIP-14包含14项有关口腔疾病引起的不利影响频率的项目,并要求患者在5点Likert量表上将每个项目评分为0=从不;1=几乎没有;2=偶尔;3=相当经常;4=非常经常。
    结果:对来自400个总样本的数据进行汇总和分析后获得的结果表明,接受侵入性和非侵入性治疗的组之间在不同时间间隔的OHIP评分的平均差异是显著的,因为p值小于0.05。此外,观察到,在有创和无创组中,基线时的平均差异具有统计学意义,因为p值小于0.05.在域级别,在治疗3天和7天后,与非侵入性治疗组相比,侵入性治疗组每个领域的平均评分均较高.第3天接受侵入性治疗的组与第7天接受非侵入性治疗的组之间的平均差异具有统计学意义,因为p值小于0.05。治疗1个月和6个月后,与非侵入组相比,侵入组的平均得分高。
    结论:本研究旨在评估牙科治疗对TeerthankerMahaveer牙科学院和研究中心患者口腔健康相关生活质量的影响,莫拉达巴德.这项研究的结果表明,侵入性或非侵入性两种类型的治疗都显着影响OHRQoL。治疗后OHRQoL在接受任一种治疗后的不同间隔改善。
    OBJECTIVE: It is crucial to understand how individuals perceive the impact of oral disorders and the treatment associated with or received for those disorders on their quality of life. A relatively new but quickly spreading concept of oral health-related quality of life (OHRQoL) that notably affects three fields, clinical dental practice, dental research, and dental education makes it feasible to figure out the relationship between oral health and its impact on the quality of life of an individual. OHRQoL can be measured in various ways; the most well-liked method uses a multiple-item questionnaire. There haven\'t been any prior attempts to compare the effects of various invasive and non-invasive dental therapies on OHRQoL, even though few studies have been conducted to evaluate the OHRQoL among patients undergoing independent dental procedures. Such a comparison would aid in our understanding of not only how various dental conditions affect OHRQoL, but also whether or not a patient\'s OHRQoL has improved as a result of various therapies for these diseases.
    METHODS: A longitudinal study was conducted on patients receiving invasive and non-invasive dental treatment at Teerthanker Mahaveer Dental College and Research Centre, Moradabad. A two-part questionnaire, the first part of which consists of questions related to the demographic details of the patient and the second part consisting of a set of 14 questions of the oral health impact profile (OHIP)-14 for assessing the OHRQoL, was used in the study. Patients\' baseline OHRQoL was assessed before the commencement of any treatment by the interview method and follow-up OHRQoL was assessed three days, seven days, one month, and six months post-treatment telephonically. The OHIP-14 contains 14 items on the frequency of adverse impacts caused by oral conditions and the patients were asked to rate each item on a 5-point Likert scale as 0=never; 1=hardly ever; 2=occasionally; 3=fairly often; 4=very often.
    RESULTS: The results obtained after compiling and analyzing the data from a total sample of 400 indicate that the mean difference in the OHIP score at different time intervals between the groups who undertook invasive and non-invasive treatment was significant as the p-value was less than 0.05. In addition, it was observed that the mean difference at baseline was statistically significant in the invasive and non-invasive groups as the p-value is less than 0.05. At the domain level, the mean score at each domain was higher in the invasive group as compared to the non-invasive treatment group after three days and seven days of treatment. The mean difference between the group treated with invasive treatment on day three and the group treated with non-invasive treatment on day seven was statistically significant as the p-value is less than 0.05. The mean score was high in the invasive group as compared to the non-invasive group after one month and six months of treatment.
    CONCLUSIONS: The present study was conducted to assess dental treatment\'s impact on oral health-related quality of life in patients attending Teerthanker Mahaveer Dental College and Research Centre, Moradabad. Results from this study indicated that both types of treatments either invasive or non-invasive have significantly influenced the OHRQoL. Post-treatment OHRQoL improved at different intervals after receiving either treatment.
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  • 文章类型: Journal Article
    目的:本研究的目的是确定接受侵入性牙科治疗的血液透析患者是否有发生感染性心内膜炎的风险。
    方法:本研究是一项队列病例对照设计,使用从台湾国家健康保险研究数据库收集的二级数据。病例组和对照组各19,602例血液透析患者。对照组匹配四个变量:年龄,性别,糖尿病病史,和脑血管事件。匹配后,病例组和对照组各包括19,602例血液透析患者.Cox回归分析确定了风险比和95%置信区间。
    结果:患者接受侵入性牙科治疗后1个月和3个月随访。结果显示,在接受侵入性牙科治疗1个月后,队列病例对照风险比为0.88(95%CI,0.49,1.57)。收到IDT三个月后,队列病例对照风险比为1.04(95%CI,0.71,1.52).两组之间的危险比没有显着差异。
    结论:接受侵入性牙科治疗的血液透析患者发生感染性心内膜炎的风险没有高于对照组患者。这项研究的结果应减轻血液透析患者和牙医对侵入性牙科治疗程序的担忧。我们建议血液透析患者在需要时接受侵入性牙科治疗。
    结论:这项研究的结果表明,侵入性牙科治疗并没有增加其发生感染性心内膜炎的风险。如果牙医认为有必要,应鼓励需要侵入性牙科手术的血液透析患者接受治疗。
    OBJECTIVE: The objective of this study was to determine if hemodialysis patients who have undergone an invasive dental treatment are at risk of developing infective endocarditis.
    METHODS: This study was a cohort case-control design and used secondary data collected from the National Health Insurance Research Database of Taiwan. The case group and the control group were each comprised of 19,602 hemodialysis patients. The control group was matched for four variables: age, gender, a medical history of diabetes mellitus, and a cerebrovascular event. After matching, the case group and the control group were each comprised of 19,602 hemodialysis patients. Cox regression analysis determined hazard ratios and 95% confidence intervals.
    RESULTS: Patients were followed up at 1 month and 3 months after receiving invasive dental treatment. The results showed the cohort case-control hazard ratio was 0.88 (95% CI, 0.49, 1.57) 1 month after receiving invasive dental treatment. Three months after receiving IDT, the cohort case-control hazard ratio was 1.04 (95% CI, 0.71, 1.52). Hazard ratios did not differ significantly between groups.
    CONCLUSIONS: Hemodialysis patients who received invasive dental treatment had no greater risk of developing infective endocarditis than matched control patients. The results of this study should alleviate concerns for hemodialysis patients and dentists about invasive dental treatment procedures. We recommend hemodialysis patients undergo invasive dental treatment when needed.
    CONCLUSIONS: The results of this study showed that invasive dental treatment did not increase their risk of developing infective endocarditis. Hemodialysis patients in need of an invasive dental procedure should be encouraged to undergo treatment if the dentist deems it necessary.
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