背景:一种简单的拔牙方法通常涉及使用升降器和镊子轻松地拔除牙齿。相比之下,手术拔牙方法需要使用直的机头来促进拔牙,要么切除骨头,要么把牙齿切成碎片。
目的:在这项研究中,我们的目标是在拔牙前通过影像学检查诊断牙齿,并确定某些因素以观察哪种拔牙方法可能更可行,简单或手术。
方法:本研究采用回顾性横断面研究设计。从大学牙科医院的R4系统收集X射线X射线照片(心尖(PA)或全景)以进行数据收集。测量了不同的射线照相影响因素,比如骨密度,骨水平,牙髓参与(RCT/后和核心),冠状或残根,和根系形态。使用SPSS(IBMCorp.,Armonk,NY)进行单向方差分析测试。
结果:62例单纯摘除47例,手术摘除15例。测量因素与提取方法之间无显著关联(p>0.05),简单或手术拔牙。尽管骨密度测量显示出PA病变和简单拔牙的轻微趋势。
结论:各因素与提取方法之间无显著关联。需要进一步的研究来确定术前影像学评估是否会影响拔牙方法的决定。
BACKGROUND: A simple tooth extraction method usually involves using elevators and forceps to remove the tooth easily. In contrast, a surgical extraction method requires utilizing a straight handpiece to facilitate the tooth extraction, either removing bone or sectioning the tooth into pieces.
OBJECTIVE: In this research, we aim to diagnose a tooth radiographically before extraction and determine certain factors to observe which extraction method might be more feasible, either simple or surgical.
METHODS: This study followed a retrospective cross-sectional study design. The x-ray radiographs (periapical (PA) or panoramic) were collected from the R4 system in the university dental hospital for data collection. Different radiographic influencing factors were measured, such as bone density, bone level, endodontic involvement (RCT/post and core), crowned or remaining root, and root morphology. Statistical associations were performed using SPSS (IBM Corp., Armonk, NY) with a one-way ANOVA test.
RESULTS: There were 62 cases with 47 simple and 15 surgical extractions. There was a non-significant (p>0.05) association between the measured factors and the extraction method, either simple or surgical tooth extraction. Although bone density measurements showed a slight tendency toward PA lesions and simple tooth extraction.
CONCLUSIONS: There was no significant association between the factors and extraction methods. Future research is required to determine whether or not preoperative radiographic evaluation can influence the decision for the tooth extraction method.