›› 2012, Vol. 32 ›› Issue (4): 0-0.

• 基础与临床研究 •    下一篇

后牙折裂发病及危险因素的临床研究

魏婷1,唐卫容2,吴友农3,汪婷婷1,颜雯1   

  1. 1. 南京医科大学口腔医学研究所,南京医科大学附属口腔医院
    2. 盐城市中医院
    3. 南京医科大学口腔医学院
  • 收稿日期:2011-12-05 修回日期:2012-01-03 出版日期:2012-04-28 发布日期:2012-03-14
  • 通讯作者: 吴友农 E-mail:sdbywynb@163.com
  • 基金资助:
    江苏高校优势学科建设工程资助项目

Clinical investigation on risk factors of posterior tooth fracture

  • Received:2011-12-05 Revised:2012-01-03 Online:2012-04-28 Published:2012-03-14

摘要: 目的 初步分析后牙折裂的特征及其危险因素。方法 对江苏省口腔医院2009年9月~2011年9月期间牙体牙髓病科记载完整的、临床结合X线检查确诊为牙折的后牙折裂病例, 进行有关指标的统计和分析。结果 共252例患者(男130例,女122例),252颗牙齿(前磨牙57颗,磨牙195颗)。从年龄段看,18~44岁、45~59岁、>60岁分别为:82、90、80例。从折裂牙位看,上颌第一磨牙折裂最多(88/252),下颌第一前磨牙最少(2/252);从折裂类型看,冠折、根折及冠根折分别为89、19和144例;从诱因看,明确有咬硬物史的最多(53.97%),可疑次之(35.32%),否认咬硬物史者最少(10.71%);从牙髓治疗状况看,活髓牙多于无髓牙多于死髓牙 (P<0.05)。结论 磨牙和活髓牙所占比例高,折裂多牵扯牙冠,牙折与咬硬物有关。尚未看出性别、年龄与牙折发生间的关系。

关键词: 后牙, 折裂, 危险因素, posterior, tooth fracture, risk factors

Abstract: Objective To investigate the characteristics of posterior tooth fracture and the risk factors preliminarily. Methods Analysis relevant indicators of cases that were diagnosed as posterior tooth fracture clinically and with X-ray from Department of Endodontic of Stomatological Hospital of Jiangsu Province during Sep. 2009 to Sep. 2011. Results 252 tooth(premolars 57 and molars 195)of 252 cases(males 130 and females 122)were involved. The numbers of people of 18~44、45~59 and >60 age group were close to each other(82,90,80). The fracture of posterior teeth most occurred on the maxillary first molar (88/252), and least on the mandibular first premolar (2/252). The numbers of crown fracture, root fracture and crown-root fracture were 89, 19 and 144 respectively. 53.97% cases clearly mentioned a history of biting hard objects. The number of the teeth with vital pulp was more than the teeth after root canal treatment (RCT) (P<0.05). Conclusion Molars and teeth with vital pulp took up high proportions of fracture, and fracture often involved crowns and with a history of biting hard objects. No significant relationship between gender, age and tooth fracture was found.