複雑歯槽骨骨折。主な臨床変数の説明と分析

Complex Dentoalveolar Fractures: Main Clinical Variables Description and Analysis.

• Martín Fernández-Ferro
• Jacinto Fernández-Sanromán
• Alberto Costas-López
• Annahys López-Betancourt
• Natalia Casañas-Villalba
• Pablo López-Fernández

抄録

目的と目標:

複雑な歯槽骨外傷を定義する臨床的特徴を分析し、評価する。

AIMS AND OBJECTIVES: To analyze and evaluate clinical features that define complex dentoalveolar trauma.

材料と方法:

平均年齢36.1歳の45名の患者を対象とし、ほとんどの患者が男性（82.2％）であった。歯、歯槽骨ソケット、隣接する軟部組織の状態、歯の喪失との関係など、歯槽骨骨折を定義する主な臨床的特徴を評価した。また、スプリンティングと歯牙喪失との関係についても検討した。データは記述的方法と統計的方法を用いて分析した。

MATERIALS AND METHODS: Forty-five patients, with a mean age of 36.1 years, were included in the study; most patients were male (82.2%). The main clinical features defining dentoalveolar fractures were evaluated, including the status of the tooth, alveolar socket and adjacent soft tissues and their relationships with tooth loss. The relationship between splinting and tooth loss was also studied. The data were analyzed using descriptive and statistical methods.

結果:

様々な臨床変数と歯の喪失との間には有意な関係が観察され、特に歯槽ソケットの状態が最も関連する臨床因子であり、スプリンティングと歯の喪失との間にも有意な関係が認められた。

RESULTS: A significant relationship was observed between the different clinical variables and tooth loss, in particular the status of the alveolar socket as the most relevant clinical factor; there was also a significant relationship between splinting and tooth loss, as this was the main protective factor.

結論:

複雑な歯槽骨外傷後の歯喪失の予後は、骨折の臨床的特徴、特に歯槽ソケットの状態と治療としてのスプリンティングの使用の可能性に関連している。

CONCLUSIONS: Tooth loss prognosis following complex dentoalveolar trauma is related to the clinical features of the fracture, particularly the status of the alveolar socket and the possibility of using splinting as treatment.