000			02897nab a2200313 a 4500
003			AR-ReUNN
005			20260702004711.0
008			260701s2021 ag |||||||||||||||||eng
041	0		_aeng
100	1		_aKubota, Seiko _9197104
700	1		_aImai, Tomoaki _9197105
700	1		_aNakazawa, Mitsuhiro _9197106
700	1		_aUzawa, Narikazu _9197107
245	1	0	_aEstratificación del riesgo contra la lesión del nervio alveolar inferior después de la extracción del tercer molar inferior mediante puntuación en la imagen de tomografía computarizada de haz cónico
246	1	3	_aRisk stratification against inferior alveolar nerve injury after lower third molar extraction by scoring on Cone-Beam computed tomography image
264		1	_c2021
300			_a9 páginas
520			_aThe 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?<?0.001; assigned score, 2], multiple roots closed to the IAC with cortical perforation (OR 3.72; P?=?0.015; 1), and age?>?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.
650		4	_aTomografia Computada _9169001
650		4	_aExtraccion Dentaria _9166466
650		4	_aCirugia del Tercer Molar _9181627
650		4	_aSistema de Puntuacion _9197108
650		4	_aCanal Alveolar Inferior _9197109
650		4	_aHaz Conico _9190213
773	0		_tOdontology _x1618-1247 _gv. 108 n. 1 (2020) _w257190
942			_cART
035			_a(ODN)64339
001			265461
999			_c265461 _d265461
040			_aAR-ReUNN _bspa _cAR-ReUNN _eaacr2