Replacement of Unesthetic Posterior Metal Crowns with Monolithic Zirconia Crowns: A Case Report

Advances in metal-free materials and the popularization of Computer-Aided Design and Manufacturing (CAD/CAM) have led to the wide clinical use of all-ceramic crowns for esthetic restorations. A 72-year-old woman presented to our hospital with unesthetic restorations on the right upper and lower posterior teeth. Intraoral examination revealed poorly fitting metal crown margins. Defective prostheses were removed, and provisional restorations were provided to stabilize the mandibular position. Optical impressions and the maxillomandibular relationship were recorded using an intraoral scanner, and monolithic zirconia crowns were fabricated using CAD/CAM technology for complete veneer crown restorative treatment. Occlusal examination revealed an improvement in occlusal force distribution at initial examination (right side: 33.5%, left side: 66.5%) after placement of the zirconia crowns (right side: 54.9%, left side: 45.1%). Occlusal force and occlusal force distribution area also showed an increasing trend. The Oral Health Impact Profile short form (OHIP-14) score decreased from 7 points at initial examination to 0 points after prosthodontic treatment. Appropriate diagnosis and treatment planning contributed to the increased occlusal force and balanced occlusal force distribution. Therefore, the present case indicates the potential of monolithic zirconia crowns to achieve both esthetic and stable functional outcomes.

Interfacial engineering through lead binding using crown ethers in perovskite solar cells

In the domain of perovskite solar cells(PSCs),the imperative to reconcile impressive photovoltaic performance with lead-related issue and environmental stability has driven innovative solutions.This study pioneers an approach that not only rectifies lead leakage but also places paramount importance on the attainment of rigorous interfacial passivation.Crown ethers,notably benzo-18-crown-6-ether(B18C6),were strategically integrated at the perovskite-hole transport material interface.Crown ethers exhibit a dual role:efficiently sequestering and immobilizing Pb^(2+)ions through host-guest complexation and simultaneously establishing a robust interfacial passivation layer.Selected crown ether candidates,guided by density functional theory(DFT)calculations,demonstrated proficiency in binding Pb2+ions and optimizing interfacial energetics.Photovoltaic devices incorporating these materials achieved exceptional power conversion efficiency(PCE),notably 21.7%for B18C6,underscoring their efficacy in lead binding and interfacial passivation.Analytical techniques,including time-of-flight secondary ion mass spectrometry(ToF-SIMS),ultraviolet photoelectron spectroscopy(UPS),time-resolved photoluminescence(TRPL),and transient absorption spectroscopy(TAS),unequivocally affirmed Pb^(2+)ion capture and suppression of non-radiative recombination.Notably,these PSCs maintained efficiency even after enduring 300 h of exposure to 85%relative humidity.This research underscores the transformative potential of crown ethers,simultaneously addressing lead binding and stringent interfacial passivation for sustainable PSCs poised to commercialize and advance renewable energy applications.

Calix[4]Crowns类化合物在分离铯中的应用

Calix[4]Crowns类化合物作为超分子识别材料能够有效地分离铯,并能很好地应用在溶剂萃取、液膜萃取、色谱分离等领域。介绍了Calix[4]Crowns类化合物及其复合超分子材料对铯离子的识别和分离效果,为寻求对Cs(Ⅰ)有优异配合能力的Calix[4]Crowns类有机配体结构及相应的功能材料提供参考。

Tooth wear against ceramic crowns in posterior region: a systematic literature review

The objective of this systematic review was to assess tooth wear against ceramic crowns in posterior region in vitro and in vivo. An electronic PubMed search was conducted to identify studies on tooth wear against ceramic crowns in posterior region. The selected studies were analyzed in regard to type of crowns, natural antagonist, measuring protocol and outcome. From a yield of 1 000 titles, 43 articles were selected for full-text analysis; finally, no in vitro and only five in vivo studies met the inclusion criteria. As there is heterogeneity in design, used measuring method, ceramics and analysis-form, a meta-analysis was not possible. Results of these studies are very controversial which makes a scientifically valid comparison impossible. This review indicated that some all-ceramic crowns are as wear friendly as metal-ceramic crowns. Up to now, it has been impossible to associate tooth wear with any specific causal agent. The role of ceramic surface treatment that might be responsible for the changing in rate of tooth wear seems undetermined as yet through clinical trials. The literature reveals that studies on this topic are subject to a substantial amount of bias. Therefore, additional clinical studies, properly designed to diminish bias, are warranted.

Measuring loblolly pine crowns with drone imagery through deep learning

In modeling forest stand growth and yield,crown width,a measure for stand density,is among the parameters that allows for estimating stand timber volumes.However,accurately measuring tree crown size in the field,in particular for mature trees,is challenging.This study demonstrated a novel method of applying machine learning algorithms to aerial imagery acquired by an unmanned aerial vehicle(UAV)to identify tree crowns and their widths in two loblolly pine plantations in eastern Texas,USA.An ortho mosaic image derived from UAV-captured aerial photos was acquired for each plantation(a young stand before canopy closure,a mature stand with a closed canopy).For each site,the images were split into two subsets:one for training and one for validation purposes.Three widely used object detection methods in deep learning,the Faster region-based convolutional neural network(Faster R-CNN),You Only Look Once version 3(YOLOv3),and single shot detection(SSD),were applied to the training data,respectively.Each was used to train the model for performing crown recognition and crown extraction.Each model output was evaluated using an independent test data set.All three models were successful in detecting tree crowns with an accuracy greater than 93%,except the Faster R-CNN model that failed on the mature site.On the young site,the SSD model performed the best for crown extraction with a coefficient of determination(R^(2))of 0.92,followed by Faster R-CNN(0.88)and YOLOv3(0.62).As to the mature site,the SSD model achieved a R^(2)as high as 0.94,follow by YOLOv3(0.69).These deep leaning algorithms,in particular the SSD model,proved to be successfully in identifying tree crowns and estimating crown widths with satisfactory accuracy.For the purpose of forest inventory on loblolly pine plantations,using UAV-captured imagery paired with the SSD object detention application is a cost-effective alternative to traditional ground measurement.

Comparison of Clinical Effects of Au-Pt Based and Ni-Cr Based Porcelain Crowns

Objective To compare the long-term clinical effects of two kinds of crowns and bridges made of porcelain fused to Au-Pt alloy and Ni-Cr alloy. Methods A total of 131 teeth (64 patients) were rehabilitated using porcelain-fused-to-metal crowns, among which 59 were rehabilitated with Au-Pt alloy metal ceramic crown and 72 with Ni-Cr alloy metal ceramic crown. The porcelain fracture, shade, marginal adaptation, gingival discoloration, and gingival status after finishing restoration and 36 months of follow-up were evaluated. Results After 36 months of restoration, porcelain fused to Au-Pt alloy crown showed better clinical effects than porcelain fused to Ni-Cr alloy crown in shade, marginal adaptation, gingival discoloration, as well as gingival status (all P<0.05). Conclusion The Au-Pt alloy ceramic crown is superior to Ni-Cr alloy ceramic crown in long-term clinical effects.

An <i>in Vitro</i>Study of Microleakage Comparing Total-Etch with Bonding Resin and Self-Etch Adhesive Luting Cements for All-Ceramic Crowns

Aim: The aim of the study was to assess the dye leakage present following cementation of all-ceramic crowns with 7 currently used cements to compare total-etch (TE) with dentine bonding agent (DBA) and self-etch (SE) systems. Methods: Forty-two Authentic? crowns were fabricated and cemented onto extracted human teeth using 7 currently available cements (2 two-stage adhesives (TE + DBA): Panavia 21 Kuraray;Paracore, Coltene Whaledent and 5 all-in-one adhesives (SE): MaxCem Kerr;Panavia F2.0 Kuraray;RelyX Unicem 3MEspe;seT SDI). Following storage in water and thermal cycling, the teeth were exposed to dye, sectioned and examined under confocal microscopy. Leakage was determined by two blinded examiners and scoring was carried out on a scale of 0 - 8 per tooth (0 = no leakage, 8 complete leakage across the section). One overall reading was obtained per tooth with 6 teeth per material. Results: The results showed a wide range of scores between the different cements. Only a few specimens which used TE + DBA showed slight marginal leakage: Paracore (mean score 0 ± 0) and Panavia 21 (0.3 ± 0.5). The majority of specimens using SE showed leakage: RelyX Unicem (0.8 ± 0.8), SmartCem (1.7 ± 2.1), MaxCem (3.2 ± 1.7), Panavia F2.0 (4.5 ± 2.4) then seT (5.2 ± 2.5). Statistical analysis was carried out showing that Paracore and Panavia 21 were significantly less prone to leakage than MaxCem, (P = 0.002) and seT (P < 0.001). Conclusion: In conclusion, the choice of luting cement is important in reducing dye leakage. This study strongly favours the use of a TE with separate adhesive system placed prior to the composite luting resin.

Developing nonlinear additive tree crown width models based on decomposed competition index and tree variables

Crown development is closely related to the biomass and growth rate of the tree and its width(CW)is an important covariable in growth and yield models and in forest management.To date,various CW models have been proposed.However,limited studies have explicitly focused on additive and inherent correlation of crown components and total CW as well as the influence of competition on crown radius from the corresponding direction.In this study,two model systems were used,i.e.,aggregation method system(AMS)and disaggregation method system(DMS),to develop crown width additive model systems.For calculating spatially explicit competition index(CI),four neighbor tree selection methods were evaluated.CI was decomposed into four cardinal directions and added into the model systems.Results show that the power model form was more proper for our data to fit CW growth.For each crown radius and total CW,height to the diameter at breast height(HDR)and basal area of trees larger than the subject tree(BAL)significantly contributed to the increase of prediction accuracy.The 3-m fixed radius was optimal among the four neighborhoods selection ways.After adding decomposed competition Hegyi index into model systems AMS and DMS,the prediction accuracy improved.Of the model systems evaluated,AMS based on decomposed CI provided the best performance as well as the inherent correlation and additivity properties.Our study highlighted the importance of decomposed CI in tree CW modelling for additive model systems.This study focused on methodology and could be applied to other species or stands.

Morphological characteristics of tree crowns of Cunninghamia lanceolata var. Luotian

The structural characteristics of the tree crowns of Cunninghamia lanceolata var. Luotian(herein, Luotian), a natural variety of C. lanceolata(Chinese-fir, herein Lanceolata) in China, were analyzed using trunk and branch measurements and biomass determinations. Samples from two typical cultivated varietal populations were collected, including twenty-six 15–23-year-old trees of Luotian from a plantation, and nine 16–23-year-old trees of Lanceolata. Our results show that Luotian and Lanceolata samples differed significantly in crown structure, morphological indices, and biomass:(1) the oldest live branches on Luotian trees were 5–6 years old and 8–11 years old on Lanceolata. The ages of the live branches were not affected by the ages of the Luotian trees, while live branch ages increased with ages of Lanceolata trees;(2) the maximumbranching order of Luotian was level two. Compared to Lanceolata, the average number of first-order lateral branches(i.e., branches emerging from the trunk) and the number of first-order lateral branch whorls per sample tree were 12.9% and 32.2% lower, respectively, in Luotian.However, the average number of branches within a single whorl was 21.8% greater in Luotian;the average number of branch whorls at crown height was 51.1% greater. Thus,the Luotian variety has thicker branches;(3) the average lateral branch angles in Luotian and Lanceolata sample trees were 105.2° and 61.4°, respectively. The branch angles in 53.0% of lateral branches on Luotian ranged from105° to 135°, but 30° to 90° in 96% of the lateral branches on Lanceolata. Within the same crown layer, the average branch angle was 1.6–2.2 times greater in Luotian, and the angle was directly proportional to crown thickness;(4) the average base diameter and branch length on Luotian were1.3 cm and 75.8 cm, respectively, and 1.6 cm and112.2 cm for Lanceolata. For individual trees, branch growth differed significantly(p < 0.01) between Luotian and Lanceolata. However, the lateral branches grew at a similar rate among Luotian trees of different ages;(5) the average height to the lowest live branch on Luotian was128.3% greater than on Lanceolata, resulting in a significant difference(p < 0.01) in crown size. Compared to the crowns on Lanceolata, the Luotian crowns were 45.3%higher and 41.1% wider, and the surface area, volume, and growth of the crown were 27.0%, 11.4%, and 2.4 times greater than for Lanceolata, respectively;and,(6) the biomass of Luotian and Lanceolata sample trees also differed significantly. The mean crown, branch, and leaf biomass for Luotian was 40.0%, 25.2%, and 54.1% of those for Lanceolata, respectively. However, the leaf biomass in each layer of the Luotian crown was higher thanthat of Lanceolata, and leaf biomass increased with crown thickness.

Prediction of tree crown width in natural mixed forests using deep learning algorithm

Crown width(CW)is one of the most important tree metrics,but obtaining CW data is laborious and timeconsuming,particularly in natural forests.The Deep Learning(DL)algorithm has been proposed as an alternative to traditional regression,but its performance in predicting CW in natural mixed forests is unclear.The aims of this study were to develop DL models for predicting tree CW of natural spruce-fir-broadleaf mixed forests in northeastern China,to analyse the contribution of tree size,tree species,site quality,stand structure,and competition to tree CW prediction,and to compare DL models with nonlinear mixed effects(NLME)models for their reliability.An amount of total 10,086 individual trees in 192 subplots were employed in this study.The results indicated that all deep neural network(DNN)models were free of overfitting and statistically stable within 10-fold cross-validation,and the best DNN model could explain 69%of the CW variation with no significant heteroskedasticity.In addition to diameter at breast height,stand structure,tree species,and competition showed significant effects on CW.The NLME model(R^(2)=0.63)outperformed the DNN model(R^(2)=0.54)in predicting CW when the six input variables were consistent,but the results were the opposite when the DNN model(R^(2)=0.69)included all 22 input variables.These results demonstrated the great potential of DL in tree CW prediction.

Changes in concentrations and transcripts of plant hormones in wheat seedling roots in response to Fusarium crown rot

Fusarium crown rot(FCR) is a soilborne disease causing severe yield losses in many wheat-growing areas of the world. Diseased plants show browning and necrosis of roots and stems causing white heads at maturity. Little is known about the molecular processes employed by wheat roots to respond to the disease. We characterized morphological, transcriptional and hormonal changes in wheat seedling roots following challenge with Fusarium pseudograminearum(Fp), the main pathogen of FCR. The pathogen inhibited root development to various extents depending on plants' resistance level. Many genes responsive to FCR infection in wheat roots were enriched in plant hormone pathways. The contents of compounds involved in biosynthesis and metabolism of jasmonic acid, salicylic acid, cytokinin and auxin were drastically changed in roots at five days post-inoculation. Presoaking seeds in methyl jasmonate for 24 h promoted FCR resistance, whereas presoaking with cytokinin 6-benzylaminopurine made plants more susceptible. Overexpression of TaOPR3, a gene involved in jasmonic acid biosynthesis, enhanced plant resistance as well as root and shoot growth during infection.

Assessment of Cork Oak Decline Using Digital Multispectral Imagery in Relation with in Situ Crown Condition

Cork oak in Maamora forest is experiencing the dieback phenomenon. The evaluation of the latter in this forest has gained the importance over time and with the solicitation of managers to objectify its phytosanitary situation. Aiming at prioritizing management actions, remote sensing seems to be an effective tool to inquire about stands’ health conditions and their evolution. To this end, this study aims at mapping and validating health status of cork oak stands in Maamora. Sentinel 2 images in 2015 and 2020 were processed to calculate the differential normalized difference water index (NDWI), revealing vegetation moisture variation caused by drought. A statistical method based on thresholds was used to map cork oak dieback stands, those with no changes and those recovered. Results have shown that 54.63% of cork oak in Maamora forest have not changed in terms of phytosanitary situation between 2015 and 2020, 31.10% of oak stands are afflicted by a slight decline and 12.97% by a severe decline. Areas with slight or strong recovery remain minimal and represent 1.04% and 0.25% respectively. Ground data indicated that the map generated displayed a good distinction between stands severely and slightly declined with a global accuracy of 66.66%. Therefore, further research elaborating an advanced vegetation index reflecting the various factors of dieback would be of much importance.

Li^(+)-ion bound crown ether functionalization enables dual promotion of dynamics and thermodynamics for ambient ammonia synthesis

Electrosynthesis of ammonia from the reduction of nitrogen is still confronted with the limited supply of gas reactant in dynamics as well as high activation barrier in thermodynamics.Unfortunately,despite tremendous efforts devoted to electrocatalysts themselves,they still fail to tackle the above two challenges simultaneously.Herein,we employ a heterogeneous catalyst adlayer-composed of crown ethers associated with Li^(+)ions-to achieve the dual promotion of dynamics and thermodynamics for ambient ammonia synthesis.Dynamically,the bound Li^(+)ions interact with the strong quadrupole moment of nitrogen,and trigger considerable reactant flux toward the catalyst.Thermodynamically,Li^(+)associated with the oxygen of crown ether achieves a higher density of states at the Fermi level for the catalyst,enabling effortless electron transfer from the catalysts to nitrogen and thus greatly reducing the activation barrier.As expected,the proof-of-concept system achieves an ammonia yield rate of 168.5μg h^(-1)mg^(-1)and a Faradaic efficiency of 75.3%at-0.3 V vs.RHE.This system-level approach opens up pathways for tackling the two key challenges that have limited the field of ammonia synthesis.

Wave Force on the Crown Wall of Rubble Mound Breakwaters at Intermediate Depths

Rubble mound breakwaters with a crown wall are a common coastal engineering structure.The wave force on crown walls is an important parameter for the practice engineering design.Particularly,the wave force on crown walls under intermediate depths has been studied through physical model tests and numerical simulations.In this study,a three-dimensional numerical wave flume was developed to investigate monochromatic wave interactions in a rubble mound breakwater with a crown wall.Armor blocks were modeled in detail.The Navier-Stokes equations for two-phase incompressible flows,combined with shear stress transport k-ωturbulence model and volume of fluid method for tracking the free surface,were solved.A set of laboratory experiments were performed to validate the adopted model.Subsequently,a series of numerical simulations were implemented to examine the impacts of different hydrodynamic parameters(including wave height,incident wave period,and water depth)and the berm width on the wave force of the crown wall.Finally,a comparison of the experimental results and Martin method shows that the latter method is not suitable for this experimental scope.New empirical formulas are proposed to predict the wave force on crown walls under intermediate depth.The results can provide a basis for the design of crown wall of rubble mound breakwaters at intermediate depths.

Third-Order Nonlinear Optical Responses of Bis(15-crown-5)-stilbenes Binding to One-or Two-Alkali Metal Cation(Li^(+),Na^(+)and K^(+))

Bis(15-crown-5)-stilbenes containing crown ether parts have been widely used in a variety of chemical applications,such as cation detectors,because of their ability to selectively bind to alkali metal cations,Bis(15-crown-5)-stilbenes and its derivatives with complexation of one-or two-alkali metal cation(Li^(+),Na^(+)and K^(+))have been theoretically investigat-ed by quantum chemistry methods.The coordination of alkali cations results in partial shrinkage of crown ethers,which directly affected natural distribution analysis charges and molecular orbital energy levels.The number of alkali metal ions has significant effects on absorption spectra and mean second hyperpolarizability.When one alkali metal ion was added to the anticonformer of bis(15-crown-5)-stilbene,the absorption spectra were obvious-ly redshifted and the mean second hyperpolarizability values were slightly increased;while two alkali metal ions were added to bis(15-crown-5)-stilbene,the absorption spectra were ob-viously blue shifted and the mean second hyperpolarizability values decreased.On the other hand,as the radius of the alkali ions increased,the mean second hyperpolarizability values of the compounds increased gradually.It is indicated that the mean second hyperpolarizability value is sensitive to the number and radius of the alkali metal cations,thus the third order nonlinear optical response can be used as a signal to detect the number and type of alkali met-al ions.

Cherry Blossom Crowns Beijing

It’s spring in Beijing,which means the cherry blossoms are in bloom.one of the best places to see these beautiful pink and white flowers is at the city’s yuyuantan Park,which is home to more than 3,000 cherry trees attracting visitors from across the country and beyond.one of the traditions is for visitors to wear a crown of cherry blossoms bought from vendors stationed around the park.it all adds to the festive spirit ushering in the season of growth and

生物活性陶瓷iRoot BP Plus^(■)在儿童年轻恒前牙复杂冠折牙髓切断术中的应用

目的:观察生物活性陶瓷材料iRoot BP Plus^(■)(Innovative BioCeramix Inc,Vancouver,BC,Canada)在儿童年轻恒前牙复杂冠折牙髓切断术中的应用,并对其预后进行分析,为该术式的更广泛应用提供临床参考。方法:收集2017年3月至2022年9月因恒前牙复杂冠折就诊于北京大学口腔医院急诊科,行以生物活性陶瓷iRoot BP Plus^(■)为盖髓剂的牙髓切断术患者。根据患者术前根尖片和初诊病历显示为年轻恒牙者,纳入97颗年轻恒牙进行研究。收集患者初诊及复查时的临床及影像学检查资料,临床检查包括根尖孔形成情况、松动度、牙冠颜色、牙髓活力测试(冷测)、有无脓肿和瘘管,影像学检查包括根周膜连续性、根尖周低密度影像、复诊时盖髓剂下方牙本质桥形成情况、髓腔及根管钙化情况,并对上述结果进行分析。结果:最终纳入有复诊记录的64例患者共75颗患牙,其中男性37例(57.8%),女性27例(42.2%),就诊时平均年龄为9.1岁,平均随访时长19.3个月。采用iRoot BP Plus^(■)盖髓的牙髓切断术后6个月成功率为96.0%,术后1年成功率为94.7%。术后复查2年以上者共23例,累计失败6例。成功率在患牙就诊时距外伤的时间是否超过24 h组中(P=0.61)以及是否松动组中(P=0.28)的差异无统计学意义。结论:对无移位性损伤的年轻恒牙复杂冠折患牙,采用iRoot BP Plus^(■)盖髓的牙髓切断术1年成功率很高,该术式具备广泛推广价值。

回鹘戴三叉冠人物身份再考

回鹘三叉冠造型独特,是研究回鹘文化的重要历史遗存,关于其佩戴者身份众说纷纭,主要包括回鹘王、回鹘王子、元帅及乐师等。然而,这些解读往往缺乏系统性的论证与深入分析。本研究在现有观点的基础上,首先对回鹘三叉冠佩戴者的身份进行了细致的梳理与分类,通过比对图像资料与文献资料,将三叉冠的形制及其象征的身份进行了归类,指出其身份象征随时间的演变而发生变化。并采用物质文化史的研究方法,探究了三叉冠在回鹘文化中身份象征演变的深层原因。研究发现:回鹘在西迁前,受到萨满教及阿尔泰系部落生活方式的影响,三叉冠主要象征回鹘王或部落首领。西迁后,随着生活方式的转变和佛教的兴盛,三叉冠的身份象征逐渐世俗化,扩展到王子、贵族以及高级军官。

三种梨简化棚架栽培树形树冠与产量形成差异比较分析

以梨双臂顺行式树形为对照,对单干单主枝、双干双主枝2种改进型简化棚架栽培树形早期树冠与产量形成进行多年跟踪调查分析.结果表明,与梨双臂顺行式树形相比,单干单主枝、双干双主枝2种树形主干增粗较慢、主枝增长较快,差异达显著或极显著水平;大、中、小型3类结果枝组数量峰值分别出现于定植后第5年、第3年、第3年,均提早1年以上;定植当年至定植后第5年形成花芽数量更多,差异达显著或极显著水平;定植后第2至第6年单位面积累计产量分别增加3009.93、2830.18kg/667m^(2),累计纯收益分别增加23429.44元/667m^(2)与21991.44元/667 m^(2),加快树冠形成与缩短进入盛产期和回收建园成本时间的作用显著.

年轻恒牙外伤性冠折露髓时间与初诊叩痛对预后的影响

目的探讨外伤引起的年轻恒牙冠折露髓患者经活髓切断术或直接盖髓术后预后不良的独立危险因素,并评价露髓时间、初诊叩痛对牙髓预后的影响。方法回顾性分析2018年3月至2020年9月河北省承德医学院附属医院收治的219例外伤引起的年轻恒牙冠折露髓患者的临床资料。患者初诊治疗为活髓切断术或直接盖髓术且于术后1年进行随访。采用单因素和多因素logistic回归分析影响牙髓预后不良的独立危险因素,并通过受试者操作特征(ROC)曲线分析上述独立危险因素对牙髓预后不良的预测价值。结果经术后1年随访,治疗失败20例,成功199例,活髓切断术总成功率为90.87%。单因素分析结果显示,根尖发育情况、露髓时间、初诊叩痛与牙髓预后不良有关(P<0.05),而年龄、性别、受伤原因、受伤牙位、温度试验结果、牙髓电活力差值、露髓孔直径、患牙松动度、治疗方案与牙髓不良预后无关(P>0.05)。多因素logistic回归分析结果显示,初诊叩痛(+++)是影响牙髓预后不良的独立危险因素(P<0.05)。ROC曲线分析结果显示,初诊叩痛(+++)预测牙髓预后不良的曲线下面积为0.860,敏感度为0.832,特异度为0.865。结论初诊叩痛(+++)是外伤引起的年轻恒牙冠折露髓患者预后不良的独立危险因素,且对预后不良的预测价值较高,而露髓时间与牙髓预后无明显相关性。