Seale N Sue, Glickman Gerald N
Department of Pediatric Dentistry, Baylor College of Dentistry, Texas A&M University Health Science Center, Dallas, Texas, USA.
J Endod. 2008 Jul;34(7 Suppl):S57-61. doi: 10.1016/j.joen.2008.02.034.
The purpose of this study was to determine the level of agreement between pediatric dentists and endodontists at a pulp therapy symposium conjointly sponsored by the American Association of Endodontists (AAE) and the American Academy of Pediatric Dentistry (AAPD) on November 2-3, 2007. Presymposium and postsymposium tests were administered, and respondent answers were compared between pediatric dentists and endodontists. Opinions on 3 areas were sought: pulp therapy for cariously involved primary teeth; indirect pulp treatment (IPT) for cariously involved immature permanent teeth; and innovative treatment options including pulpal revascularization and regeneration. Results were analyzed with chi2 tests. Comparisons of presymposium and postsymposium responses and between the 2 groups of attendees indicated that the pediatric dentistry and endodontic communities agree that formocresol will be replaced as a primary tooth pulpotomy agent, that mineral trioxide is the first choice to take its place, that IPT in primary teeth holds hope as a replacement for pulpotomy, and that IPT is an acceptable pulp therapy technique for cariously involved young permanent teeth. Both groups believe that pulp revascularization and regeneration will be viable treatment modalities in the future. The AAE and the AAPD are positioned to begin preparation of best practice guidelines that share common language and treatment recommendations for pulp therapies performed by both specialties.
本研究的目的是确定在2007年11月2日至3日由美国牙髓病学家协会（AAE）和美国儿科学会牙科学会（AAPD）联合主办的牙髓治疗研讨会上，儿科牙医和牙髓病学家之间的意见一致程度。进行了会前和会后测试，并比较了儿科牙医和牙髓病学家的答卷。征求了关于三个领域的意见：龋坏累及的乳牙的牙髓治疗；龋坏累及的未成熟恒牙的间接牙髓治疗（IPT）；以及包括牙髓血运重建和再生在内的创新治疗方案。结果采用卡方检验进行分析。会前和会后的反应比较以及两组参会者之间的比较表明，儿科牙科学和牙髓病学领域一致认为，甲醛甲酚将被取代作为乳牙牙髓切断术的药物，三氧化矿物凝聚体是取代它的首选，乳牙中的IPT有望取代牙髓切断术，并且IPT是龋坏累及的年轻恒牙可接受的牙髓治疗技术。两组都认为牙髓血运重建和再生在未来将是可行的治疗方式。AAE和AAPD准备开始制定最佳实践指南，这些指南将为两个专业进行的牙髓治疗共享通用语言和治疗建议。
