Prabhakar A R, Sridevi E, Raju O S, Satish V
Department of Pedodontics and Preventive Dentistry, Bapuji Dental College and Hospital, Davangere 577 004, Karnataka, India.
J Indian Soc Pedod Prev Dent. 2008 Jan;26 Suppl 1:S5-10.
The purpose of this study was to evaluate clinical and radiographic success of endodontic treatment of infected primary teeth using combination of ciprofloxacin, metronidazole, and minocycline.
The treatment was performed on selected 60 teeth, which were randomly divided into two groups, viz. Group A and B with 30 teeth in each group. In Group A, only the necrotic coronal pulp was removed, whereas in Group B both necrotic coronal as well as all accessible radicular pulp tissue was extirpated. The orifice of the canal was enlarged in both the groups and was termed as "Medication cavity." The medication cavity was half-filled with antibacterial mix, sealed with glass-ionomer cement and reinforced with composite resin. Resolution of clinical signs and symptoms was evaluated within a month after the treatment. At every subsequent visit, clinical and radiographic evaluation was done once in 6 months for a period of one year.
Both the groups showed considerable clinical and radiographic success, but Group B showed greater clinical and radiographic success than Group A.
本研究的目的是评估使用环丙沙星、甲硝唑和米诺环素联合治疗感染乳牙的牙髓治疗的临床和影像学成功率。
对选定的60颗牙齿进行治疗，随机分为两组，即A组和B组，每组30颗牙齿。A组仅去除坏死的冠髓，而B组则去除坏死的冠髓以及所有可触及的根髓组织。两组均扩大根管口，称为“药物腔”。药物腔用抗菌混合物填充一半，用玻璃离子水门汀密封，并用复合树脂加固。治疗后1个月内评估临床体征和症状的缓解情况。在随后的每次就诊时，每6个月进行一次临床和影像学评估，为期一年。
两组均显示出相当的临床和影像学成功率，但B组的临床和影像学成功率高于A组。
