Departamento de Investigaciones, Faculty of Dentistry, University of Cartagena, Campus Ciencias de la Salud, Zaragocilla, Cartagena de Indias, Colombia.
Med Oral Patol Oral Cir Bucal. 2010 Nov 1;15(6):e942-6. doi: 10.4317/medoral.15.e942.
Evidence-based dentistry is a critical evaluation, awareness of the available evidence to improve decision making about the care of individual patients and/or communities.
To systematically analyze the available scientific literature on clinical and radiographic results of two materials used in pulpotomy in primary teeth: formocresol and mineral trioxide aggregate.
It was identified relevant publications through a search of electronic databases such as MEDLINE (Ovid) and The Cochrane Library. To be included in the review, studies had to define the material used in child patients with pulp exposure by caries or tooth-alveolar trauma.
Of the 21 articles obtained in the initial phase of the review, only 19 were available in full text and of these only met the requirements for inclusion 6 items, which were confronted, analyzed and discussed later.
The clinical evidence available showed significant differences regarding the use of a material or another. In addition to the findings of clinical follow--radiographic and taking into account the potential toxicity of formocresol suggest the use of mineral trioxide aggregate pulpotomy of primary teeth.
系统分析在用于儿童患者因龋齿或牙-牙槽外伤导致牙髓暴露的窝洞盖髓术中的两种材料(甲醛甲酚和三氧化矿物凝聚体)的临床和放射学结果的现有科学文献。
通过对电子数据库(如 MEDLINE[Ovid]和 The Cochrane Library)的检索,确定了相关的出版物。要被纳入综述,研究必须定义通过龋齿或牙-牙槽创伤导致牙髓暴露的儿童患者所使用的材料。
在综述的初始阶段获得的 21 篇文章中,只有 19 篇可全文获取,其中只有 6 项符合纳入标准,这些标准随后进行了对照、分析和讨论。
现有的临床证据表明,在使用一种材料还是另一种材料方面存在显著差异。除了临床随访-放射学的发现,并考虑到甲醛甲酚的潜在毒性,建议在儿童患者的窝洞盖髓术中使用三氧化矿物凝聚体。