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一种新型止血剂对乳牙氢氧化钙活髓切断术成功率的影响。

A new haemostatic agent's effect on the success of calcium hydroxide pulpotomy in primary molars.

作者信息

Odabaş M E, Cinar C, Tulunoğlu O, Işik B

机构信息

Department of Pediatric Dentistry, Faculty of Dentistry, University of Gazi, Ankara, Turkey.

出版信息

Pediatr Dent. 2011 Nov-Dec;33(7):529-34.

Abstract

PURPOSE

The purpose of this study was to evaluate the effect of the application of a new hemostatic agent, Ankaferd Blood Stopper (ABS), on the clinical and radiographic success of calcium hydroxide (CH) pulpotomies in primary molars.

METHODS

Patients with bilateral vital mandibular primary molar teeth that required pulpotomies, because of pulpal exposure to caries, were selected for this study. After initial hemorrhage control, complete hemostasis into the canal orifice was achieved by: (1) applying a solution of ABS for 10 to 15 seconds; or (2) placing sterile, saline-wetted cotton pellets. Forty teeth in 2 groups were followed up clinically and radiographic at 1, 3, 6, 9, and 12 months.

RESULTS

CH group teeth had a total success rate of 90% at 12 months. CH+ABS group teeth had a total success rate of 95% at 12 months. There were no statistically significant differences between CH and CH+ABS group regarding both clinical and radiographic success rates.

CONCLUSION

Ankaferd Blood Stopper may be a useful product in the management of pulpal bleeding during a calcium hydroxide pulpotomy.

摘要

目的

本研究旨在评估新型止血剂安卡福血液阻断剂(ABS)对乳牙氢氧化钙(CH)活髓切断术临床和影像学成功率的影响。

方法

选取因龋坏导致牙髓暴露而需要进行活髓切断术的双侧下颌乳牙患儿作为研究对象。在初步控制出血后,通过以下方法实现根管口完全止血:(1)应用ABS溶液10至15秒;或(2)放置无菌、盐水浸湿的棉球。对两组各40颗牙齿在1、3、6、9和12个月进行临床和影像学随访。

结果

CH组牙齿在第12个月时的总成功率为90%。CH+ABS组牙齿在第12个月时的总成功率为95%。CH组和CH+ABS组在临床和影像学成功率方面均无统计学显著差异。

结论

安卡福血液阻断剂在氢氧化钙活髓切断术中处理牙髓出血方面可能是一种有用的产品。

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