University of Gazi, Faculty of Dentistry, Department of Paediatric Dentistry, Ankara, Turkey.
Eur J Paediatr Dent. 2012 Jun;13(2):118-22.
The purpose of this study was to evaluate and compare the clinical and radiographic findings of ferric sulphate (FS) and mineral trioxide aggregate (MTA) as vital pulpotomy materials in primary molars.
Participants, including 40 boys and 53 girls ranging between 5 and 10 years of age (mean age 7.7 years), were selected from the patient population at the University of Gazi Department of Paediatric Dentistry. The children were healthy and cooperative, with at least 1 symptom-free restorable and vital primary molar with deep carious lesions. The pulpotomies were performed by fifth-year undergraduate dental students. Members of the senior staff at the clinics supervised all of the procedures. Clinical and radiographic evaluations were performed at 1-, 3-, 6-, 9- and 12-month recall. The data were statistically analysed with chi-squared tests followed by a multiple comparison test.
The follow-up evaluations revealed that the clinical success rates were 84.7% for FS and 94.7% MTA. The radiographic success rates were 78.2 % for FS and 92.1 % for MTA. No significant difference was found between the clinical and radiographic outcomes of the two groups at all follow-ups (P >0.05).
The most common radiographic failure was internal resorption in both types of pulpotomies. Both MTA and FS can be suggested as an appropriate medicament for primary teeth pulpotomies.
本研究旨在评估和比较硫酸铁(FS)和三氧化矿物凝聚体(MTA)作为主要磨牙活髓切断术材料的临床和放射学发现。
参与者包括 40 名男孩和 53 名女孩,年龄在 5 至 10 岁之间(平均年龄为 7.7 岁),均选自加济大学儿科牙科患者人群。这些儿童健康且合作,至少有 1 颗无症状、可修复和有活力的主要磨牙,有深龋病变。牙髓切断术由五年级的本科牙科学生进行。临床高级工作人员监督所有程序。在 1、3、6、9 和 12 个月的随访时进行临床和放射学评估。使用卡方检验和多重比较检验对数据进行统计学分析。
随访评估显示,FS 的临床成功率为 84.7%,MTA 为 94.7%。FS 的放射成功率为 78.2%,MTA 为 92.1%。在所有随访中,两组的临床和放射学结果均无显著差异(P>0.05)。
最常见的放射学失败是两种牙髓切断术中的内吸收。MTA 和 FS 均可作为主要牙齿牙髓切断术的合适药物。