Yaman E, Görken F, Pinar Erdem A, Sepet E, Aytepe Z
Department of Paediatric Dentistry, Istanbul University, Istanbul, Turkey.
Eur Arch Paediatr Dent. 2012 Aug;13(4):197-202. doi: 10.1007/BF03262870.
To compare the clinical and radiographic success rates of two vital pulpotomy agents: formocresol (FC) and Ankaferd Blood Stopper(®) (ABS), in primary molars during a 12-month follow-up period.
A randomised, single-blind study design was used in a sample of 30 healthy 6-9 year old children with 60 carious primary molars without clinical or radiographic evidence of pulp degeneration.
The pulpotomy agents were assigned as follows: Group 1 was 1:5 diluted Buckley's formocresol (FC) and Group 2 was ABS. Clinical and radiographic follow-up at 3, 6, and 12 months used the following criteria: pain, swelling, sinus tract, mobility, internal root resorption, and furcation and/or periapical bone destruction.
The data were analysed using Chi-square tests.
The clinical and radiographic evaluation at 3 months revealed total success rates of 100% in the FC and ABS groups. Success rates in FC and ABS groups at 6 months were 96.7% and 93.3% respectively. At the 12-month follow-ups, the total success rates in the FC, and ABS groups were 89.3% and 85.7%, respectively. When the groups were compared according to the time intervals, no significant differences were observed between the 3, 6, and 12 month values. The success rates of the materials decreased over time.
FC and ABS were found successful as pulp dressings in primary molars. ABS appears to be an alternative pulpotomy agent but periodical follow-ups must be considered to evaluate long term success rates.
比较两种活髓切断术药物——甲醛甲酚(FC)和安卡芬德止血剂(ABS)在乳牙活髓切断术中的临床成功率和影像学成功率,随访期为12个月。
采用随机单盲研究设计,选取30名6 - 9岁健康儿童,其60颗龋坏乳牙无牙髓退变的临床或影像学证据。
活髓切断术药物分配如下:第1组为1:5稀释的巴克利甲醛甲酚(FC),第2组为ABS。在3、6和12个月时进行临床和影像学随访,采用以下标准:疼痛、肿胀、窦道、松动度、牙根内吸收以及根分叉和/或根尖周骨破坏。
采用卡方检验分析数据。
3个月时的临床和影像学评估显示,FC组和ABS组的总成功率均为100%。FC组和ABS组6个月时的成功率分别为96.7%和93.3%。在12个月随访时,FC组和ABS组的总成功率分别为89.3%和85.7%。按时间间隔比较两组时,3、6和12个月的值之间未观察到显著差异。材料的成功率随时间下降。
FC和ABS作为乳牙牙髓敷料是成功的。ABS似乎是一种替代活髓切断术药物,但必须考虑定期随访以评估长期成功率。