Magnusson B O
Acta Odontol Scand. 1978;36(3):157-65. doi: 10.3109/00016357809004665.
The results of therapeutic pulpotomies in primary molars with formocresol technique were studied by systematic follow-up. Of 84 primary lower molars in the clinical study, 56 became available for histological examination. The radiographic follow-up revealed periradicular osteitis in 10 per cent of the teeth treated. Internal root resorption was seen in 37 per cent of the teeth, or one-fifth of the roots treated. The histological examination revealed a very capricious diffusion of the medicament throughout the pulp tissue. Vital pulp remnants in the apical part of the treated roots showed no signs of healing. All pulps presented a varying number of inflammatory cells in the border zone adjacent to the formocresol-fixed region. In 80 per cent of the roots the histological sections revealed signs signs of internal resorption with or without incomplete repair tissue formation.
采用系统随访研究了用甲醛甲酚技术对乳磨牙进行治疗性牙髓切断术的结果。在临床研究的84颗下颌乳磨牙中,56颗可供组织学检查。影像学随访显示,接受治疗的牙齿中有10%出现根尖周炎。37%的牙齿出现牙根内吸收,即接受治疗牙根的五分之一出现牙根内吸收。组织学检查显示,药物在整个牙髓组织中的扩散非常不规则。治疗牙根根尖部的活髓残余组织未见愈合迹象。所有牙髓在与甲醛甲酚固定区域相邻的边界区均有不同数量的炎症细胞。在80%的牙根中,组织学切片显示有牙根内吸收的迹象,伴有或不伴有不完全修复组织形成。