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使用生物陶瓷(Biodentine™)和三氧化矿物凝聚体进行乳磨牙牙髓切断术的临床和影像学成功率:一项24个月的随机临床试验。

The Clinical and Radiographic Success of Primary Molar Pulpotomy Using Biodentine™ and Mineral Trioxide Aggregate: A 24-Month Randomized Clinical Trial.

作者信息

Bani Mehmet, Aktaş Nagehan, Çınar Çağdaş, Odabaş Mesut Enes

机构信息

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

出版信息

Pediatr Dent. 2017 Jul 15;39(4):284-288.

PMID:29122067
Abstract

PURPOSE

The purpose of this study was to compare the clinical and radiographic success of Biodentine™ and mineral trioxide aggregate (MTA) pulpotomy in primary molars.

METHODS

Thirty-two four- to nine-year-olds were included in this study. The primary molars were randomly assigned to the Biodentine™ and MTA groups. After coronal pulp removal and hemostasis, the remaining pulp tissue was covered with Biodentine™ or MTA. All teeth were restored with stainless steel crowns. Clinical and radiographic successes and failures were recorded at six-, 12-, 18- and 24-month follow-ups. Data were statistically analyzed using Mann-Whitney U and Wilcoxon tests.

RESULTS

The 24-month follow-up evaluations revealed that the clinical success rates were 96.8 percent (30 out of 31) for both Biodentine™ and MTA. The radiographic success rates at 24 months were 93.6 percent (29 out of 31) for Biodentine™ and 87.1 percent (27 out of 31) for MTA. No significant differences were found among the groups at all follow-up appointments (P>0.05) Conclusion: Biodentine™ and mineral trioxide aggregate did not differ significantly in combined clinical and radiographic success after 24 months.

摘要

目的

本研究旨在比较Biodentine™和三氧化矿物凝聚体(MTA)在乳磨牙活髓切断术中的临床和影像学成功率。

方法

本研究纳入了32名4至9岁的儿童。将乳磨牙随机分为Biodentine™组和MTA组。在去除冠髓并止血后,用Biodentine™或MTA覆盖剩余的牙髓组织。所有牙齿均用不锈钢冠修复。在6个月、12个月、18个月和24个月的随访中记录临床和影像学的成功与失败情况。使用曼-惠特尼U检验和威尔科克森检验对数据进行统计学分析。

结果

24个月的随访评估显示,Biodentine™组和MTA组的临床成功率均为96.8%(31颗牙中的30颗)。Biodentine™在24个月时的影像学成功率为93.6%(31颗牙中的29颗),MTA为87.1%(31颗牙中的27颗)。在所有随访时间点,两组之间均未发现显著差异(P>0.05)。结论:24个月后,Biodentine™和三氧化矿物凝聚体在临床和影像学综合成功率方面无显著差异。

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