Jamali Zahra, Alavi Vajiheh, Najafpour Ebrahim, Aminabadi Naser Asl, Shirazi Sajjad
J Clin Pediatr Dent. 2018;42(5):361-366. doi: 10.17796/1053-4625-42.5.7. Epub 2018 May 15.
This study was conducted to compare the efficacy of 3Mixtatin (a combination of simvastatin and 3Mix antibiotic) with MTA and Formocresol for the pulpotomy of primary molars.
114 children aged 3-6 years old with 150 primary molars were randomly allocated to three groups. MTA, Formocresol or 3Mixtatin were used for Pulpotomies. Hard setting zinc oxide eugenol was used to cover these materials. The teeth were restored with amalgam. Blinded radiographic and clinical examinations were conducted at 6, 12 and 24 months after treatment for the presence of pain, tenderness to palpation and percussion, sinus tract, swelling, presence of internal or external root resorption, inter-radicular radiolucency, and periapical lesion.
122 teeth were available for 24-month follow-up study. The overall success rate was 78.9% for FC, 90.5% for 3Mixtatin and 88.1% for MTA group. There was no significant difference in overall success rate among the groups after 24-month follow-up (X=2.43, df = 2, P =0.27).
Our findings demonstrated remarkable results of 3Mixtatin in pulpotomy of primary teeth at the 24-month follow-up. Therefore, 3Mixtatin may be considered as an effective material in pulpotomy of primary teeth because of its successful results.
本研究旨在比较3Mixtatin(辛伐他汀与3Mix抗生素的组合)与MTA及甲醛甲酚用于乳牙牙髓切断术的疗效。
将114名3至6岁儿童的150颗乳牙随机分为三组。分别使用MTA、甲醛甲酚或3Mixtatin进行牙髓切断术。使用硬固性氧化锌丁香油覆盖这些材料。牙齿用银汞合金修复。在治疗后6、12和24个月进行盲法影像学和临床检查,观察有无疼痛、触诊和叩诊压痛、窦道、肿胀、牙根内或外吸收、根间透射区以及根尖周病变。
122颗牙齿可用于24个月的随访研究。甲醛甲酚组的总体成功率为78.9%,3Mixtatin组为90.5%,MTA组为88.1%。24个月随访后,各组总体成功率无显著差异(X=2.43,自由度=2,P=0.27)。
我们的研究结果表明,在24个月的随访中,3Mixtatin用于乳牙牙髓切断术取得了显著效果。因此,由于其成功的结果,3Mixtatin可被视为乳牙牙髓切断术中一种有效的材料。