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[生物陶瓷糊剂在乳磨牙活髓切断术中的修复效果评估]

[Evaluation of bioceramic putty repairment in primary molars pulpotomy].

作者信息

Lei Y, Yang Y T, Zhan Y

机构信息

Third Clinical Division, Peking University School and Hospital of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, Beijing 100083, China.

出版信息

Beijing Da Xue Xue Bao Yi Xue Ban. 2019 Feb 18;51(1):70-74. doi: 10.19723/j.issn.1671-167X.2019.01.013.

Abstract

OBJECTIVE

To evaluate the clinical characteristics and effectiveness of bioceramic putty repairment (iroot BP Plus) used as pulp capping agents on pulpotomy in primary molars.

METHODS

Forty primary molars were treated by pulpotomy with bioceramic putty repairmen as the pulp capping agents at the Third Clinical Division of Peking University School and Hospital of Stomatology, from September 2016 to September 2017. The children who were followed up over one year were selected as the subjects of this study. The teeth were checked clinically and radiographically during fixed intervals, and classified into one of five outcomes: N, H, P, P, P. N, absence of clinical symptoms, and absence of apical radiolucency; H, absence of clinical symptoms, and nonpathologic radiographic change present; P, absence of clinical symptoms, and pathologic change present, no need for treatment; P, present or absence of clinical symptoms, pathologic change present treatment or extract immediately; P, premature loss of deciduous tooth. Molars classified into N and H were regarded as successful, classified into P, P and P were regarded as failed.

RESULTS

Followed up for 12-24 months (the average follow up time was 16months), thirty four children were finally included, aged from 3.1 years to 8.5 yaers (the average age was 4.3 years), forty primary molars were included. Thirty four primary molars were included into N group, with absence of clinical symptoms, absence of apical radiolucency. Two molars were included into H group with physiological root absorption. One molar was included into Pgroup with absence of clinical symptoms butinternal absorption of the root. Three molars were included into P group, with gingival fistula and apical radiolucency. None was included into P group. Thirty six teeth got successful treatment, four molars failed. One year success rate of pulpotomy of primary molars using bioceramic putty repairment was 95%.

CONCLUSION

Current evidence suggests that bioceramic putty repairment as a pulpotomy medicament showed satisfied clinical and radiographic result in pulpotomy of primary molars. Bioceramic putty repairment is an acceptable material when used in pulpotomy of primary molars.

摘要

目的

评估生物陶瓷糊剂(iRoot BP Plus)作为乳牙活髓切断术盖髓剂的临床特征及有效性。

方法

2016年9月至2017年9月,北京大学口腔医学院第三临床科室对40颗乳牙采用生物陶瓷糊剂修复术进行活髓切断术治疗。选取随访1年以上的儿童作为本研究对象。在固定间隔时间对牙齿进行临床和影像学检查,并分为以下五种结果之一:N,无临床症状,根尖无透射影;H,无临床症状,影像学表现为非病理性改变;P,无临床症状,但存在病理性改变,无需治疗;P,有或无临床症状,存在病理性改变,需治疗或立即拔除;P,乳牙过早脱落。分类为N和H的磨牙视为成功,分类为P、P和P的视为失败。

结果

随访12 - 24个月(平均随访时间为16个月),最终纳入34名儿童,年龄3.1岁至8.5岁(平均年龄4.3岁),共40颗乳牙。34颗乳牙纳入N组,无临床症状,根尖无透射影。2颗磨牙纳入H组,有生理性牙根吸收。1颗磨牙纳入P组,无临床症状,但牙根内吸收。3颗磨牙纳入P组,有牙龈瘘管和根尖透射影。无磨牙纳入P组。36颗牙齿治疗成功,4颗磨牙失败。使用生物陶瓷糊剂修复术进行乳牙活髓切断术的1年成功率为95%。

结论

现有证据表明,生物陶瓷糊剂作为乳牙活髓切断术的药物,在乳牙活髓切断术中显示出满意的临床和影像学结果。生物陶瓷糊剂用于乳牙活髓切断术是一种可接受的材料。

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