N Nasseh Hitaf, El Noueiri Balsam, Pilipili Charles, Ayoub Fouad
Doctor, Department of Pediatric Dentistry, Lebanese University, Beirut, Lebanon.
Associate Professor, Department of Pediatric Dentistry, Lebanese University, Beirut, Lebanon.
Int J Clin Pediatr Dent. 2018 Sep-Oct;11(5):393-394. doi: 10.5005/jp-journals-10005-1546. Epub 2018 Oct 1.
Conservation of primary dentition is essential for maintenance of arch length, esthetic, mastication, speech and prevention of abnormal habits. The commonly supported treatment for retaining carious primary molars with affected pulp is pulpotomy.
The study aims to evaluate clinically and radiographically the rates of success and efficacy of Biodentine™ as pulpotomy medicament exclusively on primary molars with physiological root resorption.
A total number of 35 primary molars in stage three of formation were selected to undergo pulpotomy treatment. All teeth were restored with pediatric stainless-steel crowns.The clinical findings were evaluated at 1, 3, 6 and 12-month intervals and the radiographic follow-ups evaluations were done at 6 and 12 months. The resulting data were tabulated and statistically analyzed using IBM SPSS© for Windows version 20.0 (SPSS, Chicago, IL, USA). Mc Nemar test was conducted to evaluate the differences in results between months 6 and 12.
Periodontal ligament space (PLS) widening and alveolar bone lesion were not seen in any of the 35 cases, 9 teeth (25.7%) manifested pulp canal obliteration (PCO), and none of the cases showed signs of pathologic root resorption. The clinical and radiographic success rates in pulpotomy using Biodentine™ at 6 and 12 months were 100%.
Pulpotomies performed with Biodentine™ were entirely successful. This dressing material appears to be a serious pulpotomy agent in primary molars with root resorption. Nasseh HN, Noueiri BE, Pilipili C, Ayoub F. Evaluation of Biodentine Pulpotomies in Deciduous Molars with Physiological Root Resorption (Stage 3). Int J Clin Pediatr Dent., 2018;11(5):393-398.
保留乳牙列对于维持牙弓长度、美观、咀嚼、言语功能以及预防异常习惯至关重要。对于患有牙髓疾病的龋坏乳牙，常用的治疗方法是牙髓切断术。
本研究旨在通过临床和影像学评估，专门针对生理性牙根吸收的乳牙，评价BioDentine™作为牙髓切断术药物的成功率和疗效。
选取35颗处于形成期第三阶段的乳牙进行牙髓切断术治疗。所有牙齿均用儿童不锈钢冠修复。在1、3、6和12个月的间隔时间进行临床检查，并在6和12个月时进行影像学随访评估。将所得数据制成表格，并使用美国伊利诺伊州芝加哥市SPSS公司的IBM SPSS© for Windows版本20.0进行统计分析。采用Mc Nemar检验评估6个月和12个月结果之间的差异。
35例病例中均未发现牙周膜间隙（PLS）增宽和牙槽骨病变，9颗牙齿（25.7%）出现牙髓腔闭塞（PCO），且无一例出现病理性牙根吸收迹象。使用BioDentine™进行牙髓切断术在6个月和12个月时的临床和影像学成功率均为100%。
使用BioDentine™进行的牙髓切断术完全成功。这种敷料材料似乎是一种用于有牙根吸收乳牙的有效牙髓切断术药物。Nasseh HN、Noueiri BE、Pilipili C、Ayoub F。生理性牙根吸收（第三阶段）乳牙的BioDentine牙髓切断术评估。《国际临床儿科牙科学杂志》，2018年；11（5）：393 - 398。
