Rai Ramya, Shashibhushan Kukkalli K, Babaji Prashant, Chandrappa Pradeep M, Reddy Vundela R, Ambareen Zeenath
Department of Pedodontics and Preventive, Sharavathi Dental College and Hospital, Shivamogga, Karnataka, India.
Department of Pedodontics and Preventive Dentistry, Sri Siddhartha Dental College and Hospital, Tumakuru, Karnataka, India.
Int J Clin Pediatr Dent. 2019 Nov-Dec;12(6):532-537. doi: 10.5005/jp-journals-10005-1686.
To evaluate the clinical and radiographic success rates of 3Mix and Vitapex in the treatment of necrosed primary teeth.
Seventy teeth of healthy children aged 4-9 years with necrotic primary molar (nonvital) were treated with 3Mix (lesion sterilization tissue repair therapy) and Vitapex before restoration with stainless steel crowns. The participants were followed up clinically and radiographically for 3 months and 6 months, respectively. The outcome was compared using Fisher exact test with a significance level of < 0.05.
Clinical success rate of 3Mix group at 3 months and 6 month follow-up was 100% and 97.14% and that of Vitapex group was 100% and 100%, respectively. The radiographic success rate of 3Mix group at 3 months and 6 months was 74.29% and 77.14% and of Vitapex group was 97.14% and 97.14%, respectively. Considering the clinical success, no statistical difference was found between the two groups at the end of 6 month ( = 1.000). But radiographically statistical significant difference was found between the two groups ( = 0.028).
Non-instrumentation endodontic treatment using 3Mix has shown a good clinical success of 97.14% but the radiographic success rate at 6 months was lower (77.14%). So it can be suggested that the use of 3Mix antibiotic treatment cannot replace conventional root canal treatment over the long term.
Rai R, Shashibhusan KK, Babaji P, Clinical and Radiographic Evaluation of 3Mix and Vitapex as Pulpectomy Medicament in Primary Molars: An Study. Int J Clin Pediatr Dent 2019;12(6):532-537.
评估3Mix和Vitapex治疗乳牙坏死的临床及影像学成功率。
选取70颗4 - 9岁健康儿童的坏死乳牙(无活力),在使用不锈钢冠修复前,分别用3Mix(病变消毒组织修复疗法)和Vitapex进行治疗。分别对参与者进行3个月和6个月的临床及影像学随访。采用Fisher精确检验比较结果,显著性水平<0.05。
3Mix组在3个月和6个月随访时的临床成功率分别为100%和97.14%,Vitapex组分别为100%和100%。3Mix组在3个月和6个月时的影像学成功率分别为74.29%和77.14%,Vitapex组分别为97.14%和97.14%。考虑临床成功率,6个月末两组间未发现统计学差异(P = 1.000)。但在影像学方面,两组间存在统计学显著差异(P = 0.028)。
使用3Mix进行非器械根管治疗已显示出良好的临床成功率,为97.14%,但6个月时的影像学成功率较低(77.14%)。因此可以认为,长期来看,使用3Mix抗生素治疗不能替代传统根管治疗。
Rai R, Shashibhusan KK, Babaji P, 乳牙根管治疗药物3Mix和Vitapex的临床及影像学评估:一项研究。《国际临床儿科牙科学杂志》2019年;12(6):532 - 537。