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恒牙活髓治疗预后与牙位、牙弓位置、治疗类型以及乳磨牙破坏牙面数的相关性:一项回顾性研究。

Association of Vital Pulp Therapy Outcomes with Tooth Type, Arch Location, Treatment Type, and Number of Surfaces Destroyed in Deciduous Teeth: A Retrospective Study.

机构信息

Paediatric Dentistry Unit, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, Kota Bharu 16150, Kelantan, Malaysia.

Conservative Dentistry Unit, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, Kota Bharu 16150, Kelantan, Malaysia.

出版信息

Int J Environ Res Public Health. 2021 Jul 28;18(15):7970. doi: 10.3390/ijerph18157970.

DOI:10.3390/ijerph18157970
PMID:34360261
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8345547/
Abstract

There is a paucity of information concerning vital pulp treatment outcomes in the undergraduate teaching setting. This study aimed to determine which type of deciduous molar, arch location, type of vital pulp therapy, and the number of carious surfaces involved had a better prognosis when carried out by undergraduate dental students. The method used was the review of clinical records of 590 patients with 600 deciduous molars, that visited the outpatient undergraduate dental clinics for vital pulp therapy. Statistical analysis used to determine the associations of tooth type, arch location, treatment type, and the number of carious surfaces involved in successful outcomes was logistic regression analysis with significance set at < 0.05. According to the regression analysis model results, there was a significant association based on tooth type ( < 0.05) and arch location ( = 0.003). In addition, there was a significant association based on the type of treatment performed ( = 0.036). However, there was no significant association in success rates based on the number of carious surfaces involved ( = 0.873). In conclusion, second deciduous molars and maxillary deciduous molars had a better overall prognosis, and indirect pulp therapy was revealed to be more highly associated with successful treatment outcomes in comparison to ferric sulfate pulpotomy in our setting.

摘要

有关本科生教学环境中活髓治疗结果的信息很少。本研究旨在确定在本科生进行活髓治疗时,哪种类型的乳牙、牙弓位置、活髓治疗类型以及涉及的龋损表面数量具有更好的预后。方法是回顾性分析 590 名患者的临床记录,这些患者因活髓治疗而到门诊本科生牙科诊所就诊。采用逻辑回归分析来确定牙位、牙弓位置、治疗类型和涉及的龋损表面数量与成功治疗结果的相关性,显著性水平设为<0.05。根据回归分析模型结果,牙位(<0.05)和牙弓位置(=0.003)有显著相关性。此外,治疗类型(=0.036)也有显著相关性。然而,涉及的龋损表面数量与成功率之间没有显著相关性(=0.873)。总之,第二乳磨牙和上颌乳磨牙的总体预后较好,与硫酸铁牙髓切断术相比,间接牙髓治疗在我们的研究环境中与成功的治疗结果更相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6767/8345547/b26fff19beb7/ijerph-18-07970-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6767/8345547/660bde3be2e5/ijerph-18-07970-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6767/8345547/d9ee14d85a68/ijerph-18-07970-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6767/8345547/b26fff19beb7/ijerph-18-07970-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6767/8345547/660bde3be2e5/ijerph-18-07970-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6767/8345547/d9ee14d85a68/ijerph-18-07970-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6767/8345547/b26fff19beb7/ijerph-18-07970-g003.jpg

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Endodontic Microbiology: A Bibliometric Analysis of the Top 50 Classics.牙髓微生物学:50 篇经典文献的计量分析。
Biomed Res Int. 2021 Jun 1;2021:6657167. doi: 10.1155/2021/6657167. eCollection 2021.
2
The Emerging Role of Stem Cells in Regenerative Dentistry.干细胞在再生牙医学中的新兴作用。
Curr Gene Ther. 2020;20(4):259-268. doi: 10.2174/1566523220999200818115803.
3
Comparison of long-term outcomes between ferric sulfate pulpotomy and indirect pulp therapy in primary molars.硫酸铁活髓切断术与间接盖髓术治疗乳磨牙的长期疗效比较
J Dent Sci. 2019 Jun;14(2):134-137. doi: 10.1016/j.jds.2019.03.008. Epub 2019 Apr 4.
4
Comparative evaluation of biodentine, 2% chlorhexidine with RMGIC and calcium hydroxide as indirect pulp capping materials in primary molars: An study.生物活性玻璃陶瓷、含2%氯己定的树脂改性玻璃离子水门汀和氢氧化钙作为乳磨牙间接盖髓材料的比较评价:一项研究。
J Indian Soc Pedod Prev Dent. 2019 Jan-Mar;37(1):60-66. doi: 10.4103/JISPPD.JISPPD_213_17.
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Outcomes of Indirect Pulp Treatment in Primary Posterior Teeth: 6 Months' Follow-up.乳牙后牙间接盖髓治疗的效果:6个月随访
Contemp Clin Dent. 2018 Jun;9(Suppl 1):S69-S73. doi: 10.4103/ccd.ccd_48_18.
6
Clinical, Radiographic and Histological Evaluation of Primary Teeth Pulpotomy Using MTA And Ferric Sulfate.使用MTA和硫酸铁对乳牙髓切断术进行的临床、影像学和组织学评估
Braz Dent J. 2018 Mar-Apr;29(2):159-165. doi: 10.1590/0103-6440201801659.
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Bioactive Tricalcium Silicate-based Dentin Substitute as an Indirect Pulp Capping Material for Primary Teeth: A 12-month Follow-up.基于生物活性硅酸三钙的牙本质替代物作为乳牙间接盖髓材料的12个月随访
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Retrospective Study of the Survival Rates of Indirect Pulp Therapy Versus Different Pulpotomy Medicaments.间接盖髓术与不同牙髓切断术药物生存率的回顾性研究
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