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一项随机对照试验,比较3Mixtatin和改良3Mix-MP糊剂采用病变消毒和组织修复技术与传统根管治疗法对4至8岁儿童乳磨牙的疗效:一项研究。

A randomized control trial comparing the efficacy of 3Mixtatin and Modified 3Mix-MP paste using lesion sterilization and tissue repair technique to conventional root canal treatment in primary molars of children aged 4-8 years: An study.

作者信息

Thakur Seema, Deep Aman, Singhal Parul, Chauhan Deepak

机构信息

Department of Pediatric and Preventive Dentistry, H.P Government Dental College and Hospital, Shimla, Himachal Pradesh, India.

出版信息

Dent Res J (Isfahan). 2021 Nov 22;18:93. doi: 10.4103/1735-3327.330874. eCollection 2021.

Abstract

BACKGROUND

The aim of this study was to evaluate clinical and radiographic success rates of 3Mixtatin and Modified 3Mix-MP paste and compare it with conventional root canal treatment procedure in primary molars requiring pulpectomy.

MATERIALS AND METHODS

In this study, 66 primary molars in 52 children aged between 4 and 8 years with primary molars having chronic periapical abscess were treated randomly with 3Mixtatin, Modified 3Mix-MP paste, and Metapex. The subjects were reviewed at 6 and 12 months both clinically and radiographically after pulpal therapy to evaluate and compare the healing process. The data obtained were subjected to statistical analysis at a significance level of 0.05.

RESULTS

By the end of 12-month follow-up among the three groups, Group I seemed to be performing consistently better as compared to the other two groups when evaluated clinically and radiographically. However, Group III resulted in the greatest number of failures, with success rate being mere 42.9% at the end of follow-up period.

CONCLUSION

Radiographic and clinical healing occurred in all the three groups; however, based on our results, Group I seemed to be performing consistently better among the three groups at 12-month follow-up. Hence, it can be inferred that 3Mixtatin used as a localized agent is effective and comparable to both Modified 3Mix-MP paste and conventional pulpectomy procedure involving calcium hydroxide and iodoform paste in primary teeth.

摘要

背景

本研究旨在评估3Mixtatin和改良3Mix-MP糊剂的临床和影像学成功率,并将其与需要进行牙髓摘除术的乳磨牙传统根管治疗方法进行比较。

材料与方法

在本研究中,对52名年龄在4至8岁、患有慢性根尖周脓肿的乳磨牙患儿的66颗乳磨牙,随机采用3Mixtatin、改良3Mix-MP糊剂和Metapex进行治疗。在牙髓治疗后6个月和12个月对受试者进行临床和影像学复查,以评估和比较愈合过程。所获数据在显著性水平为0.05时进行统计分析。

结果

在三组的12个月随访结束时,从临床和影像学评估来看,第一组似乎始终比其他两组表现更好。然而,第三组的失败病例数最多,随访期结束时成功率仅为42.9%。

结论

三组均出现了影像学和临床愈合;然而,根据我们的结果,在12个月随访时,第一组在三组中似乎始终表现更好。因此,可以推断,用作局部用药的3Mixtatin是有效的,并且与改良3Mix-MP糊剂以及涉及氢氧化钙和碘仿糊剂的传统牙髓摘除术在乳牙治疗中效果相当。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d675/8672123/45a2e288f5bc/DRJ-18-93-g001.jpg

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