Faghihi Taraneh, Haghgoo Roza, Taghizade Fateme, Zareiyan Mehrshad, Mehran Majid, Ansari Ghassem
Department of Pediatric Dentistry, Faculty of Dentistry, Ardabil University of Medical Sciences, Ardabil, Iran.
Department of Pediatric Dentistry, Faculty of Dentistry, Shahed University, Tehran, Iran.
Dent Res J (Isfahan). 2021 Nov 22;18:100. doi: 10.4103/1735-3327.330881. eCollection 2021.
Mineral trioxide aggregate (MTA) is known as a common biomaterial for pulpotomy of primary molars, with limitation including high cost, difficult handling, and long setting time. This study was conducted to compare the clinical and radiographic success rate of Allium sativum oil and MTA in pulpotomy of primary molar teeth.
This randomized, controlled, clinical trial was performed on a group of children with at least two symptom-free primary molars requiring pulpotomy. A total of 90 teeth were randomly assigned into two groups: After pulp amputation and hemostasis, Group I received MTA as medication in the pulp chamber and Group II received Allium sativum oil over the pulp stumps. Pulp chamber was then filled with reinforced ZOE paste (zinc oxide eugenol) and teeth were restored using stainless steel crowns. The follow-up scheme of 6, 12, and 18 months was set, and teeth evaluation was conducted by a calibrated pediatric dentist based on the modified criteria proposed by Zurn and Seale. The results were analyzed using the generalized estimating equation analysis with the = 0.05 as the level of significance.
The clinical success rate was 100% in both groups after all follow-ups. The radiographic success rate was, however, 91.1% after 6.75. 6% after 12 and 18 months in Group II while it was 95.6% after 6, 91.1% after 12 and 18 months in Group I in those follow-up points. The difference between the two groups was not statistically significant.
According to the results, Allium sativum oil has a high clinical and radiographic success rate comparable to those of MTA.
矿物三氧化物凝聚体（MTA）是乳牙活髓切断术中常用的生物材料，但其存在成本高、操作困难和凝固时间长等局限性。本研究旨在比较大蒜油和MTA在乳牙活髓切断术中的临床和影像学成功率。
本随机对照临床试验选取了一组至少有两颗无症状乳牙需要进行活髓切断术的儿童。总共90颗牙齿被随机分为两组：牙髓切断止血后，第一组在髓腔内使用MTA作为药物，第二组在牙髓残端涂抹大蒜油。然后用增强型氧化锌丁香酚糊剂（ZOE）填充髓腔，并用不锈钢冠修复牙齿。设定了6个月、12个月和18个月的随访计划，由一名经过校准的儿童牙医根据Zurn和Seale提出的改良标准对牙齿进行评估。采用广义估计方程分析结果，以α = 0.05作为显著性水平。
所有随访后两组的临床成功率均为100%。然而，在这些随访点上，第二组在6个月时影像学成功率为91.1%，12个月和18个月时为6%；第一组在6个月时为95.6%，12个月和18个月时为91.1%。两组之间的差异无统计学意义。
根据结果，大蒜油具有与MTA相当的高临床和影像学成功率。
