Saber Afnan M, El Meligy Omar A, Alaki Sumer M
Department of Pediatric Dentistry, Faculty of Dentistry, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia.
Pediatric Dentistry Department, Faculty of Dentistry, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia; Pediatric Dentistry and Dental Public Health Department, Faculty of Dentistry, Alexandria University, Alexandria, Egypt.
Int J Clin Pediatr Dent. 2021 Nov-Dec;14(6):795-801. doi: 10.5005/jp-journals-10005-2073.
To provide an overview of the techniques of indirect pulp treatment (IPT) and the new materials used.
Indirect Pulp Treatment (IPT) is a conservative treatment approach that can be used in primary molars. Pulpotomy has been adopted as the treatment of choice for deep caries in primary molars. IPT showed higher success rates in recent researches.
Electronic search of English scientific papers was accomplished using PubMed, ScienceDirect, and Scopus. Papers published from 1995 to 2019 were included. Search terms used were recent advances, indirect pulp treatment, mineral trioxide aggregate (MTA), biodentine, TheraCal-LC, chlorhexidine gluconate (CHX), resin-modified glass ionomer (RMGI), and calcium hydroxide.
Seventy two papers were obtained from the electronic search and references of selected studies. Thirty five papers explained recent advances in IPT materials for primary molars. MTA produces more dentinal bridging with superior quality than calcium hydroxide. Similarly, Biodentine can form reparative dentin in a very short period. TheraCal-LC has increased stability and durability with strong physical properties and low solubility. Furthermore, CHX is a chemical disinfectant which can aid in increasing the success rate of IPT when conjugated with other materials. It produced highly successful IPT when combined with RMGI or calcium hydroxide.
IPT is the preferred treatment approach for preservation of primary dentition. CHX is an emerging material that can provide promising results in IPT when combined with other materials.
Up to date, no material had replaced the popular use of calcium hydroxide in IPT. The use of CHX with RMGI can increase the success rate while preserving the advantages of the latter as it is considered the liner of choice for primary teeth, making IPT a suitable substitute for pulpotomy in primary molars.
Saber AM, El Meligy OA, Alaki SM. Recent Advances in Indirect Pulp Treatment Materials for Primary Teeth: A Literature Review. Int J Clin Pediatr Dent 2021;14(6):795-801.
概述间接盖髓术（IPT）的技术及所使用的新材料。
间接盖髓术（IPT）是一种可用于乳磨牙的保守治疗方法。牙髓切断术已被用作乳磨牙深龋的首选治疗方法。在最近的研究中，IPT显示出更高的成功率。
通过PubMed、ScienceDirect和Scopus对英文科学论文进行电子检索。纳入1995年至2019年发表的论文。使用的检索词为最新进展、间接盖髓术、三氧化矿物凝聚体（MTA）、生物活性玻璃陶瓷（Biodentine）、TheraCal-LC、葡萄糖酸氯己定（CHX）、树脂改性玻璃离子水门汀（RMGI）和氢氧化钙。
通过电子检索和所选研究的参考文献共获得72篇论文。35篇论文解释了乳磨牙IPT材料的最新进展。MTA比氢氧化钙能产生质量更好的牙本质桥接。同样，生物活性玻璃陶瓷（Biodentine）能在很短时间内形成修复性牙本质。TheraCal-LC具有更高的稳定性和耐久性，物理性能强且溶解度低。此外，CHX是一种化学消毒剂，与其他材料结合时有助于提高IPT的成功率。它与RMGI或氢氧化钙联合使用时IPT取得了高度成功。
IPT是保留乳牙列的首选治疗方法。CHX是一种新兴材料，与其他材料结合时在IPT中可提供有前景的结果。
迄今为止，没有材料能取代氢氧化钙在IPT中的广泛应用。CHX与RMGI联合使用可提高成功率，同时保留后者作为乳牙首选垫底材料的优势，使IPT成为乳磨牙牙髓切断术的合适替代方法。
Saber AM, El Meligy OA, Alaki SM. 乳牙间接盖髓术材料的最新进展：一项文献综述。《国际临床儿科牙科学杂志》2021；14(6):795 - 801。
