儿童牙髓受累年轻恒牙治疗方案的评估：一项系统评价与荟萃分析
Evaluation of the Treatment Protocols in the Management of Pulpally Involved Young Permanent Teeth in Children: A Systematic Review and Meta-analysis.
作者信息
Saxena Nivedita, Hugar Shivayogi M, Soneta Sanjana P, Joshi Riddhi S, Dialani Pooja K, Gokhale Niraj
机构信息
Department of Pediatric and Preventive Dentistry, Kaher's KLE VK Institute of Dental Sciences, Belgaum, Belagavi, Karnataka, India.
Department of Pedodontics and Preventive Dentistry, Kaher's KLE VK Institute of Dental Sciences, Belgaum, Belagavi, Karnataka, India.
出版信息
Int J Clin Pediatr Dent. 2022;15(Suppl 1):S103-S113. doi: 10.5005/jp-journals-10005-2218.
BACKGROUND
In children with young permanent teeth, dental caries and traumatic injuries are the most common problems leading to pulp necrosis. Since, root development is completed in two to three years after eruption of the tooth into the oral cavity, loss of pulp vitality in young permanent tooth creates distinctive problems. In spite of exceeding availability of treatment procedures there is a need to search for a substantial procedure to treat young permanent teeth effectively.
AIM
The aim of this systematic review was to evaluate the treatment protocols in the management of pulpally involved young permanent teeth in children.
METHOD
Systematic search was conducted on databases PubMed, Cochrane, and Google Scholar among studies published from 1st January 2010 till 31st May 2020. Studies meeting the inclusion criteria were included in the review and were then assessed for quality with the help of predetermined criteria which categorized studies into high, medium, and low.
RESULTS
Search strategy yielded 4,846 articles. After screening through titles and abstracts, 33 articles remained which were further screened for full text. At the end, 14 articles were included in systematic review. Furthermore, the included articles were statistically evaluated by meta-analysis.
CONCLUSION
In apexogenesis and apexification procedures, newer biomimetic materials like mineral trioxide aggregate and biodentine have more success rate than conventionally used calcium hydroxide. Among regenerative endodontic procedures platelet-rich plasma and platelet- rich fibrin showed better results.
CLINICAL SIGNIFICANCE
To amend clinician perceptions towards acceptance of the newer regenerative procedures and their effectiveness in management of young permanent tooth.
HOW TO CITE THIS ARTICLE
Saxena N, Hugar SM, Soneta SP, Evaluation of the Treatment Protocols in the Management of Pulpally Involved Young Permanent Teeth in Children: A Systematic Review and Meta-analysis. Int J Clin Pediatr Dent 2022;15(S-1):S103-S113.
背景
在年轻恒牙儿童中，龋齿和创伤性损伤是导致牙髓坏死的最常见问题。由于牙齿萌出到口腔后两到三年牙根发育完成，年轻恒牙牙髓活力丧失会产生独特的问题。尽管治疗方法种类繁多，但仍需要寻找一种有效的方法来治疗年轻恒牙。
目的
本系统评价的目的是评估儿童牙髓受累年轻恒牙治疗方案。
方法
对2010年1月1日至2020年5月31日发表的研究在PubMed、Cochrane和谷歌学术数据库中进行系统检索。符合纳入标准的研究纳入本评价，然后根据预定标准评估质量，将研究分为高、中、低三类。
结果
检索策略产生4846篇文章。通过标题和摘要筛选后，剩下33篇文章进行全文进一步筛选。最后，14篇文章纳入系统评价。此外，对纳入的文章进行荟萃分析进行统计学评估。
结论
在根尖诱导成形术和根尖屏障术过程中，新型仿生材料如矿物三氧化物凝聚体和生物活性玻璃比传统使用的氢氧化钙成功率更高。在牙髓再生治疗中，富血小板血浆和富血小板纤维蛋白显示出更好的效果。
临床意义
改变临床医生对接受新型牙髓再生治疗方法及其在年轻恒牙治疗中有效性的看法。
如何引用本文
Saxena N, Hugar SM, Soneta SP, 儿童牙髓受累年轻恒牙治疗方案的评价：一项系统评价和荟萃分析。国际临床儿科牙科学杂志2022；15（S-1）：S103-S113。
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