Selvendran K E, Ahamed A Shafie, Krishnamurthy Madhuram, Kumar V Naveen, Raju Vignesh Guptha
Department of Conservative Dentistry and Endodontics, Karpaga Vinayaga Institute of Dental Sciences, Kanchipuram, Tamil Nadu, India.
Department of Conservative Dentistry and Endodontics, Rajah Muthiah Dental College and Hospital, Chidambaram, Tamil Nadu, India.
J Conserv Dent. 2022 Jan-Feb;25(1):68-71. doi: 10.4103/jcd.jcd_551_21. Epub 2022 May 2.
Pulp capping should always be considered as the primary treatment of choice for teeth without irreversible pulpitis in lesions approaching dental pulp. The predictability of vital pulp therapy has improved with the introduction of newer bioceramic materials.
The aim of this study was to evaluate the clinical success of Biodentine, calcium hydroxide (CH), and mineral trioxide aggregate (MTA) as pulp capping materials for indirect pulp capping in carious permanent teeth.
Indirect pulp capping was done for 36 molars of 36 patients with deep caries lesions. They were randomly divided into three groups: Biodentine group (12 teeth), MTA group (12 teeth), and CH group (12 teeth). Patients were recalled at 1, 3, and 6 months to evaluate the clinical success of the treatment outcome.
All statistical analysis was performed using SPSS software version 21.0. Pearson's Chi-square test was used to compare the success and failure rates between Biodentine, MTA, and Ca(OH) at three different time intervals (30, 90, and 180 days) and also the overall success and failure rates between Biodentine, MTA, and Ca(OH) irrespective of the time intervals. < 0.05 was considered statistically significant.
In a statistical trial/study, the pulp capping materials gave different success rates, 91.67% success in the Biodentine group, 83.33% success in the MTA group, and 58.33% success in the CH group. The results were not statistically significant.
Indirect pulp capping with calcium silicate materials provided better results compared to that of calcium hydroxide.
对于接近牙髓的病变中无不可复性牙髓炎的牙齿，牙髓盖髓术应始终被视为首选的主要治疗方法。随着新型生物陶瓷材料的引入，活髓治疗的可预测性有所提高。
本研究的目的是评估生物活性玻璃（Biodentine）、氢氧化钙（CH）和三氧化矿物凝聚体（MTA）作为龋损恒牙间接盖髓术的盖髓材料的临床成功率。
对36例患有深龋病变的患者的36颗磨牙进行间接盖髓术。将他们随机分为三组：生物活性玻璃组（12颗牙）、MTA组（12颗牙）和CH组（12颗牙）。在1、3和6个月时对患者进行回访，以评估治疗结果的临床成功率。
所有统计分析均使用SPSS 21.0软件进行。采用Pearson卡方检验比较生物活性玻璃、MTA和Ca(OH)在三个不同时间间隔（30、90和180天）的成功率和失败率，以及生物活性玻璃、MTA和Ca(OH)之间不考虑时间间隔的总体成功率和失败率。P < 0.05被认为具有统计学意义。
在一项统计试验/研究中，盖髓材料的成功率不同，生物活性玻璃组成功率为91.67%，MTA组成功率为83.33%，CH组成功率为58.33%。结果无统计学意义。
与氢氧化钙相比，硅酸钙材料间接盖髓术效果更好。
