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稀化银氨氟(1:10)与光固化氢氧化钙作为乳磨牙间接盖髓剂的随机临床试验。

Dilute Silver Diamine Fluoride (1:10) Versus Light Cure Calcium Hydroxide as Indirect Pulp Capping Agents in Primary Molars - A Randomized Clinical Trial.

机构信息

From the Department of Pedodontics & Preventive Dentistry, Teerthanker Mahaveer Dental College & Research Centre, Uttar Pradesh, India.

Nisha Shafi, BDS, Post Graduate Student.

出版信息

J Clin Pediatr Dent. 2022 Jul 1;46(4):273-279. doi: 10.22514/1053-4625-46.4.3.

Abstract

AIM

To evaluate the clinical and radiographic outcomes of diluted silver diamine fluoride (1:10) and light cure calcium hydroxide as indirect pulp capping agents in primary molars.

STUDY DESIGN

Fifty-six primary molars requiring indirect pulp treatment were randomly allocated to two groups: Dilute SDF (one drop of SDF mixed with 9 drops of distilled water giving a 1:10 dilution) and light cure calcium hydroxide. The indirect pulp treatment was followed by glass ionomer cement restoration and all primary molars received stainless steel crown as full coverage restoration. The teeth were followed up both clinically and radiographically at 1,6- and 12-months' time interval using a pre-determined criterion. The results were statistically analyzed using Chi square analysis. The significance level was set at p ≤0.05.

RESULTS

Overall clinical and radiographic success rate of indirect pulp treatment with SDF was 96% and with light cure calcium hydroxide was 91.6% respectively at the end of 12 months but the difference was not statistically significant (p>0.05).

CONCLUSION

Dilute silver diamine fluoride (1:10) can be advocated as potential indirect pulp capping agent in primary molars with deep carious lesions.

摘要

目的

评估稀释后的银氟化物(1:10)和光固化氢氧化钙作为乳牙间接盖髓剂的临床和放射学效果。

研究设计

将 56 颗需要间接牙髓治疗的乳磨牙随机分配到两组:稀释 SDF(SDF 一滴与 9 滴蒸馏水混合,得到 1:10 的稀释度)和光固化氢氧化钙。间接牙髓治疗后,用玻璃离子水门汀修复,所有乳磨牙均采用不锈钢冠进行全冠修复。使用预定的标准,在 1、6 和 12 个月的时间间隔内进行临床和放射学随访。使用卡方分析对结果进行统计学分析。显著性水平设为 p≤0.05。

结果

在 12 个月结束时,SDF 间接牙髓治疗的总体临床和放射学成功率为 96%,光固化氢氧化钙的成功率为 91.6%,但差异无统计学意义(p>0.05)。

结论

稀释后的银氟化物(1:10)可作为深龋病变乳牙的潜在间接盖髓剂。

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