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MTA与蜂胶在乳牙牙髓切断术中临床及影像学成功率的比较评估

Comparative Evaluation of Clinical and Radiographic Success of MTA and Propolis in Pulpotomy of Primary Molars.

作者信息

Aghazadeh Samaneh, Haghgoo Roza, Mehran Majid, Kadkhodaei Fatemeh

机构信息

Department of Pediatric Dentistry, Dental School, Shahed University, Tehran, Iran.

出版信息

Iran Endod J. 2018 Fall;13(4):508-514. doi: 10.22037/iej.v13i4.21335.

Abstract

INTRODUCTION

In this study, the results of using MTA and propolis in the pulpotomy of primary molar teeth are evaluated clinically and radiographically.

METHODS AND METHODS

A total of 25 healthy 4 to 8 year old children each having two carious primary molar teeth in one arch, based on inclusion criteria were selected. In each child, random assignment of the pulpotomy medicaments was done as follows: , MTA in one side; , Propolis in another side. All the pulpotomized teeth were evaluated at 3, 6, and 9 month clinically and radiographically, based on the scoring criteria system. Finally data was analyzed using GEE analysis.

RESULTS

Results showed that the effects of treatment and time on two scores were tested. Based on the results of this model, the chances of having clinical score 2, score 1 are about 2.7 times higher in MTA treatment than in propolis (=0.001). Similarly, the chance of having a clinical score 2 relative to its one, at 9 month is approximately 6.8 times higher than the 3 month (=0.000) and at 6 month is approximately 2.8 times higher than the 3 month (=0.005). The chance of having higher scores of radiographies in treatment of propolis is approximately 6.5 times than that of MTA (=0.000). Also, the chance of having higher scores of radiographic index at 6 month is approximately 5 times and at 9 month is approximately 27 times more than the 3 month (=0.00).

CONCLUSIONS

Based on the results of this experimental study, teeth treated with MTA showed more suitable clinical and radiographic results as compared to propolis at 9 months follow-up.

摘要

引言

在本研究中,对使用MTA和蜂胶进行乳磨牙牙髓切断术的结果进行了临床和影像学评估。

方法

根据纳入标准,共选取了25名4至8岁的健康儿童,每个儿童在一侧牙弓中有两颗龋坏的乳磨牙。在每个儿童中,牙髓切断术药物的随机分配如下:一侧使用MTA;另一侧使用蜂胶。根据评分标准系统,在3、6和9个月时对所有接受牙髓切断术的牙齿进行临床和影像学评估。最后使用GEE分析对数据进行分析。

结果

结果表明,对两个评分的治疗效果和时间进行了测试。基于该模型的结果,MTA治疗中临床评分为2分、评分为1分的几率比蜂胶治疗高约2.7倍(P=0.001)。同样,在9个月时临床评分为2分相对于评分为1分的几率比3个月时高约6.8倍(P=0.000),在6个月时比3个月时高约2.8倍(P=0.005)。蜂胶治疗中影像学评分较高的几率比MTA高约6.5倍(P=0.000)。此外,在6个月时影像学指数较高的几率比3个月时高约5倍,在9个月时比3个月时高约27倍(P=0.00)。

结论

基于本实验研究的结果,在9个月的随访中,与蜂胶相比,用MTA治疗的牙齿显示出更合适的临床和影像学结果。

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