评价活髓切断术治疗失败的原因。
Evaluation of the reasons for failure in teeth with vital amputation treatment.
机构信息
Department of Pediatric Dentistry, Faculty of Dentistry, Fırat University, Elazıg, Turkey.
Department of Pediatric Dentistry, Faculty of Dentistry, Harran University, Sanlıurfa, Turkey.
出版信息
BMC Oral Health. 2023 Jul 6;23(1):455. doi: 10.1186/s12903-023-03171-z.
AIM
This study aims to evaluate the primary teeth undergoing amputation due to dental caries or trauma clinically and radiologically.
MATERIAL AND METHODS
The amputation treatment of 90 primary teeth of 58 patients (Female: 20, Male: 38) aged 4-11 years was evaluated clinically and radiologically. Calcium Hydroxide was used for amputation in this study. Composite or amalgam was preferred as filling material in the same session of the patients. Clinical/radiological (Periapical/Panoramic X-ray) examination was performed on the teeth that were unsuccessful in treatment, on the day of the patient's complaint, and at the end of 1 year in the others.
RESULTS
According to the clinical and radiological findings of the patients, 14.4% of the boys and 12.3% of the girls were unsuccessful. Amputation in male was a need in the 6-7 age group with a rate of 44.6% at most. Amputation in females was a need in the 8-9 age group with a rate of 52% at most.
CONCLUSION
Success in amputation treatment depends on the tooth, the dentist, and the dental material applied.
目的
本研究旨在临床和放射学角度评估因龋齿或外伤而截除的乳牙。
材料与方法
对 58 名 4-11 岁患者（女性 20 名，男性 38 名）的 90 颗乳牙进行临床和放射学截除治疗。本研究中使用氢氧化钙进行截除。在同一治疗阶段，复合树脂或银汞合金被优先用作填充材料。对于治疗不成功的牙齿，在患者就诊当天以及其他牙齿在 1 年后进行临床/放射学（根尖/全景 X 射线）检查。
结果
根据患者的临床和放射学发现，男孩中有 14.4%，女孩中有 12.3%的治疗不成功。男孩中截除的需求出现在 6-7 岁年龄组，最多有 44.6%的需求。女孩中截除的需求出现在 8-9 岁年龄组，最多有 52%的需求。
结论
截除治疗的成功取决于牙齿、牙医和应用的牙科材料。
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