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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.

DOI:10.1186/s12903-023-03171-z
PMID:37415166
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10327274/
Abstract

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.

摘要

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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本文引用的文献

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Clinical and radiographic success of (partial) pulpotomy and pulpectomy in primary teeth: A systematic review.乳牙部分活髓切断术和牙髓摘除术的临床和放射学疗效:系统评价。
Eur J Paediatr Dent. 2021 Dec;22(4):273-285. doi: 10.23804/ejpd.2021.22.04.4.
2
Vital Pulp Therapy in Primary Dentition: Pulpotomy-A 100-Year Challenge.乳牙活髓治疗:牙髓切断术——百年挑战
Children (Basel). 2021 Sep 24;8(10):841. doi: 10.3390/children8100841.
3
Stainless steel crown vs bulk fill composites for the restoration of primary molars post-pulpectomy: 1-year survival and acceptance results of a randomized clinical trial.不锈钢预成冠与大颗粒型复合树脂在后牙牙髓治疗后修复乳磨牙的 1 年疗效:一项随机临床试验的生存和接受情况结果。
Int J Paediatr Dent. 2022 Jan;32(1):11-21. doi: 10.1111/ipd.12785. Epub 2021 Jul 16.
4
Different Pulp Dressing Materials for the Pulpotomy of Primary Teeth: A Systematic Review of the Literature.用于乳牙牙髓切断术的不同牙髓敷料材料:文献系统评价
J Clin Med. 2020 Mar 19;9(3):838. doi: 10.3390/jcm9030838.
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MTA and biodentine for primary teeth pulpotomy: a systematic review and meta-analysis of clinical trials.MTA 和生物陶瓷用于乳前牙活髓切断术:临床试验的系统评价和荟萃分析。
Clin Oral Investig. 2019 Apr;23(4):1967-1976. doi: 10.1007/s00784-018-2616-6. Epub 2018 Sep 20.
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A review on vital pulp therapy in primary teeth.乳牙活髓治疗综述
Iran Endod J. 2015 Winter;10(1):6-15. Epub 2014 Dec 24.
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Mineral Trioxide Aggregate vs. Calcium Hydroxide in Primary Molar Pulpotomy: A Systematic Review.乳牙牙髓切断术中三氧化矿物凝聚体与氢氧化钙的比较:一项系统评价
Iran Endod J. 2014 Spring;9(2):83-8. Epub 2014 Mar 8.
8
Evaluation and comparison of white mineral trioxide aggregate and formocresol medicaments in primary tooth pulpotomy: clinical and radiographic study.白色矿物三氧化物凝聚体与甲醛甲酚药物在乳牙牙髓切断术中的评估与比较:临床与影像学研究
J Indian Soc Pedod Prev Dent. 2014 Jan-Mar;32(1):13-8. doi: 10.4103/0970-4388.127043.
9
Primary molar pulpotomy: a systematic review and network meta-analysis.乳磨牙牙髓切断术:一项系统评价与网状Meta分析
J Dent. 2014 Sep;42(9):1060-77. doi: 10.1016/j.jdent.2014.02.001. Epub 2014 Feb 7.
10
Success rate of calcium hydroxide pulpotomy in primary molars restored with amalgam and stainless steel crowns.用汞合金和不锈钢冠修复的乳磨牙氢氧化钙盖髓术的成功率。
Br Dent J. 2010 May 8;208(9):E18; discussion 408-9. doi: 10.1038/sj.bdj.2010.446.