Guguloth Shirisha, Jampanapalli Sharada Reddy, Patloth Tarasingh, Suhasini Konda, Ingua Hema Chandrika, Shaik Hasanuddin
Department of Pedodontics, Government Dental College and Hospital, Hyderabad, Telangana, India.
Int J Clin Pediatr Dent. 2023 Mar-Apr;16(2):223-226. doi: 10.5005/jp-journals-10005-2514.
Preservation of healthy pulp tissue is detrimental for the function and vitality of carious primary teeth. Several hemostatic agents used for pulpotomy in primary teeth showed adverse effects on viable surrounding structures.
To assess the clinical and radiographic success of chitosan (CH) pulpotomy in primary molars and to compare it with ferric sulphate (FS).
A total of 40 carious lower primary second molars in 5-9 years children are selected for conventional pulpotomy technique. Over radicular stumps, FS is placed for 15 seconds in the control group, and CH for 4-5 minutes in the study group, followed by intermediate restoration (IRM). Intraoral periapical radiographs were taken immediately after 1 week and after 3rd and 6th months. The clinical and radiographic success rate is assessed and statistically analyzed.
Chitosan (CH) showed a 65% radiographical and 100% clinical success rate, and FS showed 55 and 95%, respectively.
Chitosan (CH) showed better results than FS as a pulpotomy agent in primary teeth.
Guguloth S, Jamnapalli SR, Patloth T, Evaluation of Chitosan and Ferric Sulphate as Pulpotomy Agents in Primary Teeth: A Randomized Controlled Trial. Int J Clin Pediatr Dent 2023;16(2):223-226.
保留健康的牙髓组织对龋坏乳牙的功能和活力有害。几种用于乳牙牙髓切断术的止血剂对周围存活组织有不良影响。
评估壳聚糖(CH)牙髓切断术治疗乳牙第一恒磨牙的临床和影像学成功率,并与硫酸铁(FS)进行比较。
选取5-9岁儿童的40颗龋坏下颌乳牙第二恒磨牙进行传统牙髓切断术。在对照组中,将硫酸铁置于牙根残端15秒,在研究组中,将壳聚糖置于牙根残端4-5分钟,然后进行中间修复(IRM)。术后1周、3个月和6个月时立即拍摄口腔内根尖片。评估临床和影像学成功率并进行统计学分析。
壳聚糖(CH)的影像学成功率为65%,临床成功率为100%,硫酸铁的影像学成功率和临床成功率分别为55%和95%。
在乳牙牙髓切断术中,壳聚糖(CH)作为一种牙髓切断剂比硫酸铁效果更好。
古古洛思S、贾姆纳帕利SR、帕洛思T,壳聚糖和硫酸铁作为乳牙牙髓切断剂的评价:一项随机对照试验。《国际临床儿科牙科学杂志》2023年;16(2):223-226。