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9至13岁儿童龋损暴露有症状的活髓成熟恒牙中生物活性玻璃陶瓷牙髓切断术的评估:一项为期24个月的临床影像学观察。

Evaluation of biodentine pulpotomy in caries-exposed symptomatic vital mature permanent teeth in 9‒13-year-old children: A 24-month clinico-radiographic observation.

作者信息

Singh Archana, Kaur Harsimran, Soni Priyanka, Choudhary Rishika, Yeluri Ramakrishna

机构信息

Department of Pedodontics & Preventive Dentistry, Runta College of Dental Sciences and Research, Chhatisgarh, India.

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

出版信息

J Dent Res Dent Clin Dent Prospects. 2022 Fall;16(4):264-269. doi: 10.34172/joddd.2022.042. Epub 2022 Dec 30.

Abstract

BACKGROUND

The present study evaluated the clinical and radiographic outcomes of Biodentine pulpotomy for 24 months in symptomatic vital mature permanent teeth with caries exposure.

METHODS

Seventy-three patients with a chief complaint of spontaneous pain in permanent teeth were screened. Finally, 47 mature permanent teeth underwent a Biodentine pulpotomy procedure. Clinical evaluation of 47 teeth was carried out at 1, 3, 6, 9, 12, and 24 months and radiographic evaluations were made at 6, 12, and 24 months. The success of Biodentine pulpotomy was evaluated using Pearson's chi-square test. The significance level was determined at <0.05.

RESULTS

At 24 months, the clinical and radiographic success rate was 97.78%, with only one clinical failure at 9 months.

CONCLUSION

The clinical and radiographic success of Biodentine pulpotomy was high (97.78%). Thus, Biodentine pulpotomy can be an alternative to root canal treatment (RCT) in symptomatic vital mature permanent teeth.

摘要

背景

本研究评估了在有症状的牙髓活力正常的成熟恒牙龋洞暴露情况下,使用生物陶瓷进行牙髓切断术24个月的临床和影像学结果。

方法

筛选出73例主诉恒牙自发痛的患者。最终,47颗成熟恒牙接受了生物陶瓷牙髓切断术。在术后1、3、6、9、12和24个月对47颗牙齿进行临床评估,并在术后6、12和24个月进行影像学评估。使用Pearson卡方检验评估生物陶瓷牙髓切断术的成功率。显著性水平设定为<0.05。

结果

在24个月时,临床和影像学成功率为97.78%,仅在9个月时有1例临床失败。

结论

生物陶瓷牙髓切断术的临床和影像学成功率较高(97.78%)。因此,在有症状的牙髓活力正常的成熟恒牙中,生物陶瓷牙髓切断术可作为根管治疗(RCT)的替代方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d38d/10407868/079a813081fa/joddd-16-264-g001.jpg

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