Pan Yao-Yao, Ma Xiao-Nan, Chen Cheng
Department of Stomatology, First Affiliated Hospital of Anhui Medical University. Hefei 230031, Anhui Province, China. E-mail:
Shanghai Kou Qiang Yi Xue. 2024 Apr;33(2):160-163.
To explore the efficacy of iRoot BP plus in the treatment of adult carious pulp exposure and its impact on pulp blood flow.
A total of 126 cases of 156 permanent teeth from adult patients with carious pulp exposure who were treated from January 2020 to January 2022 were selected, the patients were divided into experimental group(63 cases with 79 permanent teeth) and control group(63 cases with 77 permanent teeth) by the envelope method. The experimental group was treated with iRoot BP plus, while the control group was treated with mineral trioxide polymer. The differences in treatment effectiveness, operation time, and tooth discoloration between the two groups were observed. Statistical analysis was performed with SPSS 22.0 software package.
There was no significant difference in treatment success rates between the experimental group and the control group at 3, 6, and 12 months after surgery(P＞0.05). The operating time for each capsule in the experimental group was (2.53±0.41) min, which was significantly shorter than that in the control group(P＜0.05). The incidence of tooth discoloration in the experimental group at 12 months after surgery was 3.80%, which was significantly lower than that in the control group (P＜0.05). The bite force quotient and masticatory efficiency of the experimental group 12 months after operation were (16.65±1.14) Ibs and (94.45±5.65)%, which were significantly higher than those of the control group(P＜0.05).
IRoot BP plus has good efficacy in the treatment of adult carious pulp exposure, with advantages such as convenient operation, less tooth discoloration, less inflammatory reactions and stable pulp blood flow after decline.
探讨iRoot BP plus治疗成人龋源性露髓的疗效及其对牙髓血流的影响。
选取2020年1月至2022年1月治疗的成人龋源性露髓患者126例共156颗恒牙，采用信封法将患者分为试验组（63例，79颗恒牙）和对照组（63例，77颗恒牙）。试验组采用iRoot BP plus治疗，对照组采用三氧化矿物凝聚体治疗。观察两组治疗效果、操作时间及牙齿变色情况的差异。采用SPSS 22.0软件包进行统计学分析。
术后3、6、12个月试验组与对照组治疗成功率差异无统计学意义（P＞0.05）。试验组每颗牙操作时间为（2.53±0.41）分钟，显著短于对照组（P＜0.05）。试验组术后12个月牙齿变色发生率为3.80%，显著低于对照组（P＜0.05）。试验组术后12个月咬力商和咀嚼效率分别为（16.65±1.14）磅和（94.45±5.65）%，显著高于对照组（P＜0.05）。
iRoot BP plus治疗成人龋源性露髓疗效良好，具有操作方便、牙齿变色少、炎症反应轻及牙髓血流下降后稳定等优点。
