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传统与先进的乳牙盖髓材料。

Traditional Versus Advanced Pulp Capping Materials in Primary Teeth.

机构信息

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

出版信息

Ann Afr Med. 2024 Jul 1;23(3):243-247. doi: 10.4103/aam.aam_66_23. Epub 2024 Jul 20.

DOI:10.4103/aam.aam_66_23
PMID:39034542
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11364325/
Abstract

In situations where pulp degeneration and carious lesions may coexist, pulp therapy is a regularly employed method. Mineral trioxide aggregate, a material that is now utilized for indirect pulp treatment (IPT), is nontoxic and nonmutagenic. There is proof that the restoration margin can be sealed to manage the caries lesion. In terms of the clinical and radiological outcome, it has been demonstrated that IPT is more effective and secure than direct pulp capping and pulpotomy. The pulp capping treatment's goal is to protect the pulp from microorganisms as well as from thermal, electrical, chemical, and physical stimulation. There is evidence that suggests targeted caries clearance and composite restoration may stop caries lesions more effectively than full dentin removal. Various pulp capping materials that are available in the market were highlighted in this review, and the discussion of each material was expanded to demonstrate its clinical efficacy. Articles were specifically selected and discussed for the materials used for the IPT in the primary teeth as very few studies have been done so far in relation to this subject. A literature search in various libraries, including PubMed, Cochrane, ResearchGate, Scopus, ScienceDirect, and other libraries, was done for several available materials that have been used for the IPT procedure in primary dentition in the last 20 years.

摘要

在牙髓退变和龋损可能同时存在的情况下,牙髓治疗是一种常用的方法。三氧化矿物聚合体(mineral trioxide aggregate,MTA)是一种目前用于间接牙髓治疗(indirect pulp treatment,IPT)的材料,它无毒且无致突变性。有证据表明,修复边缘可以密封以控制龋损。在临床和影像学结果方面,IPT 被证明比直接盖髓和牙髓切断术更有效和安全。盖髓治疗的目的是保护牙髓免受微生物以及热、电、化学和物理刺激的侵害。有证据表明,有针对性的龋坏清除和复合修复可能比全牙本质去除更有效地阻止龋坏病变。本综述强调了市场上可用的各种盖髓材料,并扩展了对每种材料的讨论,以展示其临床疗效。专门选择和讨论了用于乳牙 IPT 的材料,因为到目前为止,针对这一主题的研究很少。在过去 20 年中,对包括 PubMed、Cochrane、ResearchGate、Scopus、ScienceDirect 在内的各种图书馆中的文献进行了检索,以寻找用于儿童恒牙 IPT 程序的多种现有材料。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5984/11364325/100c2b415f55/AAM-23-243-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5984/11364325/100c2b415f55/AAM-23-243-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5984/11364325/100c2b415f55/AAM-23-243-g001.jpg

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本文引用的文献

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Recent Advances in Indirect Pulp Treatment Materials for Primary Teeth: A Literature Review.乳牙间接盖髓治疗材料的最新进展:文献综述
Int J Clin Pediatr Dent. 2021 Nov-Dec;14(6):795-801. doi: 10.5005/jp-journals-10005-2073.
2
Evaluation of Compressive Strength of Several Pulp Capping Materials.几种盖髓材料抗压强度的评估
J Dent (Shiraz). 2021 Mar;22(1):41-47. doi: 10.30476/DENTJODS.2020.83964.1063.
3
Clinical and radiographic evaluation of indirect pulp treatment of young permanent molars using photo-activated oral disinfection versus calcium hydroxide: a randomized controlled pilot trial.
使用光活化口腔消毒与氢氧化钙对年轻恒牙进行间接盖髓治疗的临床和影像学评估:一项随机对照试验。
BDJ Open. 2020 Mar 17;6:4. doi: 10.1038/s41405-020-0030-z. eCollection 2020.
4
Direct pulp capping of primary molars using a novel fast-setting calcium silicate cement: a randomized clinical trial with 12-month follow-up.使用新型快速凝固硅酸钙水门汀对乳磨牙进行直接盖髓术:一项为期12个月随访的随机临床试验
Biomater Investig Dent. 2019 Nov 13;6(1):73-80. doi: 10.1080/26415275.2019.1688662. eCollection 2019.
5
Clinical and radiographic evaluation of indirect pulp capping with three different materials: a 2-year follow-up study.三种不同材料间接盖髓术的临床及影像学评价:一项为期 2 年的随访研究。
Eur J Paediatr Dent. 2019 Jun;20(2):105-110. doi: 10.23804/ejpd.2019.20.02.04.
6
Effect of pH on solubility of white Mineral Trioxide Aggregate and Biodentine: An in vitro study.pH值对白色矿物三氧化物聚合体和生物活性玻璃陶瓷溶解性的影响:一项体外研究。
J Dent Res Dent Clin Dent Prospects. 2018 Summer;12(3):201-207. doi: 10.15171/joddd.2018.031. Epub 2018 Sep 18.
7
Materials used for indirect pulp treatment in primary teeth: a mixed treatment comparisons meta-analysis.用于乳牙间接牙髓治疗的材料:混合治疗比较荟萃分析。
Braz Oral Res. 2017 Dec 18;31:e101. doi: 10.1590/1807-3107/2017.vol31.0101.
8
Bioactive Tricalcium Silicate-based Dentin Substitute as an Indirect Pulp Capping Material for Primary Teeth: A 12-month Follow-up.基于生物活性硅酸三钙的牙本质替代物作为乳牙间接盖髓材料的12个月随访
Pediatr Dent. 2017 Sep 15;39(5):377-382.
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Current trends and future perspectives of dental pulp capping materials: A systematic review.当前牙髓盖髓材料的趋势和未来展望:系统评价。
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Evaluation of indirect pulp capping using three different materials: A randomized control trial using cone-beam computed tomography.使用三种不同材料进行间接盖髓术的评估:一项使用锥形束计算机断层扫描的随机对照试验。
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