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评估和比较富血小板纤维蛋白与矿物三氧化物凝聚体作为乳磨牙直接盖髓剂的效果:一项随机前瞻性临床研究。

To Evaluate and Compare Platelet-rich Fibrin and Mineral Trioxide Aggregate as Direct Pulp Capping Agents in Primary Molars: A Randomized Prospective Clinical Study.

作者信息

Tiwari Tanu, Tyagi Parimala, Tiwari Shilpi, Mali Shikha, Moudgalya Mydukur S, Jaiswal Nandani

机构信息

Consultant Pediatric Dentist, New Delhi, India.

Department of Pediatric and Preventive Dentistry, People's College of Dental Science and Research Center, Bhopal, Madhya Pradesh, India.

出版信息

Int J Clin Pediatr Dent. 2024 Apr;17(Suppl 1):S25-S29. doi: 10.5005/jp-journals-10005-2859.

Abstract

AIM

This study aimed to evaluate and compare the clinical and radiographic success of platelet-rich fibrin (PRF) and mineral trioxide aggregate (MTA) as direct pulp capping (DPC) agents in primary molars.

MATERIALS AND METHODS

In this study, 50 primary first and second molars from healthy children aged 5-9 years requiring pulp therapy were randomly allocated into two groups. In the PRF group, after coronal pulp removal and hemostasis, the remaining pulp tissue was covered with PRF preparation. In the MTA group, after coronal pulp removal and hemostasis, MTA was placed, followed by a zinc oxide eugenol (ZOE) base and glass ionomer cement (GIC) in both groups. Clinical and radiographic evaluations were undertaken at 1-, 3-, 6-, 9-, and 12-month intervals.

RESULTS

By the end of the 12th month, the overall success rate was 82.6% in the PRF group, whereas it was 61.9% in the MTA group.

CONCLUSION

Platelet-rich fibrin can be used successfully as an appropriate alternative material in DPC of primary teeth when compared with MTA.

HOW TO CITE THIS ARTICLE

Tiwari T, Tyagi P, Tiwari S, To Evaluate and Compare Platelet-rich Fibrin and Mineral Trioxide Aggregate as Direct Pulp Capping Agents in Primary Molars: A Randomized Prospective Clinical Study. Int J Clin Pediatr Dent 2024;17(S-1):S25-S29.

摘要

目的

本研究旨在评估和比较富血小板纤维蛋白(PRF)和三氧化矿物凝聚体(MTA)作为乳牙直接盖髓剂的临床和影像学成功率。

材料与方法

本研究中,将50颗来自5 - 9岁需要牙髓治疗的健康儿童的第一和第二乳磨牙随机分为两组。在PRF组中,去除冠髓并止血后,用PRF制剂覆盖剩余牙髓组织。在MTA组中,去除冠髓并止血后,放置MTA,然后两组均放置氧化锌丁香油(ZOE)基底和玻璃离子水门汀(GIC)。在1、3、6、9和12个月时进行临床和影像学评估。

结果

到第12个月末,PRF组的总体成功率为82.6%,而MTA组为61.9%。

结论

与MTA相比,富血小板纤维蛋白可成功用作乳牙直接盖髓的合适替代材料。

如何引用本文

Tiwari T, Tyagi P, Tiwari S, 评估和比较富血小板纤维蛋白和三氧化矿物凝聚体作为乳牙直接盖髓剂:一项随机前瞻性临床研究。《国际临床儿科牙科学杂志》2024;17(S - 1):S25 - S29。

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