Acharya Sonu, Gurunathan Deepa, Assiry Ali A, Luke Alexander Maniangat, Shetty Krishna Prasad, Karobari Mohmed Isaqali
Department of Pediatric and Preventive Dentistry, Institute of Dental Sciences, Siksha 'O' Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India.
Department of Pediatric and Preventive Dentistry, Saveetha Dental College, SIMATS, Chennai, Tamil Nadu, India.
Int J Clin Pediatr Dent. 2024 Sep;17(9):1025-1029. doi: 10.5005/jp-journals-10005-2953.
Pulp capping is a vital dental procedure used to preserve the vitality of teeth affected by deep caries lesions without irreversible pulpitis. The use of modern bioceramic materials has enhanced the predictability of vital pulp therapy (VPT).
This study aimed to assess the clinical success of Biodentine, modified NeoPutty mineral trioxide aggregate (MTA), and calcium hydroxide (Ca(OH)2) as pulp capping materials for indirect pulp capping in carious primary teeth.
Indirect pulp treatment (IPT) was performed on 36 deciduous molars in 36 patients presenting with deep carious lesions. The teeth were randomly assigned to three groups: Biodentine (12 teeth), NeoPutty MTA (12 teeth), and Ca(OH)2 (12 teeth). Patients were monitored at 1, 3, and 6 months post-treatment to evaluate the clinical success of the procedures.
Statistical analysis was conducted using Statistical Package for the Social Sciences (SPSS) software version 21.0. Pearson's Chi-squared test was employed to compare success and failure rates among Biodentine, MTA, and Ca(OH)2 at three different time intervals (30, 90, and 180 days) and overall success and failure rates regardless of the time intervals.
In the statistical analysis, different pulp capping materials yielded varying success rates. The NeoPutty MTA group demonstrated a success rate of 91.67%, the Biodentine group 83.33%, and the Ca(OH)2 group 58.33% after 6 months. However, these differences were not statistically significant.
Indirect pulp treatment with calcium silicate-based materials, such as Biodentine and modified NeoPutty MTA, showed superior results compared to the use of calcium hydroxide (Ca(OH)2). Although differences in success rates were observed among the materials, they did not reach statistical significance.
Acharya S, Gurunathan D, Assiry AA, Comparison of Modified NeoPutty MTA®, Biodentine, and Calcium Hydroxide in Indirect Pulp Therapy in Deciduous Teeth: An Clinical Study. Int J Clin Pediatr Dent 2024;17(9):1025-1029.
盖髓术是一种重要的牙科治疗方法，用于保存受深龋病变影响但未发生不可逆牙髓炎的牙齿的活力。现代生物陶瓷材料的使用提高了牙髓活力保存治疗（VPT）的可预测性。
本研究旨在评估百康特（Biodentine）、改良型新糊剂矿物三氧化物凝聚体（NeoPutty MTA）和氢氧化钙（Ca(OH)2）作为龋源性乳牙间接盖髓材料的临床成功率。
对36例患有深龋病变的患者的36颗乳磨牙进行间接牙髓治疗（IPT）。将牙齿随机分为三组：百康特组（12颗牙）、新糊剂MTA组（12颗牙）和氢氧化钙组（12颗牙）。在治疗后1、3和6个月对患者进行监测，以评估治疗的临床成功率。
使用社会科学统计软件包（SPSS）21.0版进行统计分析。采用Pearson卡方检验比较百康特、MTA和氢氧化钙在三个不同时间间隔（30、90和180天）的成功率和失败率，以及不考虑时间间隔的总体成功率和失败率。
在统计分析中，不同的盖髓材料成功率不同。6个月后，新糊剂MTA组的成功率为91.67%，百康特组为83.33%，氢氧化钙组为58.33%。然而，这些差异无统计学意义。
与使用氢氧化钙（Ca(OH)2）相比，使用硅酸钙基材料（如百康特和改良型新糊剂MTA）进行间接牙髓治疗显示出更好的效果。虽然材料之间观察到成功率的差异，但未达到统计学意义。
阿查里亚S、古鲁纳坦D、阿西里AA，改良型新糊剂MTA®、百康特和氢氧化钙在乳牙间接牙髓治疗中的比较：一项临床研究。《国际临床儿科牙科学杂志》2024；17(9):1025 - 1029。
