氟化亚银与三氧化矿物凝聚体作为深龋第一恒磨牙间接盖髓剂的临床和影像学评估：一项随机临床试验
Clinical and radiographic evaluation of silver diamine fluoride versus mineral trioxide aggregate as indirect pulp capping agents in deeply carious first permanent molars a randomized clinical trial.
作者信息
Zaghloul Marwa Ahmed Ahmed, El Sayed Manal Ahmed, Abd Al-Gawad Randa Youssef, Abd El-Samad Ahmed Mohamed
机构信息
Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Cairo University, Giza, Egypt.
Oral Radiology, Faculty of Dentistry, Cairo University, Giza, Egypt.
出版信息
BDJ Open. 2025 Jan 9;11(1):4. doi: 10.1038/s41405-024-00286-5.
AIM
Clinical and radiographic evaluation of SDF versus MTA as indirect pulp capping agents in deeply carious first permanent molars.
METHODOLOGY
This study was conducted on (30) first permanent molars indicated for indirect pulp capping (IPC) randomly allocated to either SDF or MTA groups (n = 15). The molars were finally restored with glass hybrid glass ionomer restoration. Clinical assessment was conducted at 3, 6, 9 and 12 months, while radiographic assessment was performed at 6 and 12 months using predetermined criteria. Data was statistically analyzed.
RESULTS
There was no statistically significant difference between both groups for all assessed clinical and radiographic parameters, including dentin bridge formation, at all follow-up periods. There was no evidence of clinical or radiographic failure in either group.
CONCLUSIONS
SDF showed a high success rate compared to MTA and can be considered a promising alternative IPC agent in permanent molars.
目的
比较次氯酸钠（SDF）与矿物三氧化物凝聚体（MTA）作为深龋第一恒磨牙间接盖髓剂的临床和影像学评估。
方法
本研究选取30颗需进行间接盖髓术（IPC）的第一恒磨牙，随机分为SDF组和MTA组（每组n = 15）。最终用玻璃离子水门汀修复磨牙。在3、6、9和12个月时进行临床评估，在6和12个月时使用预定标准进行影像学评估。对数据进行统计学分析。
结果
在所有随访期，两组所有评估的临床和影像学参数，包括牙本质桥形成，均无统计学显著差异。两组均无临床或影像学失败的证据。
结论
与MTA相比，SDF显示出较高的成功率，可被认为是恒牙中一种有前景的替代间接盖髓剂。
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