J Endod:发育成熟磨牙的4种活髓治疗的效果观察

2018-02-10 lishiting MedSci原创

活髓治疗(VPT)是最大限度减少对牙髓侵蚀的一种生物学疗法。这篇临床随机试验的目的是使用4种富含钙的混合水门汀(indirect pulp capping [IPC], direct pulp capping [DPC], miniature pulpotomy [MP]和full pulpotomy [FP])对发育成熟的恒磨牙(包括具有不可逆牙髓炎和存在根尖周炎临床体征的牙齿)进行深龋治疗,评

活髓治疗(VPT)是最大限度减少对牙髓侵蚀的一种生物学疗法。这篇临床随机试验的目的是使用4种富含钙的混合水门汀(indirect pulp capping [IPC], direct pulp capping [DPC], miniature pulpotomy [MP]和full pulpotomy [FP])对发育成熟的恒磨牙(包括具有不可逆牙髓炎和存在根尖周炎临床体征的牙齿)进行深龋治疗,评估和比较这4种VPTs的临床和X线治疗成功率。

研究将单盲的受试者(N = 302)随机分配4种治疗方法。当完成去龋未发现明显牙髓暴露时取消随机分配疗法,而采用IPC疗法。记录术前和术中的包括活力测试结果、牙髓/根尖状况以及暴露的类型和部位的数据。在治疗伊始直至术后1周,使用数字化等级量表测量疼痛情况。受试者随访1年。

结果显示,各组在年龄、性别、婚姻状态、教育以及受治医师之间的结果相似;患者采用所有治疗方法的术前和术中条件亦相似,并且对长期疗效没有影响。各组间的术前疼痛和根尖周炎均明显不同(P < .05);然而,这并不包括IPC组。在实施了统一标准的疼痛处理后,各治疗组间疼痛持续缓解的模式相似。VPT疗法在术后3和12个月的成功率与IPC相比分别为98.7%和100%,与DPC相比分别为98.4%和94.7%,与MP相比分别为98.4%和91.4%以及与FP相比分别为93.5%和95.5% (P > .05)。

结论:对于成熟恒磨牙的深龋治疗,临床和放射线结果显示,4种VPTs均具有较好的/相似的疗效。牙髓和根尖周的状态以及牙髓暴露的类型/部位对治疗效果没有明显影响。

原始出处:

Asgary S, Hassanizadeh R, et al. Treatment Outcomes of 4 Vital Pulp Therapies in Mature Molars. J Endod. 2018 Jan 31. pii: S0099-2399(17)31301-8. doi: 10.1016/j.joen.2017.12.010.

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    2018-02-12 neurowu
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    2018-02-10 1ddf0692m34(暂无匿称)

    学习了.涨知识

    0

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    2018-02-10 清风拂面

    谢谢分享学习

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=2019116, encodeId=d57d201911608, content=<a href='/topic/show?id=6f7f65262c4' target=_blank style='color:#2F92EE;'>#活髓治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65262, encryptionId=6f7f65262c4, topicName=活髓治疗)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ec19483, createdName=aids213, createdTime=Sat Nov 10 15:00:00 CST 2018, time=2018-11-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1347263, encodeId=c3a7134e26373, content=<a href='/topic/show?id=88713e938c1' target=_blank style='color:#2F92EE;'>#发育#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=37938, encryptionId=88713e938c1, topicName=发育)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f4c124, createdName=neurowu, createdTime=Mon Feb 12 03:00:00 CST 2018, time=2018-02-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1576160, encodeId=eaf415e616061, content=<a href='/topic/show?id=05a7e3816d7' target=_blank style='color:#2F92EE;'>#磨牙#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=14, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73816, encryptionId=05a7e3816d7, topicName=磨牙)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=570716304996, createdName=12498474m35暂无昵称, createdTime=Mon Feb 12 03:00:00 CST 2018, time=2018-02-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=286805, encodeId=b1b72868059f, content=学习了.涨知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220115/46bcf39c32de4aa6b45c5f9d66c8ee77/6cb4a20c55bb4b7691122f47747bfca2.jpg, createdBy=9dad1662329, createdName=1ddf0692m34(暂无匿称), createdTime=Sat Feb 10 13:29:22 CST 2018, time=2018-02-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=286796, encodeId=f6cc286e9610, content=谢谢分享学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM4o2XVpJ6449yqDsjibydI5HnJ8MibGxNn4HZiaZib0bdfibbwoz3KQrIyN9AGxq36ZlZRNicYlPfOOWMtwgsajY6mGNFiaPclFdowjD0/0, createdBy=97bd1338592, createdName=清风拂面, createdTime=Sat Feb 10 12:46:19 CST 2018, time=2018-02-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=286785, encodeId=9f8b286e85fc, content=^_^^_^, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/Swp2ehfHpiciczeTntUyQOlIGMzQ705ic67sdMTVMbwTv7KbmlUvxrGvRSvQZjPkz7ib5tEDfIaORgczPtmHDpwojg/0, createdBy=c54b2163125, createdName=wqkm, createdTime=Sat Feb 10 12:16:09 CST 2018, time=2018-02-10, status=1, ipAttribution=)]
    2018-02-10 wqkm

    ^_^^_^

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