| 钱芳,李琴,许维刚.iRoot BP Plus在成熟恒牙活髓保存治疗中的疗效分析[J].口腔材料器械杂志,2021,30(4):260-264. |
| iRoot BP Plus在成熟恒牙活髓保存治疗中的疗效分析 |
| Clinical effect of iRoot BP Plus on the treatment of vital pulp preservation of mature permanent teeth |
| 投稿时间：2021-02-19 修订日期：2021-08-21 |
| DOI：10.11752/j.kqcl.2021.04.13 |
| 中文关键词: 活髓保存 iRoot BP Plus 成熟恒牙 龋源性露髓 |
| 英文关键词:Vital pulp preservation iRoot BP Plus Mature permanent teeth Carious pulp expose |
| 基金项目: |
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| 中文摘要: |
| 目的 评价iRoot BP Plus用于成熟恒牙活髓保存治疗（直接盖髓术和部分活髓切断术）的临床疗效。方法 选取120例共120颗因龋露髓成熟恒牙牙髓炎患者，随机分为A（直接盖髓术）、B（部分活髓切断术）和C（根管治疗术）3组，每组40例，术后第3、6、12个月复查，综合评价3组的疗效、发生不良反应和患者满意度的差异。结果 3组患牙治疗效果均较好：术后3个月，A、B、C组的治疗成功率分别是92.5%、97.5%、95.0%；术后6个月，3组分别是90.0%、95.0%、92.5%；术后12个月，3组分别是90.0%、95.0%、90.0%。在不同时间段，3组之间治疗的成功率和术后不良反应发生率的差异均无统计学意义（P>0.05）。A、B两组的患者综合满意度明显高于C组（P<0.05）。结论 iRoot BP Plus用于因龋露髓的成熟恒牙活髓保存治疗，疗效可靠，可以避免根管治疗所产生的术后并发症，值得临床推广。 |
| 英文摘要: |
| Objective The study aimed to evaluate the clinical effect of iRoot BP Plus used as pulp capping agents on vital pulp preservation (direct pulp capping and partial pulpotomy) for mature permanent teeth. Methods 120 cases of pulpitis of mature permanent teeth due to caries and pulp exposure were selected as the study objects. 120 teeth were randomly divided into three groups:group A (direct pulp capping group), group B (partial pulpotomy group) and group C (root canal therapy group). 40 patients in each group were reexamined in the 3rd, 6th and 12th month after operation. In the regular reexamination, the therapeutic effect, the incidence of postoperative adverse effects and satisfaction of patients inthe three groups were observed and compared to evaluate the therapeutic effect of each group. SPSS17.0 statistical software was used for data analysis. Results All three groups were well treated:after treatment for 3 months, the success rates of group A、B and C were 92.5%, 97.5% and 95.0% respectively; after treatment for 6 months, the success rates of three groups were 90.0%, 95.0% and 92.5% respectively; after treatment for 12 months, the success rates of three groups were 90.0%, 95.0% and 90.0% respectively. There was no significant difference in the success rate among the three groups during the follow-up period (P>0.05). Similarly, there was no significant difference in the incidence of postoperative adverse effectsamong the three groups (P=0.144). However, the comprehensive satisfaction of patients in group A and group B was 97.5%, which was significantly higher than 80.0% in group C (P=0.029). Conclusions iRoot BP Plus can be used for the treatment of vital pulp preservation, which is not only effective for the treatment of pulpitis of mature permanent teeth due to caries and pulp exposure, but is also able to avoid many potential postoperative complications caused by root canal treatment. Therefore, Vital pulp preservation using iRoot BP Plus as pulp capping agents is worthy of clinical practice. |
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