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首页> 外文期刊>Journal of Clinical and Diagnostic Research >A Comparative Clinical Radiological Study using Platelet Rich Fibrin and MTA in Pulpotomy of First Permanent Immature Molars
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A Comparative Clinical Radiological Study using Platelet Rich Fibrin and MTA in Pulpotomy of First Permanent Immature Molars

机译:血小板富纤维蛋白和MTA在第一种永久性未成熟臼齿中的比较临床放射性研究

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Maintaining a vital pulp of immature permanent teeth is an essential and important requirement for dentin formation. Every effort must be made to preserve the vitality of teeth with incomplete apices to maintain the physiological apex generation process as much as possible. Pulpotomy is considered as one of the successful procedures to maintain that process in immature teeth.Aim: To evaluate the treatment success of pulpotomy of first immature molars with irreversible pulpitis using Platelet-Rich Fibrin (PRF) or Mineral Trioxide Aggregate (MTA), monitoring the teeth for 1 year.Materials and Methods: A randomised clinical and radiological double-blinded evaluation was conducted in the Department of Paediatric Dentistry at Damascus University. The research sample consisted of 24 first permanent immature molars in 20 children between age group of 6-8 years. Each of them had at least one first permanent immature molar with irreversible pulpitis. The research sample was randomly divided into two equal groups according to the treatment method: 1) pulpotomy with PRF; and 2) pulpotomy using MTA. Treatment were evaluated through periodic reviews and clinical and radiological examinations of the treated teeth by three specialists to assess treatment success. The treatment outcome was determined in terms of success or failure during two study periods (after six months and after one year), McNemar’s and Chi-square tests were applied using IBM SPSS v. 20.0. The significance level was set at p<0.05.Results: Chi-square test showed that there were no statistically significant differences in the treatment success or failure between the treatment groups after six months and one year follow-up p>0.05. After analysing the results statistically using McNemar’s test, it was observed that the treatment success rate after one year (50%, n=6) was lesser than that after six months (100%, n=12) in the MTA treatment group (p=0.031*). In the treatment group using PRF, no significant difference (p=0.125) were observed in the success or failure of treatment between the two studied time periods (after six months and one year). Overall, the success rate of MTA was slightly higher than the success rate of PRF at the two study time periods (after six months and one year), the difference however was not statistically significant.Conclusion: Performing first immature molar pulpotomy using MTA had a slightly higher success rate than PRF pulpotomy.
机译:保持不成熟的永久性牙齿的重要纸浆是牙本质形成的必要和重要要求。必须尽一切努力保持牙齿的活力,不完整的分手可以尽可能地保持生理顶点生成过程。脉管被认为是将该过程维持在不成熟的牙齿中的成功程序之一。目的:使用富含血小板纤维蛋白(PRF)或矿物三氧化物聚集体(MTA)来评估第一种未固化臼齿的牙髓骨膜柱的治疗成功),监测牙齿1年。材料和方法:在大马士革大学的儿科牙科部门进行随机临床和放射性双盲评估。研究样本由年龄组6-8岁的20名儿童中的24名永久性未成熟臼齿组成。它们中的每一个至少有一个具有不可逆牙髓炎的第一个永久性未成熟磨牙。根据治疗方法随机将研究样品随机分为两组:1)PRF的牙髓; 2)使用MTA的牙髓切开术。通过定期评价和临床和放射检查,通过三个专家通过定期评估和临床和放射学检查进行评估,以评估治疗成功。治疗结果是在两项研究期间的成功或失败(六个月和一年后)的方面确定,使用IBM SPSS v.20.0施用McNemar和Chi-Square测试。显着性水平设定为P <0.05。结果:Chi-Square试验表明,治疗组在六个月后的治疗组之间没有统计学上显着差异,六个月后持续的P> 0.05。在使用MCNEMAR的试验统计上分析结果后,观察到,在MTA治疗组中六个月(100%,N = 12)后,一年后的治疗成功率较小(P. = 0.031 *)。在使用PRF的治疗组中,在两次学习期间(六个月和一年后)之间的成败中没有显着差异(p = 0.125)。总体而言,MTA的成功率略高于PRF的两次研究时间(六个月和一年)的成功率,然而差异在统计学上没有统计学意义。结论:使用第一个未成熟的磨牙牙髓术使用MTA的成功率略高于PRF牙髓。

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