首页> 外文期刊>International journal of paediatric dentistry >Assessment of a novel alternative to conventional formocresol-zinc oxide eugenol pulpotomy for the treatment of pulpally involved human primary teeth: diode laser-mineral trioxide aggregate pulpotomy.
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Assessment of a novel alternative to conventional formocresol-zinc oxide eugenol pulpotomy for the treatment of pulpally involved human primary teeth: diode laser-mineral trioxide aggregate pulpotomy.

机译:评估传统的甲酚-氧化锌丁香酚切开术的新型替代品,用于治疗牙髓受累的人乳牙:二极管激光-三氧化二矿骨料切开术。

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Objective. The purpose of this study was to investigate whether a diode laser pulpotomy with mineral trioxide aggregate (MTA) sealing could be an acceptable alternative to the conventional formocresol pulpotomy and zinc oxide eugenol (ZOE) sealing in human primary teeth. Methods. A randomized, single-blind, split-mouth study was used with a sample of 16 children aged from 3 to 8 years (mean age = 5.10 years). A total of 26 pairs of teeth from these 16 patients were selected based on clinical and radiographic criteria. One tooth from each pair was randomly assigned to either the laser-MTA pulpotomy group or the formocresol-ZOE pulpotomy group. All teeth were followed up clinically and radiographically at 2.3, 5.2, 9.5 and 15.7 months. All extracted failures were sectioned and photographed to assess possible reasons for this. Results. A total of seven laser-MTA-treated teeth were deemed to be radiographic failures (mean time until failure = 9.1 months) compared to three formocresol-ZOE treated teeth (mean time until failure = 12.5 months). These results were not significant using Fisher's exact test (P > 0.05). Six of the laser-MTA failures and all three formocresol-ZOE failures exhibited furcal and/or periapical radiolucencies with or without pathologic root resorption. One of the laser-MTA failures displayed premature root resorption and is being observed for exfoliation. Analysis of photographs of teeth available for extraction revealed errors in clinical technique in addition to expected signs of a disease process such as the presence of granulation tissue and areas of pathologic root resorption. Conclusions. The laser-MTA pulpotomy showed reduced radiographic success rates compared to the formocresol-ZOE pulpotomy at 15.7 months; however, these results were not statistically significant. Improved success rates among a larger patient sample and a longer follow-up period would be required for the laser-MTA pulpotomy to be considered a routine alternative to the conventional formocresol-ZOE procedure. Meticulous restorative techniques must be followed to ensure the success of laser-MTA pulpotomies.
机译:目的。这项研究的目的是研究在人乳牙中采用三氧化二矿物骨料(MTA)密封的二极管激光牙髓切开术是否可以替代常规的甲酚-牙髓切开术和氧化锌丁香酚(ZOE)密封术。方法。对16名3至8岁(平均年龄= 5.10岁)的儿童进行了随机,单盲,双口研究。根据临床和影像学标准,从这16名患者中总共选择了26对牙齿。每对中的一颗牙齿随机分配到激光-MTA切髓治疗组或甲酚-ZOE切髓治疗组。所有牙齿均在2.3、5.2、9.5和15.7个月时进行临床和影像学随访。将所有提取的故障切片并拍照,以评估可能的原因。结果。与三只甲酚-ZOE治疗的牙齿(直至失败的平均时间= 12.5个月)相比,总共有7颗经MTA激光治疗的牙齿被认为是放射线照相失败(平均至失败时间9.1个月)。使用Fisher精确检验,这些结果并不显着(P> 0.05)。激光MTA失败中的六次和三甲酚-ZOE失败均显示出根尖和/或根尖的射线不透,伴或不伴有病理性根吸收。激光MTA失败之一显示根部吸收过早,并且观察到脱落。可供提取的牙齿照片的分析显示,除了疾病过程的预期征兆(例如肉芽组织的存在和病理性牙根吸收的区域)外,临床技术中还存在错误。结论与甲酚-ZOE肺部切开术相比,激光MTA肺部切开术在15.7个月时显示出较低的射线照相成功率。但是,这些结果在统计上并不显着。激光-MTA切髓术被认为是常规甲酚-ZOE手术的常规替代方法,需要在更大的患者样本中提高成功率,并需要更长的随访时间。必须遵循细致的修复技术,以确保激光MTA切髓术的成功。

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