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J Endod:使用TheraCal进行部分牙髓切断术后牙髓的反应:一项临床试验

2017-08-23 MedSci MedSci原创

对于含树脂的充填材料如TheraCal直接作用于牙髓的效力一直存有疑问。这篇研究的目的是为了评估应用TheraCal进行部分牙髓切断术的临床效力,并与Biodentine和ProRoot MTA相比较。

对于含树脂的充填材料如TheraCal直接作用于牙髓的效力一直存有疑问。这篇研究的目的是为了评估应用TheraCal进行部分牙髓切断术的临床效力,并与Biodentine和ProRoot MTA相比较。

在这项临床试验中,对27颗完整的预计拔除的人上下颌第三磨牙实施部分牙髓切断术。牙齿随机分为3组(n = 9),并分别应用TheraCal, Biodentine和ProRoot MTA进行牙髓切断术。随后,使用玻璃离子粘固剂充填牙齿。在术后1和8周进行临床和电活力测试。8周后,牙齿进行放射线检查并拔除。组织学切片预备,并检测牙髓炎症和牙本质桥形成情况。数据通过one-way方差分析进行统计学检验。

临床检查显示,ProRoot MTA和Biodentine组对冷、热和触诊不敏感。TheraCal组在1周时有2名患者(20%)疼痛明显。根尖周X线片显示未发现明显的根尖病理学改变,电活力测试显示牙髓反应正常,没有发生超敏反应。8周时,所有组均未发现炎症反应。ProRoot MTA组有33.33%牙齿显示为正常牙髓组织,TheraCal组有1.11%,而Biodentine组有66.67% (P = .06)。Biodentine组的所有牙齿均展现出完整的牙本质桥形成,而TheraCal和ProRoot MTA组含有完整牙本质桥的比例分别为11%和56% (P = .001)。

结论:总的来说,Biodentine和MTA作为部分牙髓切断术盖髓剂的表现要明显优于TheraCal,并展现出最佳的临床疗效。

原始出处

Bakhtiar H, Nekoofar MH, et al. Human Pulp Responses to Partial Pulpotomy Treatment with TheraCal as Compared with Biodentine and ProRoot MTA: A Clinical Trial. J Endod. 2017 Aug 16. pii: S0099-2399(17)30812-9. doi: 10.1016/j.joen.2017.06.025.

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    2018-01-18 jxrzshh
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    2018-01-05 lishizhe
  6. [GetPortalCommentsPageByObjectIdResponse(id=2030659, encodeId=f85b203065943, content=<a href='/topic/show?id=49a2318927b' target=_blank style='color:#2F92EE;'>#切断术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=109, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31892, encryptionId=49a2318927b, topicName=切断术)], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/DYAIOgq83eoNX3lUOlDKGBUEPNwZx0nibmdcFyeibnX4WMhUSCU2REpGRWtSmnT2CCs0dA5waxvJknYDxwtYnIcQ/132, createdBy=294e2500218, createdName=ms3046638856685384, createdTime=Tue Dec 05 17:56:00 CST 2017, time=2017-12-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1669596, encodeId=e0321669596c2, content=<a href='/topic/show?id=c7ca6e660ab' target=_blank style='color:#2F92EE;'>#牙髓#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=88, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67660, encryptionId=c7ca6e660ab, topicName=牙髓)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=5eeb26562774, createdName=jxrzshh, createdTime=Thu Jan 18 08:56:00 CST 2018, time=2018-01-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1738841, encodeId=15d81e38841da, content=<a href='/topic/show?id=6e566913df' target=_blank style='color:#2F92EE;'>#ERA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=111, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=6913, encryptionId=6e566913df, topicName=ERA)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e36234488643, createdName=124988c7m106暂无昵称, createdTime=Sat Aug 26 21:56:00 CST 2017, time=2017-08-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1797972, encodeId=74551e97972a0, content=<a href='/topic/show?id=92ad6e6651a' target=_blank style='color:#2F92EE;'>#牙髓切断#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67665, encryptionId=92ad6e6651a, topicName=牙髓切断)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6732482, createdName=w984445tii, createdTime=Fri Sep 29 12:56:00 CST 2017, time=2017-09-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1651874, encodeId=37a116518e497, content=<a href='/topic/show?id=3a3e1e9504' target=_blank style='color:#2F92EE;'>#ACA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1795, encryptionId=3a3e1e9504, topicName=ACA)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=843c24278901, createdName=lishizhe, createdTime=Fri Jan 05 02:56:00 CST 2018, time=2018-01-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1654945, encodeId=c4711654945af, content=<a href='/topic/show?id=6c446e66640' target=_blank style='color:#2F92EE;'>#牙髓切断术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=100, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67666, encryptionId=6c446e66640, topicName=牙髓切断术)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=7a4724584581, createdName=karmond, createdTime=Sun Oct 08 04:56:00 CST 2017, time=2017-10-08, status=1, ipAttribution=)]
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