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Clin Oral Investig：硅酸钙粘固剂实施直接盖髓术后平均2.3年的疗效观察

2019-01-03 lishiting MedSci原创

Biodentine直接盖髓疗效
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这篇研究的目的是为了评估去龋后使用硅酸钙粘固剂(Biodentine)实施直接盖髓术的治疗效果。

这篇研究的目的是为了评估去龋后使用硅酸钙粘固剂(Biodentine)实施直接盖髓术的治疗效果。

研究对226名患者诊断为健康或存在自发痛的245颗牙齿实施直接盖髓治疗。牙齿在治疗后的0.19至7.4年间(mean 2.3±2.04)进行复查。记录以下数据：患者的年龄和性别、牙齿的类型和修复方式(玻璃离子[GIC]， 银汞， 复合树脂， 瓷， 金)和治疗前后的症状。通过敏感性测试和叩诊以及患者的调查问卷评估疗效。敏感性测试阳性、叩诊阴性、无肿胀和不适被认为是治疗成功。采用Kaplan-Meier， log-rank， Chi-square和Fisher's exact检验对结果进行统计学评估。

结果显示，在平均治疗后的2.3年，有86.0%的牙齿保持活力；7.4年后的存留率为83.4%。与其它修复材料相比，使用GIC充填窝洞的治疗效果更差(p <0.05)。其它评估因素对治疗成功率没有明显影响(p >0.05)。

结论：无症状有活力和治疗前有自发痛的恒牙牙髓暴露后使用Biodentine实施直接盖髓的疗效较好。随后使用GIC进行窝洞充填并不适合，因其显著降低治疗的成功率。

临床意义：使用此种类型的硅酸钙粘固剂可以成功实施直接盖髓治疗。

原始出处：

Harms CS， Schäfer E， et al. Clinical evaluation of direct pulp capping using a calcium silicate cement-treatment outcomes over an average period of 2.3 years. Clin Oral Investig. 2018 Dec 11. doi： 10.1007/s00784-018-2767-5.

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    2019-02-21 xiangyuzhou971

    #EST#

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=2051310, encodeId=e130205131017, content=<a href='/topic/show?id=95f8e042dd' target=_blank style='color:#2F92EE;'>#EST#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7042, encryptionId=95f8e042dd, topicName=EST)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e9a6357, createdName=xiangyuzhou971, createdTime=Thu Feb 21 13:11:00 CST 2019, time=2019-02-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2020540, encodeId=39bf2020540f9, content=<a href='/topic/show?id=1584134451c' target=_blank style='color:#2F92EE;'>#Oral#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13445, encryptionId=1584134451c, topicName=Oral)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIpeueeYB1kem1yfEZrSYKBdZBoqac9USf0RxIgRICBIyDn4licyiaiakNnobeCDVpvwqaWgwTNeLRHA/132, createdBy=bb5e2500127, createdName=小几洁, createdTime=Sat Aug 24 16:11:00 CST 2019, time=2019-08-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1705294, encodeId=21131e0529437, content=<a href='/topic/show?id=4394e351421' target=_blank style='color:#2F92EE;'>#硅酸钙#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73514, encryptionId=4394e351421, topicName=硅酸钙)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=933b30968945, createdName=szhvet, createdTime=Wed Mar 27 15:11:00 CST 2019, time=2019-03-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=359069, encodeId=3bbd359069c3, content=自发痛还直接盖髓？？, beContent=null, objectType=article, channel=null, level=null, likeNumber=84, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/06/21/90d15d1b9983239a5c5416b17fa9c7d5.jpg, createdBy=e13d1725838, createdName=1ded7d05m70(暂无匿称), createdTime=Wed Jan 23 22:53:27 CST 2019, time=2019-01-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=358148, encodeId=04bf358148f7, content=努力学习天天向上, beContent=null, objectType=article, channel=null, level=null, likeNumber=104, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM6DGOvNrRdcib3UmzMgpEQpl0ENSJScphsFtdgfibXX1g1IuEYGCjP23UqCd52TxTpSZibtPiclyusaHicnNXd78alaia19Qy1nAFo18/0, createdBy=50381491660, createdName=zwjnj2, createdTime=Mon Jan 14 21:38:01 CST 2019, time=2019-01-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1032027, encodeId=2c24103202ed1, content=谢谢梅斯提供这么好的信息，学到很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=内科新手, createdTime=Fri Jan 04 02:11:00 CST 2019, time=2019-01-04, status=1, ipAttribution=)]
    2019-08-24 小几洁

    #Oral#

    0

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    2019-03-27 szhvet

    #硅酸钙#

    0

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    2019-01-23 1ded7d05m70(暂无匿称)

    自发痛还直接盖髓？？

    0

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    2019-01-14 zwjnj2

    努力学习天天向上

    0

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    2019-01-04 内科新手

    谢谢梅斯提供这么好的信息，学到很多

    0

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