不同生物活性盖髓材料用于年轻恒牙活髓切断术中的临床效果比较  

Comparison of clinical effects of different bioactive pulp capping materials in immature permanent teeth pulpotomy

作　　者：于艳玲[1] 张婧瑜 段海洁 孟楠 王亚妹 陈飞[2] YU Yanling;ZHANG Jingyu;DUAN Haijie;MENG Nan;WANG Yamei;CHEN Fei(Department of Stomatology,Qinhuangdao Harbor Hospital,Qinhuangdao 066000,China;Department of Stomatology,the First Medical Center of PLA General Hospital,Beijing 100853,China)

机构地区：[1]秦皇岛市海港医院口腔科,066000 [2]解放军总医院第一医学中心口腔科,北京100853

出　　处：《武警医学》2024年第10期867-871,875,共6页Medical Journal of the Chinese People's Armed Police Force

基　　金：军队某课题项目资助;秦皇岛科技自筹经费项目(202101A187)

摘　　要：目的探讨不同生物活性盖髓材料在年轻恒牙不可复性牙髓炎活髓切断术中的临床效果。方法选取2021-12至2022-12在秦皇岛市海港医院口腔科就诊,诊断为不可复性牙髓炎的年轻恒牙患儿126例(142颗患牙),按就诊顺序编号,采用随机数字表法分为3组:A组(42例,患牙49颗)应用iRoot BP Plus,B组(42例,患牙46颗)应用Biodentine,C组(42例,患牙47颗)应用三氧化矿物凝聚体(MTA)进行活髓切断治疗。于术后24 h、72 h采用视觉模拟评分法(VAS)评价各组患儿的疼痛程度,术后3、6、12个月随访比较3组患牙的治疗成功率、牙本质桥形成率、牙齿变色率及牙龈健康状况,对各组疗效进行评价。结果术后24h、72h各组患儿均未出现中、重度疼痛,24 h轻度疼痛发生率各组差异无统计学意义(P>0.05);同时段内各组间成功率、牙本质桥形成率与牙龈健康状况的差异均无统计学意义(P>0.05);各组牙齿变色率分别为3个月:A组(0%),B组(2.22%),C组(45.65%);6个月:A组(2.17%),B组(2.44%),C组(54.55%);12个月:A组(4.55%),B组(4.88%),C组(69.77%),A组与B组的差异无统计学意义(P>0.05),A组与C组、B组与C组的差异有统计学意义(P<0.05)。结论三种不同生物活性盖髓材料用于年轻恒牙不可复性牙髓炎活髓切断治疗中术后疼痛发生率低、程度轻,临床效果满意且无显著性差异,应用iRoot BP Plus、Biodentine的牙齿变色率显著低于MTA。Objective To study the clinical effects of different bioactive pulp capping materials used in the treatment of immature permanent teeth with irreversible pulpitis.Methods A total of 126 children(142 immature permanent teeth)diagnosed with irrecoverable pulpitis were selected from the Stomatology Department of Qinhuangdao Harbor Hospital from December 2021 to December 2022.They were numbered according to the order of treatment and randomly divided into 3 groups,Group A(42 cases,49 teeth)were treated with iRoot BP Plus pulpotomy,Group B(42 cases,46 teeth)were treated with Biodentine pulpotomy,and Group C(42 cases,47 teeth)were treated with mineral trioxide condensate(MTA)pulpotomy.Visual analogue scale(VAS)was used to evaluate the pain degree of the children in each group at 24 and 72 hours after surgery,and the success rate,dentin bridge formation rate,tooth discoloration rate and gingival health status of the three groups were compared at 3,6 and 12 months after surgery to evaluate the efficacy of the three groups.Results No moderate or severe pain occurred in all groups at 24h and 72h after operation,and there was no significant difference in the incidence of mild pain at 24 h among all groups(P>0.05).There were no significant differences in the success rate,dentin bridge formation rate or gingival health status among all groups during the same follow-up period(P>0.05).During the follow-up period,the discoloration rate of teeth in each group was recorded 3 months,6 months and 12 months after surgery as follows,3 months:Group A(0%),Group B(2.22%),Group C(45.65%),6 months:Group A(2.17%),Group B(2.44%),Group C(54.55%),12 months:Group A(4.55%),Group B(4.88%),Group C(69.77%),there was no significant difference between Group A and Group B(P>0.05),the differences between group A and group C,group B and group C were statistically significant(P<0.05).Conclusions The application of bioactive pulp capping materials in the treatment of immature permanent teeth with irrevocable pulpitis has low incidence of postoperative pai

关 键 词：年轻恒牙 活髓切断术 iRoot BP Plus Biodentine 三氧化矿物凝聚体 

分 类 号：R781.05[医药卫生—口腔医学]