iRoot BP Plus活髓切断术治疗乳磨牙深龋的疗效及对预后的影响  

Effect of iRoot BP Plus Vital Pulpotomy on Children with Deep Decidular Caries and Its Influence on Prognosis

作　　者：夏悦 刘璐 李思琪 XIA Yue;LIU Lu;LI Siqi(Department of Stomatology,Nanjing Tongren Hospital,Nanjing 211102,Jiangsu,China)

机构地区：[1]南京同仁医院口腔科,江苏南京211102

出　　处：《中国美容医学》2025年第2期156-160,共5页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨iRoot BP Plus活髓切断术与根管治疗术治疗乳磨牙深龋患儿的疗效及对预后的影响。方法:选取2019年10月-2022年10月在笔者医院确诊的108例乳磨牙深龋患儿为研究对象,根据患者的入院时间分为观察组(n=54)和对照组(n=54)。对照组采用根管治疗术,观察组采用iRoot BP Plus活髓切断术,分别于术前、术后1个月比较两组患儿的血清炎症因子水平及患儿生活质量,术后1个月比较两组患儿的临床疗效,术后6个月比较两组患儿的牙根吸收程度。结果:观察组患儿术后的总有效率98.15%,高于对照组的87.04%(P<0.05);术后,两组患儿的血清超敏C反应蛋白、白细胞介素-6、肿瘤坏死因子-a水平均低于术前,且观察组低于对照组(P<0.05);术后,两组患儿生活质量评分均高于术前,且观察组高于对照组(P<0.05);术后6个月,观察组的牙根吸收程度优于对照组(P<0.05)。结论:采用iRoot BP Plus活髓切断术可降低乳磨牙深龋患儿术后的炎症反应,提高术后疗效、牙根吸收程度及患儿生活质量。Objective To explore the influences of iroot bp plus vital pulpotomy and root canal therapy on curative effect and prognosis in children with deciduous molar with deep caries.Methods A total of 108 children with deciduous molar with deep caries confirmed in the hospital were enrolled between October 2019 and October 2022.Based on the patient's time of admission,they were divided into observation group(n=54)and control group(n=54).The control group underwent root canal therapy,while observation group underwent iRoot BP Plus vital pulpotomy.The levels of serum inflammatory factors and quality of life before surgery and at 1 month after surgery,clinical curative effect at 1 month after surgery and absorption of tooth root at 6 months after surgery were compared between the two groups.Results The postoperative total response rate of observation group was higher than that of control group(98.15%vs.87.04%,P<0.05).After surgery,levels of serum hypersensitive C-reactive protein,interleukin-6 and tumor necrosis factor-a in both groups were decreased,which were lower in observation group than control group(P<0.05),and scores of quality of life(diet,speech,oral cleanliness,sleep,smile,learning,emotions,social contact)were increased,which were higher in observation group than control group(P<0.05).At 6 months after surgery,absorption of tooth root in observation group was better than that in control group(P<0.05).Conclusion iRoot BP Plus vital pulpotomy can reduce postoperative inflammatory response,improve postoperative curative effect,absorption of tooth root and quality of life in children with deciduous molar with deep caries.

关 键 词：iRoot BP Plus活髓切断术 根管治疗术 乳磨牙深龋 预后 

分 类 号：R788.2[医药卫生—口腔医学]