有症状不可复性牙髓炎活髓保存的短期疗效观察
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摘要
目的:探索性研究有症状不可复性牙髓炎能否采取活髓保存的治疗方式,同时与可复性牙髓炎保髓治疗比较3个月的短期疗效。方法:选择因龋病引起的可复性牙髓炎18例和有症状不可复性牙髓炎22例,共40颗磨牙,均采取活髓保存的治疗方式,比较3个月的短期疗效。结果:18例可复性牙髓炎组中,14例保髓治疗成功,成功率达77.8%;22例有症状不可复性牙髓炎组中,20例保髓成功,成功率达90.9%,比较两组之间3个月的短期疗效无统计学差异(P> 0.05)。结论:有症状不可复性牙髓炎可尝试采取活髄保存的治疗方式与可复性牙髓炎保髓相比3个月的短期疗效未见明显差别。
Objective: To explore if the symptomatic irreversible pulpitis could be achieved vital pulp therapy, and the short-term curative effect compared with reversible pulpitis. Methods:We selected the reversible pulpitis of 18 cases and the symptomatic irreversible pulpitis of 22 cases caused by caries, a total of 40 teeth. They both received vital pulp therapy and had a followed-up of 3 months. We compared 3 months of short-term curative effect on the two diseases. Results:The successful rate of the reversible pulpitis group was 77.8%. The successful rate of symptomatic irreversible pulpitis group was 90.9%. Three-months of short-term curative effects between reversible pulpitis and symptomatic irreversible pulpitis group were not significantly different(P>0.05). Conclusion:Symptomatic irreversible pulpitis could be achieved vital pulp therapy and its 3-months of short-term curative effect does not show the difference from reversible pulpitis.
Objective: To explore if the symptomatic irreversible pulpitis could be achieved vital pulp therapy, and the short-term curative effect compared with reversible pulpitis. Methods:We selected the reversible pulpitis of 18 cases and the symptomatic irreversible pulpitis of 22 cases caused by caries, a total of 40 teeth. They both received vital pulp therapy and had a followed-up of 3 months. We compared 3 months of short-term curative effect on the two diseases. Results:The successful rate of the reversible pulpitis group was 77.8%. The successful rate of symptomatic irreversible pulpitis group was 90.9%. Three-months of short-term curative effects between reversible pulpitis and symptomatic irreversible pulpitis group were not significantly different(P>0.05). Conclusion:Symptomatic irreversible pulpitis could be achieved vital pulp therapy and its 3-months of short-term curative effect does not show the difference from reversible pulpitis.
引文
[1]樊明文.牙体牙髓病学[M].4版.北京:人民卫生出版社,2014:3
[2] Zanini M, Meyer E, Simon S. Pulp inflammation diagnosis from clinical to inflammatory mediators:a systematic review[J]. J Endod,2017, 43(7):1033
[3] Glickman G N. AAE consensus conference on diagnostic terminology:background and perspectives[J]. J Endod, 2009, 35:1619
[4] Seltzer S, Bender I B, Ziontz M. The dynamics of pulp inflammation:correlations between diagnostic data and actual histologic findings in the pulp[J]. Oral Surg Oral Med Oral Pathol, 1963, 16:846
[5] Dummer P M, Hicks R, Huws D. Clinical signs and symptoms in pulp disease[J]. Int Endod J, 1980, 13:27
[6]史爽,陈旭.矿物三氧化物凝聚体在修复性牙本质形成中作用研究进展[J].中国实用口腔科杂志, 2015(6):374
[7] Caicedo R, Abbott P V, Alongi D J. Clinical, radiographic and histol-ogical analysis of the effects of mineral trioxide aggregate used indirect pulp capping and pulpotomies of primary teeth[J]. Aust Dent J, 2006, 51(4):297
[8]林俊彬.活髓保存治疗材料的现况与展望[J].中华口腔医学杂志,2015, 50(6):337
[9] Taha N A, Khazali M A. Partial pulpotomy in mature permanent teeth with clinical signs indicative of irreversible pulpitis:a randomized clinical tria[J]. J Endod, 2017, 43(9):1417
[10] Demir T, Cehreli Z C. Clinical and radiographic evaluation of adhesive pulp capping in primary molars following hemostasis with 1.25%sodium hypochlorite:2-year results[J]. Am J Dent, 2007, 20(3):182
[11] Asgary S, Eghbal M J, Fazlyab M,et al. Five-year results of vital pulp therapy in permanent molars with irreversible pulpitis:a noninf-eriority multicenter randomized clinical trial[J]. Clin Oral Investig, 2015, 19(2):335
[12] Matsuo T, Nakanishi T, Shimizu H, et al. A clinical study of direct pulp capping applied to carious-exposed pulps[J]. J Endod, 1996,22(10):551
[13] Aguilar P, Linsuwanont P. Vital pulp therapy in vital permanent teeth with cariously exposed pulp:a systematic review[J].J Endod,2011, 37(5):581
[14]于世凤.口腔组织病理学[M].北京:人民卫生出版社,2001,122
[15]吴杉杉,张茹,侯本祥.钙化根管的诊断与治疗[J].国际口腔医学杂志, 2017, 44(3):279
[16] Kennetn M H, Louis H B. Cohen’s Pathways of the Pulp[M].11ed.Canada:Mosby, 2015:566
[17]孙玉亮,刘媛,赵今,等.比较部分去腐和完全去腐治疗急性龋的系统评价[J].现代口腔医学杂志, 2016, 30(5):271
[18] Banerjee A, Frencken J E, Schwendicke F. Contemporary operative caries management:consensus recommendations on minimally invasive cari-es removal[J]. Br Dent J,2017,223(3):215
[19]黄定明,陆倩,廖茜,等.活髓保存治疗之惑及解决之道[J].华西口腔医学杂志, 2017, 35(3):227
[20] Asgary S. Kamrani F A. Antibacterial effects of five different root canal sealing materials[J]. J Oral Sci, 2014, 50(4):469
[2] Zanini M, Meyer E, Simon S. Pulp inflammation diagnosis from clinical to inflammatory mediators:a systematic review[J]. J Endod,2017, 43(7):1033
[3] Glickman G N. AAE consensus conference on diagnostic terminology:background and perspectives[J]. J Endod, 2009, 35:1619
[4] Seltzer S, Bender I B, Ziontz M. The dynamics of pulp inflammation:correlations between diagnostic data and actual histologic findings in the pulp[J]. Oral Surg Oral Med Oral Pathol, 1963, 16:846
[5] Dummer P M, Hicks R, Huws D. Clinical signs and symptoms in pulp disease[J]. Int Endod J, 1980, 13:27
[6]史爽,陈旭.矿物三氧化物凝聚体在修复性牙本质形成中作用研究进展[J].中国实用口腔科杂志, 2015(6):374
[7] Caicedo R, Abbott P V, Alongi D J. Clinical, radiographic and histol-ogical analysis of the effects of mineral trioxide aggregate used indirect pulp capping and pulpotomies of primary teeth[J]. Aust Dent J, 2006, 51(4):297
[8]林俊彬.活髓保存治疗材料的现况与展望[J].中华口腔医学杂志,2015, 50(6):337
[9] Taha N A, Khazali M A. Partial pulpotomy in mature permanent teeth with clinical signs indicative of irreversible pulpitis:a randomized clinical tria[J]. J Endod, 2017, 43(9):1417
[10] Demir T, Cehreli Z C. Clinical and radiographic evaluation of adhesive pulp capping in primary molars following hemostasis with 1.25%sodium hypochlorite:2-year results[J]. Am J Dent, 2007, 20(3):182
[11] Asgary S, Eghbal M J, Fazlyab M,et al. Five-year results of vital pulp therapy in permanent molars with irreversible pulpitis:a noninf-eriority multicenter randomized clinical trial[J]. Clin Oral Investig, 2015, 19(2):335
[12] Matsuo T, Nakanishi T, Shimizu H, et al. A clinical study of direct pulp capping applied to carious-exposed pulps[J]. J Endod, 1996,22(10):551
[13] Aguilar P, Linsuwanont P. Vital pulp therapy in vital permanent teeth with cariously exposed pulp:a systematic review[J].J Endod,2011, 37(5):581
[14]于世凤.口腔组织病理学[M].北京:人民卫生出版社,2001,122
[15]吴杉杉,张茹,侯本祥.钙化根管的诊断与治疗[J].国际口腔医学杂志, 2017, 44(3):279
[16] Kennetn M H, Louis H B. Cohen’s Pathways of the Pulp[M].11ed.Canada:Mosby, 2015:566
[17]孙玉亮,刘媛,赵今,等.比较部分去腐和完全去腐治疗急性龋的系统评价[J].现代口腔医学杂志, 2016, 30(5):271
[18] Banerjee A, Frencken J E, Schwendicke F. Contemporary operative caries management:consensus recommendations on minimally invasive cari-es removal[J]. Br Dent J,2017,223(3):215
[19]黄定明,陆倩,廖茜,等.活髓保存治疗之惑及解决之道[J].华西口腔医学杂志, 2017, 35(3):227
[20] Asgary S. Kamrani F A. Antibacterial effects of five different root canal sealing materials[J]. J Oral Sci, 2014, 50(4):469
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