生物陶瓷材料 iRoot BP Plus 作为盖髓剂在乳牙牙髓切断术中的修复效果
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沈希明(1984.12-),女,河北张家口人,本科,主治医师,主要从事牙体牙髓科病、牙外伤方面研究

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R783.1

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The Repair Effect of Bioceramic Material iRoot BP Plus as a Pulp Capping Agent in Pulpotomy of Deciduous Teeth
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    摘要:

    探讨iRoot BP Plus作为盖髓剂在乳牙牙髓切断术中的修复效果。方法 选取2019年 1月-2021年12月于张家口市口腔医院行乳牙牙髓切断术的76例患儿(76颗患牙)为研究对象,采用随机数字 表法分为常规组和研究组,各38例(38颗患牙)。常规组使用氢氧化钙糊剂作为盖髓剂,研究组使用生物陶 瓷材料iRoot BP Plus作为盖髓剂,比较两组手术成功率、临床指标、牙根吸收情况、牙本质桥形成率及牙 齿变色发生率。结果 研究组手术成功率为97.37%,高于常规组84.21%,差异有统计学意义(P<0.05); 研究组手术时间、盖髓时间及术后肿胀持续时间均短于常规组,差异有统计学意义(P<0.05);研究组牙 根正常吸收率为94.74%,高于常规组的78.95%,差异有统计学意义(P<0.05);研究组术后3、6个月牙本质 桥形成率高于常规组;牙齿变色发生率均低于常规组,差异有统计学意义(P<0.05)。结论 生物陶瓷材料 iRoot BP Plus作为盖髓剂在乳牙牙髓切断术中的修复效果确切,可提高手术成功率,改善患儿的临床指 标,确保牙根正常吸收,同时可促进牙本质桥早期形成,降低修复后牙齿变色发生风险

    Abstract:

    Objective To investigate the restorative effect of iRoot BP Plus as a pulp capping agent in pulpotomy of deciduous teeth. Methods A total of 76 children (76 affected teeth) who underwent pulpotomy of deciduous teeth in Zhangjiakou Stomatological Hospital from January 2019 to December 2021 were selected as the research objects. They were divided into conventional group and study group by random number table method, with 38 cases (38 affected teeth) in each group. The conventional group used calcium hydroxide paste as pulp capping agent, and the study group used bioceramic material iRoot BP Plus as pulp capping agent. The surgical success rate, clinical indicators, root resorption, dentin bridge formation rate and tooth discoloration rate were compared between the two groups. Results The success rate of operation in the study group was 97.37%, which was higher than 84.21% in the conventional group, the difference was statistically significant (P<0.05). The operation time, pulp capping time and postoperative swelling duration of the study group were shorter than those of the conventional group, the difference was statistically significant (P<0.05). The normal absorption rate of root in the study group was 94.74%, which was higher than 78.95% in the conventional group, the difference was statistically significant (P<0.05). The incidence of dentin bridge formation was higher than that in the conventional group, and tooth discoloration in the study group was lower than that in the conventional group at 3 and 6 months after operation, the difference was statistically significant (P<0.05). Conclusion Bioceramics material iRoot BP Plus as pulp capping agent has a definite repair effect in pulp amputation of decidary teeth, which can improve the success rate of surgery, improve the clinical indicators, ensure the normal root resorption, promote the early formation of dentine bridge, and reduce the risk of tooth discoloration after restoration.

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沈希明,胡小伟,闫昱辛.生物陶瓷材料 iRoot BP Plus 作为盖髓剂在乳牙牙髓切断术中的修复效果[J].医学美学美容,2023,32(8):63-66.

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  • 在线发布日期: 2023-07-24
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