三氧化矿骨料、激光、抗氧化合剂在磨牙切髓术中的临床及影像学评价

Shaymaa El Shesheny, Osama El Shall, Magda El Malt
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摘要

目的:本研究的目的是了解三氧化二矿骨料(MTA)、二极管激光和抗氧化剂混合物作为人类第一磨牙髓切开术后的临床和放射学成功。材料与方法:选择5 ~ 8岁健康配合患者38例,60颗有深部龋齿需要切髓治疗的一磨牙。去除冠状组织后,根据根状牙髓药物的类型,将牙齿随机平均分为三组;第一组(MTA),第二组(二极管激光)和第三组(抗氧化剂混合物)。各组均采用玻璃离聚体修复后再采用不锈钢冠修复。结果:MTA组、二极管激光组和抗氧化剂混合组术后6个月的临床和影像学累计成功率分别为100%、90%和85%。结论:MTA +激光+抗氧化合剂用于乳牙切髓术,随访成功率较高。统计学上,三个研究组在总体临床和影像学成功率上无显著差异。
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Clinical and Radiographic Evaluation of Mineral Trioxide Aggregate, Laser and Antioxidant Mix as Pulpotomy Agents in Primary Molars
Purpose: The purpose of this study was to access post-operative clinical as well as radiographic success of Mineral Trioxide Aggregate (MTA), Diode Laser and Antioxidant mix as pulpotomy agents for human primary molars. Materials and Methods: A total of 60 primary molars that had deep carious lesion and need pulpotomy treatment from 38 healthy and cooperative patients, aged 5-8 years old were chosen for this study. After removal of the coronal tissue and depending on the type of radicular pulp medicament, the teeth were divided randomly and equally into three groups; Group I (MTA), Group II(Diode Laser) and Group III (Antioxidant mix). Treatments in all groups were completed with Glass Ionomer restoration then stainless steel crowns. Results: The cumulative clinical and radiographic success rates after 6 months follow up were 100%, 90% and 85% for the MTA, Diode Laser and Antioxidant mix pulpotomy groups respectively. Conclusion: MTA, Lasers and Antioxidant mix used for primary teeth pulpotomy had a more advanced success rate on follow-up. Statistically, no significance difference was found between the three study groups in the overall clinical and radiographic success rate.
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