不同年龄成年患者活髓切断治疗临床疗效研究

›› 2021, Vol. 41 ›› Issue (4): 342-346.

不同年龄成年患者活髓切断治疗临床疗效研究

熊煜华¹,陆亚倩²,蔡逸馨¹,王畇钦¹,李谨³

1. 南京医科大学附属口腔医院
2. 南京医科大学附属口腔医学院
3. 南京医科大学口腔医学院

收稿日期:2020-11-25 修回日期:2021-01-20 出版日期:2021-04-28 发布日期:2021-04-16
通讯作者: 熊煜华 E-mail:279750535@qq.com
基金资助:
江苏省卫生计生委科研课题;江苏省干部卫生保健研究项目

Clinical effects of pulpotomy in mature permanent teeth in different age groups

Received:2020-11-25 Revised:2021-01-20 Online:2021-04-28 Published:2021-04-16

摘要/Abstract

摘要： 目的研究统计活髓切断术应用于不同年龄成年人成熟恒牙的成功率。方法收集61例18～76岁患者中因深龋或重度磨耗导致牙髓炎的67颗活髓后牙，根据患者年龄分为青年组（18～39岁），中年组（40～59岁），老年组（60岁及以上）。使用MTA作为盖髓材料对患牙进行活髓切断术。在术后6个月进行临床和影像学评估。结果共对52颗龋源性牙髓炎以及15颗重度磨耗患牙进行了活髓切断治疗。老年组的成功率（80%）显著低于青年组（100%），而中年组（89%）和其余两组之间均未发现显著差异。成熟恒牙活髓切断术的总体成功率为92％。结论活髓切断治疗在成年人龋源性牙髓炎和重度磨耗患牙中获得了良好的疗效，但60岁以上老年患者活髓切断治疗成功率相对较低，临床应用时需严格把握适应证。

关键词: 活髓切断, 成熟恒牙, 重度磨耗

Abstract: Objective: To investigate the success rate of full pulpotomy in different age groups.Method: Sixty-seven permanent posterior teeth with symptomatic vital pulps in 61 patients aged 18-76 years were included and divided into Young Group (18-39y), Middle-aged Group (40-59y), Senior Group (above 60y). Preoperative pulpal and periapical diagnosis was established. After informed consent, the tooth underwent full pulpotomy using MTA as capping materials. Patients were recalled for clinical and radiographic evaluation at 6 months postoperatively. Results: Diagnosis of pulpitis was established in 52 teeth with carious exposure, 15 teeth with severe tooth wear. Success rate in SG(80%) was found significantly lower than YG(100%), while no differences were detected between YG(89%)&MG, nor MG&SG. General success rate of full pulpotomy in mature permanent teeth was 92%. Conclusion: Pulpotomy could be applied in patients of all age to treat severe tooth wear and cariously exposed irreversible pulpitis in mature permanent teeth under strict indication.

Key words: pulpotomy, mature permanent teeth, Severe Attrition

中图分类号:

R781.31

熊煜华陆亚倩蔡逸馨王畇钦李谨. 不同年龄成年患者活髓切断治疗临床疗效研究[J]. 口腔医学, 2021, 41(4): 342-346.

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