中老年人重度磨耗患牙活髓切断治疗临床疗效研究

doi:10.13591/j.cnki.kqyx.2022.06.010

口腔医学 ›› 2022, Vol. 42 ›› Issue (6): 534-539.doi: 10.13591/j.cnki.kqyx.2022.06.010

中老年人重度磨耗患牙活髓切断治疗临床疗效研究

王畇钦, 蔡逸馨, 张敏, 李谨

南京医科大学附属口腔医院特诊科,江苏省口腔疾病研究重点实验室,江苏省口腔转化医学工程研究中心,江苏南京(210029)

修回日期:2022-03-04 出版日期:2022-06-28 发布日期:2022-07-21
通讯作者: 李谨 E-mail:lijin6806@163.com
基金资助:
江苏省干部卫生保健研究项目(BJ20031)

Clinical effects of pulpotomy in the treatment of teeth with severe wear in the middle-aged and elderly

WANG Yunqin, CAI Yixin, ZHANG Min, LI Jin

Department of VIP Clinic, The Affiliated Stomatological Hospital of Nanjing Medical University, Jiangsu Province Key Laboratory of Oral Diseases, Jiangsu Province Engineering Research Center of Stomatological Translational Medicine, Nanjing 210029, China

Revised:2022-03-04 Online:2022-06-28 Published:2022-07-21

摘要/Abstract

摘要： 目的研究中老年人重度磨耗患牙活髓切断治疗的临床疗效。方法收集28例40岁以上患者中因重度磨耗引起牙髓炎症状的患牙56颗,每名患者均有2颗患牙,同一患者的2颗患牙,随机1颗为试验组,另1颗为对照组,对照组患牙行根管治疗,试验组患牙使用MTA作为盖髓材料进行活髓切断治疗,术后观察6个月,比较两组的临床疗效。结果对照组有4颗患牙失败,总成功率为85.2%,试验组失败的患牙有3颗,总成功率为88.9%,两者间差异无统计学意义(P＞0.05)。结论中老年人重度磨耗患牙进行活髓切断治疗具有良好的短期疗效,与根管治疗的成功率无显著差异,严格把控适应证是治疗成功的关键所在。

关键词: 重度磨耗, 活髓切断, 活髓保存

Abstract: Objective To study the clinical effects of pulpotomy in the treatment of teeth with severe wear in the middle-aged and elderly. Methods Fifty-six teeth of 28 patients over 40 years old with pulpitis caused by severe wear were collected. 2 teeth of the same patient were randomly divided into control group and experimental group respectively. The teeth in the control group were treated with root canal therapy, and the teeth in the experimental group were treated with pulpotomy using MTA as pulp capping material. The clinical effects of the two groups were compared after 6 months. Results A total of 4 teeth failed in the control group with a success rate of 85.2%, while in the experimental group, 3 teeth failed, with a total success rate of 88.9%. There was no significant difference between the two groups (P>0.05). Conclusion Pulpotomy has a good short-term effect on teeth with severe wear in middle-aged and elderly patients, and there is no significant difference in the success rate between pulpotomy and root canal therapy. Strict control of indications is the key to successful treatment.

Key words: severe wear, pulpotomy, vital pulp therapy

中图分类号:

R781.05

王畇钦, 蔡逸馨, 张敏, 李谨. 中老年人重度磨耗患牙活髓切断治疗临床疗效研究[J]. 口腔医学, 2022, 42(6): 534-539.

WANG Yunqin, CAI Yixin, ZHANG Min, LI Jin. Clinical effects of pulpotomy in the treatment of teeth with severe wear in the middle-aged and elderly[J]. Stomatology, 2022, 42(6): 534-539.

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中老年人重度磨耗患牙活髓切断治疗临床疗效研究

Clinical effects of pulpotomy in the treatment of teeth with severe wear in the middle-aged and elderly

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