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

Abstract

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

CLC Number:

R781.05

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.

References

[1] Bartlett D, O'Toole S. Tooth wear and aging[J].Aust Dent J, 2019, 64:S59-S62.
[2] Wei Z, Du YG, Zhang J,et al. Prevalence and indicators of tooth wear among Chinese adults[J]. PLoS One, 2016, 11(9):e0162181.
[3] Lim MJ, Kim JA, Choi Y,et al. Differentiating spontaneous vertical root fracture in endodontically treated tooth[J]. Eur J Dent, 2017, 11(1):122-125.
[4] Shah N, Bhaskar U,Logani A. True vertical tooth root fracture:Case report and review[J]. Contemp Clin Dent, 2011, 2(3):265.
[5] Morse DR. Age-related changes of the dental pulp complex and their relationship to systemic aging[J]. Oral Surg Oral Med Oral Pathol, 1991, 72(6):721-745.
[6] Tan SY, Yu VSH, Lim KC,et al. Long-term pulpal and restorative outcomes of pulpotomy in mature permanent teeth[J]. J Endod, 2020, 46(3):383-390.
[7] Taha NA, Abdulkhader SZ. Full pulpotomy with biodentine in symptomatic young permanent teeth with carious exposure[J]. J Endod, 2018, 44(6):932-937.
[8] Lipski M,Nowicka A, Kot K, et al. Factors affecting the outcomes of direct pulp capping using Biodentine[J]. Clin Oral Investig, 2018, 22(5):2021-2029.
[9] 周学东, 黄定明, 刘建国, 等. 牙髓损伤的活髓保存治疗[J]. 华西口腔医学杂志, 2017, 35(4):339-347.
[10] Careddu R, Duncan HF. A prospective clinical study investigating the effectiveness of partial pulpotomy after relating preoperative symptoms to a new and established classification of pulpitis[J]. Int Endod J, 2021, 54(12):2156-2172.
[11] 熊煜华, 陆亚倩, 蔡逸馨, 等. 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.
[12] Orstavik D, Kerekes K, Eriksen HM. The periapical index:A scoring system for radiographic assessment of apical periodontitis[J]. Endod Dent Traumatol, 1986, 2(1):20-34.
[13] 王晓霞. 第七次全国人口普查数据发布. 中国新闻周刊, 2021(17):1.
[14] 庞国防, 胡才友, 杨泽. 中国人口老龄化趋势与对策[J]. 中国老年保健医学, 2021, 19(1):3-5.
[15] Yan HJ,Oshima M, Raju R, et al. Dentin-pulp complex tissue regeneration via three-dimensional cell sheet layering[J]. Tissue Eng Part C Methods, 2021, 27(10):559-570.
[16] Kvinnsland S, Kristiansen AB, Kvinnsland I, et al. Effect of experimental traumatic occlusion on periodontal and pulpal blood flow[J]. Acta Odontol Scand, 1992, 50(4):211-219.
[17] 徐艳伟. 探讨老年患者牙列缺损伴重度磨耗用不同治疗方法后的临床疗效[J]. 中国医药指南, 2018, 16(26):72.
[18] 武万超, 牛一山. 牙隐裂的高危因素及病因研究进展[J]. 中华老年口腔医学杂志, 2012, 10(4):247-250.
[19] 钱蕴珠, 李建. 磨牙隐裂患者牙合接触特征的研究[J]. 实用口腔医学杂志, 2009, 25(1):55-57.
[20] 王爱平. 不同修复方法修复牙体缺损的微渗漏比较[J]. 中国药物与临床, 2020, 20(4):616-617.
[21] Ricucci D, Siqueira JF Jr, Li YY, et al. Vital pulp therapy:Histopathology and histobacteriology-based guidelines to treat teeth with deep caries and pulp exposure[J]. J Dent, 2019, 86:41-52.
[22] Witherspoon DE. Vital pulp therapy with new materials:New directions and treatment perspectives:Permanent teeth[J]. J Endod, 2008, 34(7 Suppl):S25-S28.
[23] Zheng JX, Wu Z,Niu KJ, et al. Microbiome of deep dentinal caries from reversible pulpitis to irreversible pulpitis[J]. J Endod, 2019, 45(3):302-309.e1.
[24] Abbott PV, Yu C. A clinical classification of the status of the pulp and the root canal system[J]. Aust Dent J, 2007, 52(1 Suppl):S17-S31.
[25] 赵燕霞. 不同盖髓剂直接盖髓后牙本质桥形成的临床效果比较[J]. 河南医学研究, 2021, 30(19):3514-3518.

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

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 2

Recommended Articles

Metrics

Comments

[1]	CAI Yixin, WANG Yunqin, WANG Juan, LI Jin. Effects of age on the biological behavior of human dental pulp stem cells [J]. Stomatology, 2022, 42(2): 103-109.
[2]	. A preliminary study of pulpotomy in cariously exposed permanent teeth [J]. , 2018, 38(11): 980-984.