新型生物陶瓷材料用于年轻恒牙牙髓切断术的效果评价

doi:10.13701/j.cnki.kqyxyj.2018.07.020

口腔医学研究 ›› 2018, Vol. 34 ›› Issue (7): 766-770.DOI: 10.13701/j.cnki.kqyxyj.2018.07.020

新型生物陶瓷材料用于年轻恒牙牙髓切断术的效果评价

丁美丽¹, 秦满², 郑佳佳¹, 张红梅¹, 林碧琛¹, 陈小贤^1*

1. 北京大学口腔医学院口腔医院第一门诊部口腔数字化医疗技术和材料国家工程实验室口腔数字医学北京市重点实验室北京 100034;
2. 北京大学口腔医学院口腔医院儿童口腔科北京 100081

收稿日期:2018-04-23 出版日期:2018-07-28 发布日期:2018-07-20
通讯作者: 陈小贤,E-mail:chenxiaox2007@126.com
作者简介:丁美丽(1988~ ),女,山东人,硕士,主要从事儿童口腔医学方面研究。

Evaluation of A New Bioceramic as Pulp Capping Agent in Immature Permanent Tooth Pulpotomies

DING Mei-li¹, QIN Man², ZHENG Jia-jia¹, ZHANG Hong-mei¹, LIN Bi-chen¹, CHEN Xiao-xian^1*

1. Peking University Hospital of Stomatology First Clinical Division & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, Beijing 100034, China;
2. Department of Pediatric Dentistry, Peking University School and Hospital of Stomatology, Beijing 100081, China.

Received:2018-04-23 Online:2018-07-28 Published:2018-07-20

摘要/Abstract

摘要： 目的:评价生物陶瓷iRoot BP Plus用于年轻恒牙牙髓切断术的临床效果。方法:选择因复杂冠折就诊的7~12岁儿童39例,随机分组,牙髓切断术中分别应用iRoot BP Plus(试验组,22颗)和氢氧化钙类制剂(对照组,19颗)盖髓,术后1、3、6、12个月复查,观察术后症状、钙化桥形成及牙根发育等,计算两组患儿临床及影像学成功率。结果: 试验组术后12个月临床及影像学成功率均为100.0%,对照组术后6个月成功率为100.0%,术后12个月成功率为94.1%,两组比较差异无统计学意义。试验组术后3个月内均形成钙化桥。结论: iRoot BP Plus作为盖髓剂用于年轻恒牙牙髓切断术可取得良好的疗效,良好的操作性能可提高椅旁诊疗效率。

关键词: 生物相容性材料, iRoot BP Plus, 牙髓切断术, 临床研究

Abstract: Objective: To determine the clinical efficacy of the newly developed iRoot BP Plus applied in pulpotomy for immature permanent teeth. Methods: Forty-one teeth in 39 children (aged 7–12 years) with complicated crown fracture were randomly treated with either iRoot BP Plus (n=22) or calcium hydroxide (CH, n=19) as pulpotomy medicaments. Clinical and radiographic follow-up examinations were conducted at 1, 3, 6 and 12 months postoperatively. Results: The 12-month clinical and radiographic success rates of iRoot BP Plus were 100.0%. The 6-month clinical and radiographic success rates of CH group were 100.0%, the 12-month success rates were 94.1%. The rates did not differ significantly between two groups. All teeth of iRoot BP Plus group showed the formation of calcified bridge in 3 months. Conclusion: The success rates of iRoot BP Plus and calcium hydroxide are indistinguishable, indicating that pulpotomy can be carried out successfully in immature permanent teeth with the new ready-to-use bioceramic.

Key words: Biocompatible materials, iRoot BP Plus, Pulpotomy Clinical study

丁美丽, 秦满, 郑佳佳, 张红梅, 林碧琛, 陈小贤. 新型生物陶瓷材料用于年轻恒牙牙髓切断术的效果评价[J]. 口腔医学研究, 2018, 34(7): 766-770.

DING Mei-li, QIN Man, ZHENG Jia-jia, ZHANG Hong-mei, LIN Bi-chen, CHEN Xiao-xian. Evaluation of A New Bioceramic as Pulp Capping Agent in Immature Permanent Tooth Pulpotomies[J]. Journal of Oral Science Research, 2018, 34(7): 766-770.

参考文献

[1] Wang G, Wang C, Qin M. Pulp prognosis following conservative pulp treatment in teeth with complicated crown fractures-A retrospective study [J]. Dent Traumatol, 2017, 33(4):255-260
[2] Bimstein E, Rotstein I. Cvek pulpotomy-revisited [J]. Dent Traumatol, 2016, 32(6):438-442
[3] Swarup SJ, Rao A, Boaz K, et al. Pulpal response to nano hydroxyapatite, mineral trioxide aggregate and calcium hydroxide when used as a direct pulp capping agent an in vivo study [J]. J Clin Pediatr Dent, 2014, 38(3):201-206
[4] Guo YJ, Du TF, Li HB, et al. Physical properties and hydration behavior of a fast-setting bioceramic endodontic material [J]. BMC Oral Health, 2016, 16(1):16-23
[5] Martens L, Rajasekharan S, Cauwels R. Pulp management after traumatic injuries with a tricalcium silicate-based cement (Biodentine^TM): a report of two cases, up to 48 months follow-up [J]. Eur Arch Paediatr Dent, 2015, 16(6):491-496
[6] Azimi S, Fazlyab M, Sadri D, et al. Comparison of pulp response to mineral trioxide aggregate and a bioceramic paste in partial pulpotomy of sound human premolars: a randomized controlled trial [J]. Int Endod J, 2014, 47(9):873-881
[7] Liu S, Wang S, Dong Y. Evaluation of a bioceramic as a pulp capping agent in vitro and in vivo [J]. J Endod, 2015, 41(5):652-657
[8] Shi S, Bao ZF, Liu Y, et al. Comparison of in vivo dental pulp responses to capping with iRoot BP Plus and mineral trioxide aggregate [J]. Int Endod J, 2016, 49(2):154-160
[9] Öncel Torun Z, Torun D, Demirkaya K, et al. Effects of iRoot BP and white mineral trioxide aggregate on cell viability and the expression of genes associated with mineralization [J]. Int Endod J, 2015, 48(10):986-993
[10] De-Deus G, Canabarro A, Alves GG, et al. Cytocompatibility of the ready-to-use bioceramic putty repair cement iRoot BP Plus with primary human osteoblasts [J]. Int Endod J, 2012, 45(6):508-513
[11] Chen I, Karabucak B, Wang C, et al. Healing after root-end microsurgery by using mineral trioxide aggregate and a new calcium silicate-based bioceramic material as root-end filling materials in dogs [J]. J Endod, 2015, 41(3):389-399
[12] Waterhouse PJ, Nunn JH, Whitworth JM, et al. Primary molar pulp therapy--histological evaluation of failure [J]. Int J Paediatr Dent, 2000, 10(4):312-321
[13] Asgary S, Parirokh M, Eghbal MJ, et al. SEM evaluation of neodentinal bridging after direct pulp protection with mineral trioxide aggregate [J]. Aust Endod J, 2006, 32(1):26-30
[14] 任慧迪,章惠娅,邹静,等.全身麻醉下乳磨牙深龋MTA冠髓切断术2年疗效观察[J].口腔医学研究,2018,34(4):359-362
[15] 秦满.儿童恒牙外伤后牙髓预后评估及其影响因素[J].中国实用口腔科杂志,2012,5(9):517-520

新型生物陶瓷材料用于年轻恒牙牙髓切断术的效果评价

Evaluation of A New Bioceramic as Pulp Capping Agent in Immature Permanent Tooth Pulpotomies

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