光固化氢氧化钙制剂作为临时冠粘结剂的临床应用
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摘要
目的探讨光固化氢氧化钙制剂作为临时冠粘结剂的可行性。方法纳入242例需行临时冠的患者,根据每月就诊周数顺序随机分为3组,每组患牙制作临时冠并分别采用TempoCemNE(n=78)、Provicol(n=80)、Calcimol LC(n=84)行临时冠粘结,1周后复诊,观察固位效果、牙龈状况以及牙髓状况,比较其临床效果。结果 1周后复诊,3组间总体的固位效果、牙龈状况以及牙髓状况比较,差异无统计学意义(x_1~2=5.553,P_1=0.062>0.05;x_2~2=4.783,P_2=0.091>0.05;x_3~2=3.290,P_3=0.193>0.05)。结论光固化氢氧化钙制剂Calcimol LC和临时冠粘结剂TempoCemNE、Provicol具有相似的粘结效果,牙龈和牙髓保护作用良好,操作简单,可作为一种新型临时冠粘结剂进行临床应用。
Objective To investigate the feasibility of using UV curable calcium hydroxide as temporary crown binder. Methods 242 patients with temporary crown were selected and randomly divided into three groups according the order of registration week each month, and respectively underwent temporary crown cement with Tempo Cem NE(n =78), Provicol(n = 80) and Calcimol LC(n = 84) for each tooth. The retention effect and the status of the gum and the pulp were observed at one week after operation. Results There was no significant difference between the three groups in the retention effect and the status of the gum and the pulp(x_1~2= 5.553, P_1= 0.062 > 0.05; x_2~2= 4.783, P_2= 0.091 >0.05; x_3~2= 3.290, P_3= 0.193 > 0.05). Conclusion There was a good effect of temporary crown cement in three groups of Tempo Cem NE, Provicol and Calcimol LC. Calcimol LC can be used as a new type of temporary crown cement with good bonding performance and the protection to gums and pulp, and simple operation.
Objective To investigate the feasibility of using UV curable calcium hydroxide as temporary crown binder. Methods 242 patients with temporary crown were selected and randomly divided into three groups according the order of registration week each month, and respectively underwent temporary crown cement with Tempo Cem NE(n =78), Provicol(n = 80) and Calcimol LC(n = 84) for each tooth. The retention effect and the status of the gum and the pulp were observed at one week after operation. Results There was no significant difference between the three groups in the retention effect and the status of the gum and the pulp(x_1~2= 5.553, P_1= 0.062 > 0.05; x_2~2= 4.783, P_2= 0.091 >0.05; x_3~2= 3.290, P_3= 0.193 > 0.05). Conclusion There was a good effect of temporary crown cement in three groups of Tempo Cem NE, Provicol and Calcimol LC. Calcimol LC can be used as a new type of temporary crown cement with good bonding performance and the protection to gums and pulp, and simple operation.
引文
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[15]Willershausen B,Willershausen I,Ehlers V,et al.A prospective clinical trial on the influence of a triamcinolone/demeclocycline and a calcium hydroxide based temporary cement on pain perception[J].Head Face Med,2012,8(1):9-15.
[16]Poggio C,Beltrami R,Colombo M,et al.In vitro antibacterial activity of different pulp capping materials[J].J Clin Exp Dent,2015,7(5):e584-e588.
[17]聂二民,姜瑞,张春元,等.比较5种不同盖髓剂长期护髓的差异[J].中国组织工程研究,2015,19(16):2557-2561.
[18]Poggio C,Ceci M,Dagna A,et al.In vitro cytotoxicity evaluation of different pulp capping materials:a comparative study[J].Arh Hig Rada Toksikol,2015,66(3):181-188.
[19]Yalcin M,Arslan U,Dundar A,et al.Evaluation of antibacterial effects of pulp capping agents with direct contact test method[J].Eur J Dent,2014,8(1):95-99.
[20]刘海霞,陈璇,邹玲.两种盖髓材料的体外抗菌性能研究[J].口腔疾病防治,2016,24(10):578-581.
[21]Kanakuri K,Kawamoto Y,Kakehashi Y,et al.Influence of temporary cements on bond strength between resin-based luting agents and dentin[J].Am J Dent,2006,19(2):101-105.
[22]Takimoto M,Ishii R,Iino M,et al.Influence of temporary cement contamination on the surface free energy and dentine bond strength of self-adhesive cements[J].J Dent,2012,40(2):131-138.
[23]Carvalho CN,de Oliveira Bauer JR,Loguercio AD,et al.Effect of ZOE temporary restoration on resin-dentin bond strength using different adhesive strategies[J].J Esthet Restor Dent,2007,19(3):144-152.
[24]周群,郭蕾,苗磊,等.临床常用临时粘结剂对永久粘结剂粘固力的影响[J].口腔医学,2014,34(4):275-278.
[2]Roe P,Patel RD.Fabrication of a modified repositioning key for relining provisional restorations[J].J Prosthet Dent,2010,104(6):401-402.
[3]Balkenhol M,Ferger P,Mautner MC,et al.Provisional crown and fixed partial denture materials:Mechanical properties and degree of conversion[J].Dent Mater,2007,23(12):1574-1583.
[4]Strassler HE.Fixed prosthodontics provisional materials:making the right selection[J].Compend Contin Educ Dent,2013,34(1):22-24,26.
[5]Tüzüner T,Ku?g?z A,Nur BG.Temporary management of permanent centralincisors loss caused by trauma in primarydentition with natural crowns:a case report[J].Dent Traumatol,2009,25(5):522-526.
[6]Lewinstein I,Chweidan H,Matalon S,et al.Retention and marginal leakage of provisional crowns cemented with provisional cements enriched with chlorhexidinediacetate[J].J Prosthet Dent,2007,98(5):373-378.
[7]Chiramana S,Siddineni KC,Jyothula RR,et al.Evaluation of the luting cement spacefor provisional restoration by using various coats of die spacer materials-an invitro study[J].J Clin Diagn Res,2014,8(9):22-25.
[8]Rego MR,Santiago LC.Retention of provisional crowns cemented with eight temporary cements:comparative study[J].J Appl Oral Sci,2004,12(3):209-212.
[9]Mohammadi Z,Dummer PM.Properties and applications of calcium hydroxide in endodontics and dental traumatology[J].Int Endod J,2011,44(8):697-730.
[10]Rashid F,Shiba H,Mizuno N,et al.The effect of extracellular calcium ion on gene expression of bone-related proteins in human pulp cells[J].J Endod,2003,29(2):104-107.
[11]Gandolfi MG.A New Method for Evaluating the Diffusion of Ca(2+)and OH(-)Ions through Coronal Dentin into the Pulp[J].Iran Endod J,2012,7(4):189-197.
[12]Bressani AE,Mariath AA,Haas AN,et al.Incomplete caries removal and indirect pulp capping in primary molars:a randomized controlled trial[J].Am J Dent,2013,26(4):196-200.
[13]Shevchenko DP.The status of dog dental pulp after preparation for metalloceramic crowns using temporary fixative cement containing calcium hydroxide[J].Stomatologiia(Mosk),2004,83(5):10-13.
[14]ülker HE,ülker M,Gümü?H?,et al.Cytotoxicity testing of temporary luting cements with two-and three-dimensional cultures of bovine dental pulp-derived cells[J].Biomed Res Int,2013,2013:910459.
[15]Willershausen B,Willershausen I,Ehlers V,et al.A prospective clinical trial on the influence of a triamcinolone/demeclocycline and a calcium hydroxide based temporary cement on pain perception[J].Head Face Med,2012,8(1):9-15.
[16]Poggio C,Beltrami R,Colombo M,et al.In vitro antibacterial activity of different pulp capping materials[J].J Clin Exp Dent,2015,7(5):e584-e588.
[17]聂二民,姜瑞,张春元,等.比较5种不同盖髓剂长期护髓的差异[J].中国组织工程研究,2015,19(16):2557-2561.
[18]Poggio C,Ceci M,Dagna A,et al.In vitro cytotoxicity evaluation of different pulp capping materials:a comparative study[J].Arh Hig Rada Toksikol,2015,66(3):181-188.
[19]Yalcin M,Arslan U,Dundar A,et al.Evaluation of antibacterial effects of pulp capping agents with direct contact test method[J].Eur J Dent,2014,8(1):95-99.
[20]刘海霞,陈璇,邹玲.两种盖髓材料的体外抗菌性能研究[J].口腔疾病防治,2016,24(10):578-581.
[21]Kanakuri K,Kawamoto Y,Kakehashi Y,et al.Influence of temporary cements on bond strength between resin-based luting agents and dentin[J].Am J Dent,2006,19(2):101-105.
[22]Takimoto M,Ishii R,Iino M,et al.Influence of temporary cement contamination on the surface free energy and dentine bond strength of self-adhesive cements[J].J Dent,2012,40(2):131-138.
[23]Carvalho CN,de Oliveira Bauer JR,Loguercio AD,et al.Effect of ZOE temporary restoration on resin-dentin bond strength using different adhesive strategies[J].J Esthet Restor Dent,2007,19(3):144-152.
[24]周群,郭蕾,苗磊,等.临床常用临时粘结剂对永久粘结剂粘固力的影响[J].口腔医学,2014,34(4):275-278.