单纯及复合成分盖髓剂在深龋治疗中的临床疗效观察
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摘要
目的探讨选择单纯及复合成分盖髓剂施以深龋治疗后获得的临床效果。方法选择我院2015年6月～2017年11月收治的90例近髓深龋患者作为实验对象;采用数字奇偶法分组;研究治疗方法期间,对照组(45例):选择单纯氢氧化钙+玻璃离子水门汀双层垫底方法治疗;观察组(45例):选择碘仿复合氢氧化钙+玻璃离子水门汀双层垫底方法治疗;最终就两组近髓深龋患者治疗成功率展开对比。结果同对照组近髓深龋患者治疗成功率(71.11%)展开对比,观察组(97.78%)增加程度显著(P <0.05)。结论对于近髓深龋患者临床选择碘仿复合氢氧化钙+玻璃离子水门汀双层垫底方法治疗,最终在提高治疗成功率方面获得显著效果,针对活髓可以进行有效保留。
Objective To explore the clinical curative effect of pulp capping agent with simple and compound component in treatment of deep caries. Methods Ninety patients with near-medullary deep caries who were admitted and treated in our hospital from June 2015 to November 2017 were selected as research objects and they were divided into two groups according to the digital parity method.During the study of treatment method,the control group(45 patients) was treated by simple calcium hydroxide and glass ionomer cement double rebase.The observation group(45 patients) was treated by iodoform compound calcium hydroxide and glass ionomer cement double rebase.Finally,the success rates of treatment in patients with near-medullary deep caries in two groups were compared. Results The success rates of treatment in patients with near-medullary deep caries in the control group and the observation group were respectively 71.11% and 97.78%.The degree of increase of the observation group was more significant compared with that of the control group(P < 0.05). ConclusionIodoform compound calcium hydroxide and glass ionomer cement double rebase in treatment of patients with near-medullary deep caries has a significant effect in improving the success rate of treatment and it can effectively preserve vital pulp.
Objective To explore the clinical curative effect of pulp capping agent with simple and compound component in treatment of deep caries. Methods Ninety patients with near-medullary deep caries who were admitted and treated in our hospital from June 2015 to November 2017 were selected as research objects and they were divided into two groups according to the digital parity method.During the study of treatment method,the control group(45 patients) was treated by simple calcium hydroxide and glass ionomer cement double rebase.The observation group(45 patients) was treated by iodoform compound calcium hydroxide and glass ionomer cement double rebase.Finally,the success rates of treatment in patients with near-medullary deep caries in two groups were compared. Results The success rates of treatment in patients with near-medullary deep caries in the control group and the observation group were respectively 71.11% and 97.78%.The degree of increase of the observation group was more significant compared with that of the control group(P < 0.05). ConclusionIodoform compound calcium hydroxide and glass ionomer cement double rebase in treatment of patients with near-medullary deep caries has a significant effect in improving the success rate of treatment and it can effectively preserve vital pulp.
引文
[1]鲁惠.氢氧化钙制剂和羟基磷灰石制剂在盖髓术中治疗深龋的临床观察[J].中华医学研究杂志,2016,9(12):532-535.
[2]徐强,张文茹,李玉华,等.壳聚糖在乳牙深龋露髓直接盖髓术中的疗效观察[J].中国煤炭工业医学杂志,2013,16(11):1769-1771.
[3]Yang T,Endodontics DO.Comparative Analysis of Pulp Amputation and Pulpectomy in the Clinical Treatment of Deep Caries Pulp Exposure[J].Systems Medicine,2017,15(12):255-259.
[4]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.
[5]张文茹,徐强,李玉华,等.壳聚糖作为乳牙直接盖髓剂临床疗效观察[J].现代中西医结合杂志,2013,22(30):3377-3379.
[6]杜文华,贾敏华.光固化氢氧化钙联合格鲁玛脱敏剂间接盖髓85例疗效观察[J].浙江实用医学,2011,16(1):35-36.
[7]包莉莉,徐立杰.两种盖髓剂直接盖髓的临床疗效比较[J].内蒙古医学杂志,2013,45(3):348-349.
[8]Triol CW,Ripa LW,Leske GS,et al.A clinical study of the anticaries efficacy of three fluoride dentifrices containing anticalculus ingredients:one and two-year results[J].Journal of Clinical Dentistry,2015,1(2):48.
[9]Chu JP,Hao YQ,Ji-Yao LI,et al.Effect of Chemical Compounds of Galla chinensis on Remineralisation of Initial Enamel Carious Lesions by SEM in vitro[J].Lishizhen Medicine&Materia Medica Research,2015,35(5):383-387.
[10]王旭东.比较四种盖髓剂在乳牙活髓切断中的临床研究[J].中华医学研究杂志,2014,13(21):364-364.
[11]于琳,杨娜.自制儿童盖髓剂间接盖髓临床疗效观察[J].新疆医学,2011,41(2):47-48.
[12]Ferrari G,Ghione M,Ghirardi P.Use of usnic acid or derivatives thereof in the treatment of dental caries[J].Europe PMC,DOI:EP 0256566 A1.
[13]王红果.光固化型氢氧化钙间接盖髓治疗深龋的临床观察[J].吉林医药学院学报,2014,19(5):342-343.
[14]盘荣福.130颗深龋意外穿髓盖髓治疗临床分析[J].口腔疾病防治,2015,2(s1):8-9.
[15]时清,吕若静,李新球,等.四种盖髓剂用于乳牙深龋活髓切断的临床研究[J].实用口腔医学杂志,2015,17(6):482-485.
[2]徐强,张文茹,李玉华,等.壳聚糖在乳牙深龋露髓直接盖髓术中的疗效观察[J].中国煤炭工业医学杂志,2013,16(11):1769-1771.
[3]Yang T,Endodontics DO.Comparative Analysis of Pulp Amputation and Pulpectomy in the Clinical Treatment of Deep Caries Pulp Exposure[J].Systems Medicine,2017,15(12):255-259.
[4]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.
[5]张文茹,徐强,李玉华,等.壳聚糖作为乳牙直接盖髓剂临床疗效观察[J].现代中西医结合杂志,2013,22(30):3377-3379.
[6]杜文华,贾敏华.光固化氢氧化钙联合格鲁玛脱敏剂间接盖髓85例疗效观察[J].浙江实用医学,2011,16(1):35-36.
[7]包莉莉,徐立杰.两种盖髓剂直接盖髓的临床疗效比较[J].内蒙古医学杂志,2013,45(3):348-349.
[8]Triol CW,Ripa LW,Leske GS,et al.A clinical study of the anticaries efficacy of three fluoride dentifrices containing anticalculus ingredients:one and two-year results[J].Journal of Clinical Dentistry,2015,1(2):48.
[9]Chu JP,Hao YQ,Ji-Yao LI,et al.Effect of Chemical Compounds of Galla chinensis on Remineralisation of Initial Enamel Carious Lesions by SEM in vitro[J].Lishizhen Medicine&Materia Medica Research,2015,35(5):383-387.
[10]王旭东.比较四种盖髓剂在乳牙活髓切断中的临床研究[J].中华医学研究杂志,2014,13(21):364-364.
[11]于琳,杨娜.自制儿童盖髓剂间接盖髓临床疗效观察[J].新疆医学,2011,41(2):47-48.
[12]Ferrari G,Ghione M,Ghirardi P.Use of usnic acid or derivatives thereof in the treatment of dental caries[J].Europe PMC,DOI:EP 0256566 A1.
[13]王红果.光固化型氢氧化钙间接盖髓治疗深龋的临床观察[J].吉林医药学院学报,2014,19(5):342-343.
[14]盘荣福.130颗深龋意外穿髓盖髓治疗临床分析[J].口腔疾病防治,2015,2(s1):8-9.
[15]时清,吕若静,李新球,等.四种盖髓剂用于乳牙深龋活髓切断的临床研究[J].实用口腔医学杂志,2015,17(6):482-485.