Two-year Outcomes of Coronal Pulpotomy in Young Permanent Molars with Clinical Signs Indicative of Irreversible Pulpitis.

IF 1.5 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Pediatric dentistry Pub Date : 2023-01-15

Seda Elmas, Derya Akay Kotan, Mesut Enes Odabaş

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引用次数: 0

Abstract

Purpose: The purpose of this study was to assess the outcome of coronal pulpotomy using mineral trioxide aggregate (MTA) in mature and immature teeth with symptoms indicative of irreversible pulpitis.

Methods: Fifty permanent molars with symptomatic irreversible pulpitis were divided into two groups according to complete or incomplete radicular growth (25 teeth in each group). Coronal pulpotomy was performed with MTA. Clinical follow-up evaluations were scheduled at the third, sixth, ninth, 12th, 18th, and 24th months. Follow-up radiographs were taken at the sixth, 12th, 18th, and 24th months. Pain levels were scored preoperatively and two days post-treatment.

Results: At two years of recall, 10 patients were lost to follow-up and the success of molars with complete or incomplete radicular growth were 100 percent and 95 percent, respectively. All teeth with periapical rarefaction were present preoperatively and showed complete radiographic healing. Radiographic evidence of dentin bridge formation was discernable in 31 of 38 cases.

Conclusions: Full coronal pulpotomy using mineral trioxide aggregate was successful in controlling pain and any infections after two years in 39 of 40 teeth regardless of whether they had immature or mature roots.

本刊更多论文

临床表现为不可逆牙髓炎的年轻恒磨牙冠状牙髓切开术的两年疗效。

目的:本研究的目的是评估使用三氧化二矿骨料(MTA)对成熟和不成熟牙齿进行冠状髓切开术的结果，这些牙齿有不可逆牙髓炎的症状。方法:50例有症状的不可逆性牙髓炎恒磨牙按牙根生长完全或不完全分为两组(每组25颗)。采用MTA行冠状髓腔切开术。于第3、6、9、12、18、24个月进行临床随访评价。随访时间分别为第6、12、18、24个月。术前和治疗后2天分别对疼痛程度进行评分。结果:回顾2年时，10例患者失访，牙根生长完全或不完全的磨牙成功率分别为100%和95%。所有根尖周稀疏的牙齿术前均出现，影像学显示完全愈合。38例患者中有31例有牙本质桥形成的影像学证据。结论:采用三氧化二矿骨料的冠状髓切开术治疗40颗牙，不论其牙根发育成熟与否，术后2年均可成功控制39颗牙的疼痛和感染。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric dentistry DENTISTRY, ORAL SURGERY & MEDICINEPEDIATRI-PEDIATRICS

CiteScore

1.20

自引率

6.20%

发文量

审稿时长

>12 weeks

期刊介绍： Pediatric Dentistry is the official publication of the American Academy of Pediatric Dentistry, the American Board of Pediatric Dentistry and the College of Diplomates of the American Board of Pediatric Dentistry. It is published bi-monthly and is internationally recognized as the leading journal in the area of pediatric dentistry. The journal promotes the practice, education and research specifically related to the specialty of pediatric dentistry. This peer-reviewed journal features scientific articles, case reports and abstracts of current pediatric dental research.