PULPOTOMY IN PRIMARY MOLAR TEETH USING ELECTROSURGERY AND MTA : A RETROSPECTIVE STUDY OF SURVIVAL RATES

Yowon Jeon, Seunhye Kim, Kwangwoo Baek
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引用次数: 1

Abstract

This study investigates the success rate of pulpotomy using electrosurgery operated on a primary molar in caries. The pulpotomy using electrosurgery was done on 253 primary molars of 111 young patients from 2 to 9 years old during the period of the first day of January 2011 to the last day of December 2015. After the amputation of pulp and hemostasis of primary molar were done using electrosurgery, MTA as pulp capping material was applied to the primary molar and the tooth was restored with the stainless steel crown. The follow up period after the treatment ranged from 4-46 months. The clinical and radiographic success rate ranged from 92.1 94.3%. Which is comparable to formocresol and ferric sulfate pulpotomy. Due to its non-pharmacological characteristic, electrosurgery can minimize harmful effect on the pulp tissue. Its fast bleeding control makes it easy and safe to use in pediatric and disabled patients in comparatively simple manner. Electrosurgery can be an alternative for pulp therapy considering the side effects of pharmacological ways. [J Korean Dis Oral Health Vol.12, No.2: 45-49, December 2016]
电切牙与mta联合行乳牙切牙术:存活率的回顾性研究
本研究探讨电切牙术治疗龋齿第一磨牙的成功率。本文于2011年1月1日至2015年12月31日对111例2 ~ 9岁青少年患者253颗一磨牙进行了电切牙手术。电刀切除牙髓,完成一磨牙止血后,将MTA作为牙髓盖覆材料覆盖在一磨牙上,用不锈钢冠修复。治疗后随访4 ~ 46个月。临床及影像学成功率为92.1 ~ 94.3%。这与甲醛甲酚和硫酸铁的截髓术相当。由于其非药物的特点,电手术可以减少对牙髓组织的有害影响。它的快速出血控制,使其易于和安全的使用在儿童和残疾患者相对简单的方式。考虑到药物治疗的副作用,电手术可以作为牙髓治疗的一种替代方法。[J]中华口腔医学杂志,2016年12月第2期:45-49。
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