The results of pulpectomy in primary molars in children with negative behaviour

E. N. Arjenovskaya, E. Maslak, T. N. Kamennova
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Abstract

Relevance. A pulpectomy is a procedure predominantly performed for pulpitis treatment in single-rooted primary teeth. Data on the pulpectomy in primary molars are limited. Pulpectomy in children with negative behaviour is particularly difficult. The study aimed to determine the survival rate of primary molars after treatment of chronic pulpitis by pulpectomy in children with negative behaviour depending on the behaviour management method.Material and methods. A prospective clinical study in parallel groups involved 120 children aged 3-6 years who demonstrated negative behaviour (according to the Frankl scale) during a dental examination. Chronic fibrous pulpitis was treated by vital pulpectomy in 180 primary molars. In group 1 (60 children, 90 teeth), children underwent non-pharmacological behaviour management; in group 2, children were treated under conscious sedation (pharmacological correction of behaviour). Follow-ups after 6, 12, 18 and 24 months determined the tooth survival rate after pulpectomy.Results. The 24-month tooth survival rate after pulpectomy was 76.7% in group 1 (95% CI 67.9-85.4%), 81.1% – in group 2 (95% CI 73.0-89.2%), p > 0.05.Conclusion. More than 75% of primary molars survived for 24 months after vital pulpectomy in children with negative behaviour. The results of pulpectomy with pharmacological behaviour correction were better than after non-pharmacological behaviour management; however, the detected differences were not statistically significant.
对有不良行为的儿童的初级臼齿进行牙槽切除术的结果
相关性。牙髓切除术主要用于治疗单根原牙的牙髓炎。有关乳磨牙牙髓切除术的数据十分有限。对行为消极的儿童进行牙髓切除术尤其困难。该研究旨在根据行为管理方法的不同,确定有负面行为的儿童在通过牙髓切除术治疗慢性牙髓炎后的原磨牙存活率。这是一项平行分组的前瞻性临床研究,涉及 120 名 3-6 岁儿童,他们在牙科检查中表现出负面行为(根据弗兰克尔量表)。通过对 180 颗初级磨牙进行重要的牙髓切除术治疗慢性纤维性牙髓炎。在第一组(60 名儿童,90 颗牙齿)中,儿童接受了非药物行为管理;在第二组中,儿童在有意识镇静的情况下接受了治疗(药物矫正行为)。6个月、12个月、18个月和24个月后的随访确定了牙槽骨切除术后的牙齿存活率。第一组患儿牙槽切除术后 24 个月的牙齿存活率为 76.7%(95% CI 67.9-85.4%),第二组为 81.1%(95% CI 73.0-89.2%),P > 0.05。对行为消极的儿童进行重要的牙槽骨切除术后,超过 75% 的初级臼齿能存活 24 个月。通过药物行为矫正进行牙槽切除术后的效果优于非药物行为矫正;然而,检测到的差异在统计学上并不显著。
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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