Outcomes of partial pulpotomy in permanent molars of children with irreversible pulpitis: A prospective cohort study

IF 2.3 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

International journal of paediatric dentistry Pub Date : 2024-09-10 DOI:10.1111/ipd.13267

Jiajia Zheng, Meili Ding, Shanshan Zhang, Yulan Ren, Quan Wen

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引用次数: 0

Abstract

BackgroundVital pulp therapy is gaining traction in dental practice, especially for young patients.AimTo evaluate the outcomes of partial pulpotomy in permanent molars of children diagnosed with irreversible pulpitis (IP) using iRoot BP Plus.DesignA total of 94 permanent molars in 88 patients, aged 6–15 years, with symptoms of IP, were treated with partial pulpotomy, using iRoot BP Plus as the pulp capping agent. The treated teeth underwent clinical and radiographic assessments at 1, 6, 12, 18, and 24 months postoperative. The outcomes were determined based on clinical and radiographic criteria by calibrated examiners.ResultsThe success rates were 98.4% (63/64), 93.2% (41/44), and 89.7% (26/29) at the 6‐month, 12‐month, and 24‐month follow‐up. By the end of this study, the median follow‐up period was 15.1 months, and the estimated survival rate was 95.2% at 24 months. Gender, root maturity, and number of missing walls had no significant effect on success rates. Six molars were failed, and root canal therapy (RCT) was applied.ConclusionsPartial pulpotomy for permanent molars with IP in young patients using iRoot BP Plus as pulp capping material achieved high success. This method presents a viable alternative to apexification and RCT for treating vital, inflamed molars with IP in children.

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对患有不可逆牙髓炎的儿童恒磨牙进行部分牙髓切断术的结果：前瞻性队列研究

背景牙髓治疗在牙科临床中越来越受到重视，尤其是对年轻患者。目的评估使用iRoot BP Plus对确诊患有不可逆牙髓炎（IP）的儿童恒磨牙进行部分牙髓切断术的效果。设计使用iRoot BP Plus作为牙髓封闭剂，对88名年龄在6-15岁、有IP症状的患者的94颗恒磨牙进行了部分牙髓切断术。接受治疗的牙齿在术后 1、6、12、18 和 24 个月接受了临床和放射学评估。结果在 6 个月、12 个月和 24 个月的随访中，成功率分别为 98.4%（63/64）、93.2%（41/44）和 89.7%（26/29）。研究结束时，中位随访时间为 15.1 个月，24 个月时的存活率估计为 95.2%。性别、牙根成熟度和缺失壁数量对成功率没有明显影响。结论使用 iRoot BP Plus 作为牙髓覆盖材料对年轻患者的恒磨牙进行部分牙髓切断术取得了很高的成功率。这种方法是治疗儿童患有根尖炎的重要恒磨牙的一种可行的替代方法。

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

International journal of paediatric dentistry 医学-小儿科

CiteScore

5.50

自引率

2.60%

发文量

审稿时长

6-12 weeks

期刊介绍： The International Journal of Paediatric Dentistry was formed in 1991 by the merger of the Journals of the International Association of Paediatric Dentistry and the British Society of Paediatric Dentistry and is published bi-monthly. It has true international scope and aims to promote the highest standard of education, practice and research in paediatric dentistry world-wide. International Journal of Paediatric Dentistry publishes papers on all aspects of paediatric dentistry including: growth and development, behaviour management, diagnosis, prevention, restorative treatment and issue relating to medically compromised children or those with disabilities. This peer-reviewed journal features scientific articles, reviews, case reports, clinical techniques, short communications and abstracts of current paediatric dental research. Analytical studies with a scientific novelty value are preferred to descriptive studies. Case reports illustrating unusual conditions and clinically relevant observations are acceptable but must be of sufficiently high quality to be considered for publication; particularly the illustrative material must be of the highest quality.