[Evaluation of the efficacy of iRoot BP Plus combined with Nd:YAG laser in the treatment of cariogenic pulp exposure].

Q4 Medicine
上海口腔医学 Pub Date : 2025-04-01
Yuying Zhou, Xu Zhang, Juan Yuan
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引用次数: 0

Abstract

Purpose: To evaluate the pulp capping effect of iRoot BP Plus combined with Nd: YAG laser irradiation in the treatment of caries induced exposed pulp and its impact on pulp vitality and occlusal function recovery.

Methods: From January 2022 to January 2023, a total of 196 patients with dental caries and exposed pulp, including 268 permanent teeth, were selected and randomly divided into the experimental group of 98 patients (136 teeth) and control group of 98 patients (132 teeth) using computer randomization. Both groups were treated with Nd:YAG laser after cleaning the caries. The experimental group was filled with iRoot BP Plus and the control group was filled with mineral trioxide polymer (MTA). The treatment efficacy, pulp vitality and occlusal function were compared between the two groups. SPSS 24.0 software package was used for statistical analysis of the data.

Results: There was no significant difference in the success rate of treatment between the two groups at 3, 6 and 12 months after surgery(P>0.05). At 12 months after treatment, the bite force and chewing efficiency of the experimental group were significantly higher than those of the control group(P<0.05). At 3, 6 and 12 months after treatment, the pulp vitality and pulp blood flow in both groups significantly decreased compared to preoperative levels (P<0.05); the pulp vitality and pulp blood flow of the experimental group were significantly higher than those of the control group(P<0.05).

Conclusions: iRoot BP Plus combined with Nd: YAG laser in the treatment of cariogenic exposed pulp is helpful to preserve pulp vitality and improve occlusal function.

[iRoot BP Plus联合Nd:YAG激光治疗龋牙髓暴露的疗效评价]。
目的:评价iRoot BP Plus联合Nd: YAG激光治疗龋外露牙髓的盖髓效果及其对牙髓活力和咬合功能恢复的影响。方法:选取2022年1月~ 2023年1月的196例龋牙及牙髓外露患者,其中恒牙268颗,采用计算机随机法随机分为实验组98例(136颗牙)和对照组98例(132颗牙)。两组均在清除龋后用Nd:YAG激光治疗。实验组采用iRoot BP Plus填充,对照组采用矿物三氧化物聚合物(mineral trioxide polymer, MTA)填充。比较两组治疗效果、牙髓活力和咬合功能。采用SPSS 24.0软件包对数据进行统计分析。结果:两组患者术后3、6、12个月的治疗成功率比较,差异均无统计学意义(P < 0.05)。治疗后12个月,实验组的咬合力和咀嚼效率显著高于对照组(P<0.05)。治疗后3、6、12个月,两组患者牙髓活力、牙髓血流量均较术前显著降低(P<0.05);实验组的牙髓活力和牙髓血流量显著高于对照组(P<0.05)。结论:iRoot BP Plus联合Nd: YAG激光治疗龋源性外露牙髓有助于保持牙髓活力,改善咬合功能。
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
上海口腔医学
上海口腔医学 Medicine-Medicine (all)
CiteScore
0.30
自引率
0.00%
发文量
5299
期刊介绍: "Shanghai Journal of Stomatology (SJS)" is a comprehensive academic journal of stomatology directed by Shanghai Jiao Tong University and sponsored by the Ninth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine. The main columns include basic research, clinical research, column articles, clinical summaries, reviews, academic lectures, etc., which are suitable for reference by clinicians, scientific researchers and teaching personnel at all levels engaged in oral medicine.
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