比较儿童未成熟恒切牙根管治疗的技术质量和临床效果:对三种生物陶瓷堵塞材料的回顾性评估。

IF 2.3 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Christopher C Donnell, Pathanjali Kandiah
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引用次数: 0

摘要

目的:评估使用三种不同的生物陶瓷塞材料对未成熟恒切牙进行非手术根管治疗的技术质量和临床结果,并强调可能影响治疗和质量结果的变量:本横断面分析是英国查尔斯-克利福德牙科医院儿童牙科对正交根管治疗的技术质量和临床结果进行的回顾性服务评估的一部分。利用电子病历系统,按时间顺序确定了 25 个病例的三种生物陶瓷塞材料:三种生物陶瓷塞材料分别是:三氧化矿物质骨料 (MTA)、Biodentine 和 TotalFill 粘合剂。所有射线照片均采用标准条件进行分析。使用 Kappa 和加权 Kappa 检验计算检查者内部和检查者之间的一致性。使用数据收集工具收集数据,输入 Microsoft Excel,并使用描述性统计、基于卡方检验的探索性分析和多变量分析(逻辑回归)进行分析:在12个月的复查中,每种顶点强化材料的成功率分别为MTA(84%)、Biodentine(88%)和TotalFill Putty(92%)。MTA 术后冠状变色的频率最高,而 Biodentine 与牙根尖挤出的关系最大。研究发现了一些影响临床结果的变量和趋势,包括术前是否存在吸收、参与治疗的操作者人数、完成治疗的预约次数,以及在根尖塞置入过程中不使用局麻药对技术质量或临床结果有何不利影响:结论:MTA、Biodentine 和 TotalFill Putty 是非常有效的根尖化材料,能产生极佳的临床效果。因此,在未成熟牙髓治疗的技术质量和临床结果方面,后勤和环境因素,如经验、技术和能力水平提高的操作者的连续性治疗,而不是材料的选择,可能更具有预后意义。我们需要更多高质量的证据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparing the technical quality and clinical outcomes of root canal treatment on immature permanent incisors in children: a retrospective evaluation of three bioceramic plug materials.

Purpose: To assess the technical quality and clinical outcomes of non-surgical endodontic treatment of immature permanent incisor teeth with three different bioceramic plug materials and highlight variables which may influence treatment and quality outcomes.

Methods: This cross-sectional analysis forms part of a retrospective service evaluation of the technical quality and clinical outcome of orthograde root canal treatment carried out in the Paediatric Dentistry Department of Charles Clifford Dental Hospital (United Kingdom). Twenty-five cases were identified chronologically, using the electronic patient record system, for three bioceramic plug materials: Mineral Trioxide Aggregate (MTA), Biodentine, and TotalFill Putty. All radiographs were analysed using standard conditions. Intra- and inter-examiner agreement was calculated using Kappa and weighted Kappa tests. Data were collected using a data collection tool, entered into Microsoft Excel, and analysed using descriptive statistics, exploratory analysis with Chi-squared tests, and multivariable analyses (logistic regression).

Results: At 12-month review, the success rate for each apexification material was MTA (84%), Biodentine (88%), and TotalFill Putty (92%). MTA had the highest frequency of post-operative coronal discolouration, with Biodentine most associated with apical extrusion. A number of variables and trends that affect the clinical outcome were identified, including the presence of pre-operative resorption, the number of operators involved in treatment, the number of appointments to complete treatment, as well as how non-use of local anaesthetic during apical plug placement had no adverse effect on technical quality or clinical outcome.

Conclusions: MTA, Biodentine, and TotalFill Putty are highly effective apexification materials which produce excellent clinical outcomes. As such, logistical and situational factors, such as continuity of care from operators with increased levels of experience, skill and ability, rather than material choice, may be more prognostic regarding the technical quality and clinical outcome of immature endodontic treatment. Further high-quality evidence is required.

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来源期刊
European Archives of Paediatric Dentistry
European Archives of Paediatric Dentistry DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
4.40
自引率
9.10%
发文量
81
期刊介绍: The aim and scope of European Archives of Paediatric Dentistry (EAPD) is to promote research in all aspects of dentistry for children, including interceptive orthodontics and studies on children and young adults with special needs. The EAPD focuses on the publication and critical evaluation of clinical and basic science research related to children. The EAPD will consider clinical case series reports, followed by the relevant literature review, only where there are new and important findings of interest to Paediatric Dentistry and where details of techniques or treatment carried out and the success of such approaches are given.
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