有或没有氯化钙促进剂的硅酸钙骨水泥后填充根管显微手术的结果:一项随机对照临床试验

Q3 Dentistry
Nuttida Tungsuksomboon, S. Sutimuntanakul, D. Banomyong
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引用次数: 0

摘要

添加氯化钙(CaCl2)促进剂的硅酸钙基水泥(CSC)比不添加促进剂的水泥凝结速度快。对于根管显微手术,CSC与促进剂倾向于较少溶解于组织液,这可能改善临床结果。本研究旨在评价含促进剂CSC (Bio-MA)与原CSC (prooroot®矿物三氧化骨料[MTA])后补牙根管显微手术的效果。材料与方法:根据入选标准纳入48颗需要根管再治疗的牙齿。在牙科手术显微镜下,按照规范方案进行牙髓显微手术。随机选择Bio-MA或prooroot®MTA进行补牙。在回顾访问中,根据临床和放射学评估,将治疗结果评估为“治愈”、“治愈”或“病变”。结果的统计分析采用卡方检验和Fisher精确检验。结果:术中发现牙根垂直断裂7颗(n = 5),补牙深度不足2颗(n = 2),失访2例。对于39颗14.9±5.2个月的牙齿,Bio-MA和prooroot®MTA的“愈合”率分别为85%和84.2%,Bio-MA和prooroot®MTA的“愈合”率分别为15%和15.8%。没有观察到任何“疾病”。Bio-MA组与prooroot®MTA组的临床结果无显著差异(P = 1.00)。结论:含CaCl2促进剂的Bio-MA与不含促进剂的prooroot®MTA的根管显微手术效果相近。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Outcomes of endodontic microsurgery with retrofilling of calcium silicate cements with or without calcium chloride accelerator: A randomized controlled clinical trial
Introduction: Calcium silicate-based cement (CSC) with calcium chloride (CaCl2) accelerator sets faster than the cement without accelerator. For endodontic microsurgery, CSC with the accelerator tends to be less soluble in tissue fluid that may improve clinical outcome. This study aimed to evaluate the outcome of endodontic microsurgery by retrofilling with CSC containing accelerator (Bio-MA) compared to the original CSC (ProRoot® mineral trioxide aggregate [MTA]). Materials and Methods: Forty-eight teeth required surgical root canal retreatment was included according to the eligible criteria. Endodontic microsurgery with standardized protocol was performed under the dental operating microscope. Bio-MA or ProRoot® MTA was randomly selected for retrofilling. At recall visit, treatment outcomes were evaluated as “healed,” “healing” or “diseased,” based on clinical and radiographic assessments. The Chi-square test and Fisher's exact test were used in the statistical analysis of the outcome. Results: Seven teeth were excluded because of vertical root fracture detected in surgery (n = 5) and inadequate retrofilling depth (n = 2). Two cases were lost to follow-up. For thirty-nine teeth with 14.9 ± 5.2 months recall, “healed” rates were 85% in Bio-MA and 84.2% in ProRoot® MTA, and “healing” rates was 15% in Bio-MA and 15.8% in ProRoot® MTA. None of “disease” was observed. No significant difference in the clinical outcome was observed between groups of Bio-MA and ProRoot® MTA (P = 1.00). Conclusions: The endodontic microsurgery outcome of Bio-MA containing CaCl2 accelerator was similar to that of ProRoot® MTA without accelerator.
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来源期刊
Saudi Endodontic Journal
Saudi Endodontic Journal Dentistry-Dentistry (all)
CiteScore
1.60
自引率
0.00%
发文量
0
审稿时长
32 weeks
期刊介绍: Vision SEJ aims to be one of the foremost worldwide periodical on Endodontics, dedicated to the promotion of research, post-graduate training and further education in Endodontics. Mission Statement To serve as a medium for continued Endodontic education and qualitative scientific publications on clinical trials, basic science related to the biological aspects of Endodontics, basic science related to Endodontic techniques as well as dental trauma that will ultimately improve the Endodontic research and patient’s health. Scope In this journal, Endodontists, Endodontic postgraduate students and general dentists, can learn about new concepts in root canal treatment and the latest advances in techniques and instrumentation that help them keep pace with rapid changes in this field. Aims and Objectives To publish cut edge peer-review original articles, case reports, letters to the editor, editorials, review articles, commentaries, and innovations that will impact on Endodontics. To enhance exchange of ideas/information relating to Endodontics and interaction among stakeholders. To encourage networking and partnership between individuals, government and non-governmental organizations for the provision of quality health care. To advocate for training, workshops, seminars, scientific manuscript writing conferences that will advance publishing culture.
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