| 马晓楠,韩晓兰.活髓切断术在成人不可复性牙髓炎中的疗效分析[J].安徽医药,2018,22(11):2111-2113. |
| 活髓切断术在成人不可复性牙髓炎中的疗效分析 |
| Clinical effect of the vital pulpotomy in adult irreversible pulpitis |
| 投稿时间：2017-08-31 |
| DOI： |
| 中文关键词: 活髓切断术 不可复性牙髓炎 三氧化物聚合体 恒磨牙 |
| 英文关键词: Vital pulpotomy Irreversible pulpitis Mineral trioxide aggregate Permanent molar |
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| 中文摘要: |
| 目的 探讨活髓切断术在由龋病所致的成人不可复性牙髓炎中的临床作用。方法 选择2014年1月至2015年12月安徽医科大学第一附属医院24例符合标准的牙髓炎患者,局部麻醉下使用牙科手机去尽患牙龋损,用生理盐水冲洗暴露牙髓直至牙髓停止出血,再使用三氧化物聚合体(MTA)作为盖髓剂,进而观察患者术后牙髓状况及X线片表现。结果 经过活髓切断术后,符合要求的24例成人24颗恒磨牙不可复性牙髓炎中,21例患者活髓保存成功,活髓保存成功率较高,达到87.5%。结论 与乳牙和年轻恒牙相比,活髓切断术在牙根发育完全的成人不可复性牙髓炎中也具有较高的临床使用价值。 |
| 英文摘要: |
| Objective To investigate the clinical effects of the vital pulpotomy in adults with irreversible pulpitis caused by dental caries.Methods Twenty-four patients with dental pulpitis who met the standard in the First Affiliated Hospital of Anhui Medical University from January 2014 to December 2015 were treated with dental turbines to remove dental caries under local anesthesia,saline to rinse the exposed pulp until the pulp stop bleeding,and then trioxide polymer (MTA) as a pulp capping agent the dental pulp status and X-ray manifestations were then observed.Results Twenty-four adults with irreversible pulpitis of 24 permanent molars were observed.After the pulpotomy,the patients were followed up for 18 months.Vital pulps of 21 patients proved to be successfully preserved,and the survival rate of the pulp preservation was higher to 87.5%.Conclusion Vital pulpotomy has great clinical value in adult irreversible pulpitis with complete root development compared with primary teeth and young permanent teeth. |
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