初级牙生命脉治疗干预措施:系统审查和元分析
James A Coll1, Vineet Dhar2, Chia-Yu Chen3
1Department of Pediatric Dentistry, University of Maryland School of Dentistry, Baltimore, Md., USA.
Pediatric dentistry
|December 22, 2023
概括
在初生牙中,关键脉治疗 (Vital Pulp Therapy,VPT) 在间接脉治疗 (97%) 和酸水泥脉切除 (90-94%) 中表现出高的成功率. 这些方法比直接的纸封盖更有效,可以保持纸的活力.
科学领域:
- 儿科牙科 儿科牙科
- 牙周内科医院 牙周内科医院 牙周内科医院
- 皮肤病学 皮肤病学 皮肤病学
背景情况:
- 生命脉疗法 (VPT) 旨在维持牙或创伤的初级牙中的脉活力.
- 以前的系统审查提供了证据,但需要更新以反映当前的最佳实践.
研究的目的:
- 更新2016年关于主要牙生命脉治疗 (VPT) 的系统审查.
- 为了评估不同VPT技术的有效性,用于牙损伤和创伤的牙.
主要方法:
- 使用PICOS框架进行了系统审查和元分析.
- 包括的研究被评估为偏见的风险和证据的确定性.
- 分析了299项研究的数据.
主要成果:
- 间接纸治疗 (IPT) 显示97%的成功率. 用MTA (94%) 和Biodentine (90%) 进行的酸水泥 (CSC) 纸切除比直接封闭纸 (86%) 更成功.
- 甲基醇和硫酸铁瘤切除的成功率明显低于MTA瘤切除.
- 与完全挖掘相比,选择性/逐步的除和霍尔技术并没有显著降低纸活力成功率.
结论:
- 间接的纸处理和CSC纸切除证明了比直接的纸封闭和其他纸切除更好的成功.
- 霍尔的技术显示了可比的纸活力和虫除去方法的成功.
- VPT,特别是IPT和CSC脉冲切除术,是保持母牙脉活力的可行选择.
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