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用2种基于酸盐的材料对脉永久牙进行重要的脉治疗的临床影响因素:一项随机临床试验
Linlin Zhang1, Li Yin, Jianbo Wu
1Institute of Oral Science, Department of Stomatology, Longgang Otorhinolaryngology Hospital, Shenzhen, China.
Medicine
|May 3, 2024
概括
使用TheraCal LC和iRoot BP Plus的生命脉治疗 (VPT) 在治疗脉中显示出高的成功率. TheraCal LC提供了更简单的操作和更少的术后疼痛,而术前疼痛持续时间会影响预后.
科学领域:
- 牙科 牙科是指牙科的专业.
- 牙周内科医院 牙周内科医院 牙周内科医院
- 牙科材料科学 牙科材料科学
背景情况:
- 生命脉疗法 (VPT) 为传统的根管疗法 (RCT) 提供了一种微创的替代方法,用于治疗由于牙损伤引起的脉炎.
- 高质量的随机临床试验有限,这阻碍了对VPT的明确指导方针.
- 这项研究评估了TheraCal LC (TH) 和iRoot BP Plus (BP) 在永久牙中具有可逆和不可逆的脉的临床疗效.
研究的目的:
- 评估和比较使用TheraCal LC和iRoot BP Plus进行生命性脉治疗的临床结果.
- 为了确定这些材料在治疗永久牙的有效性,与牙暴露和牙.
- 确定影响生命脉治疗预后的因素.
主要方法:
- 一项前性队列研究,涉及115颗具有可逆性或不可逆性的牙.
- 牙被随机分配给接受TheraCal LC或iRoot BP Plus用于纸封闭.
- 程序包括直接的纸封闭,部分纸切除或基于纸暴露评估的全部纸切除. 在12个月内进行了临床和放射性评估.
主要成果:
- 在第一年,两种材料的总体临床成功率为90.4%.
- TheraCal LC 组表现出明显缩短的操作时间,减少了术后疼痛,以及疼痛持续时间缩短 (P < .001).
- 术前疼痛持续时间被确定为VPT预后的重要预测因素 (P = .011).
结论:
- 无论是TheraCal LC还是iRoot BP Plus,都在永久性牙牙病的肝脏治疗中取得了良好的临床结果.
- 在操作方便和减少患者不适方面,TheraCal LC具有优势.
- 术前疼痛的持续时间是预测生命脉疗法的成功时需要考虑的关键因素.
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