使用Biodentine与MTA相比,再生治疗成熟牙的肉质坏死和性牙周炎:随机对照临床试验

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Amatallah Hussein Al-Rawhani¹, Salsabyl Mohamed Ibrahim², Fatma M Abu Naeem²

¹Faculty of Dentistry, Cairo University Address: 11 El-Saraya Str., El-Manyal, Cairo, Egypt.

European endodontic journal

|October 30, 2024

概括

生物牙和矿物三氧化物聚合物 (MTA) 显示在再生性内牙治疗中具有可比的有效性,用于患有尖端牙周炎的成熟牙. 这两种材料都成功地治愈了牙周病变,并恢复了牙的敏感性.

科学领域:

牙周内科医院牙周内科医院牙周内科医院
恢复性牙科恢复性牙科
牙科材料科学牙科材料科学

背景情况:

在成熟的牙中,有脉死的牙周炎对再生性内牙治疗构成了挑战.
纸空间障碍对于再生过程的成功至关重要.

研究的目的:

为了比较Biodentine与Mineral Trioxide Aggregate (MTA) 在再生性内牙科中作为纸空间障碍物的疗效.
评估周围牙病变的愈合和成熟牙中脉敏感性的恢复.

主要方法:

这是一项随机对照研究,涉及36名患有成熟死牙和牙周炎的患者.
复原治疗使用了血凝结技术,牙随机分配到Biodentine或MTA组.
评估的结果包括18个月的随访期间的周周病变愈合和脉敏感性.

主要成果:

18个月后,Biodentine和MTA两组都显示出有效的周周病变愈合 (67.7%愈合,32.3%愈合).
两组之间没有观察到治疗率的显著差异 (p=1.00).
超过70%的患者恢复了牙的敏感性,在Biodentine和MTA组之间没有统计学上显著的差异 (p=0.703).

结论:

生物牙和MTA都是有效的材料,用于再生性内牙治疗中作为纸空间障碍物.
使用Biodentine或MTA进行血栓再生治疗,成功地解决了周周病变,并恢复成熟牙的敏感性.

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