永久牙中的生命脉疗法:系统审查和元分析
James A Coll1, Vineet Dhar1, Marcio Guelmann2
1Department of Pediatric Dentistry, Department of Orthodontics and Pediatric Dentistry, University of Maryland School of Dentistry, Baltimore, Md.
Pediatric dentistry
|June 19, 2025
概括
生命脉治疗 (VPT) 方法显示,正常脉或可逆脉的牙的成功率很高. 完整的脉冲切除术是诊断为有症状的不可逆转脉冲炎的牙的成功治疗选择.
科学领域:
- 牙周内科医院 牙周内科医院 牙周内科医院
- 牙科创伤学 牙科创伤学
- 皮肤病学 皮肤病学 皮肤病学
背景情况:
- 生命脉治疗 (VPT) 旨在保持永久牙中的脉活力.
- 影响VPT成功的因素需要全面评估以优化临床结果.
研究的目的:
- 系统地审查和分析影响永久牙中生命脉治疗成功的因素.
主要方法:
- 多个数据库的系统审查一直持续到2024年6月.
- 建议评估,开发和评价 (GRADE) 方法的分级评估了证据的确定性.
主要成果:
- 间接脉治疗 (IPT),直接脉封闭 (DPC),部分脉切除术 (PP) 和全脉切除术 (FP) 在24个月内显示出正常脉/可逆脉 (NP/RP) 的高成功率 (91-97%).
- 完整的脉冲切除术在五年内显示出78%的成功率,对于有症状的不可逆转脉冲炎 (SIP) 的牙,在没有周周病变的牙中成功率明显更高.
- 部分/全脉切除术 (PP/FP) 的成功率在创伤性脉暴露和直接脉封闭 (DPC) 中是可比的.
结论:
- 所有重要的脉治疗方法对于被诊断为正常脉或可逆脉炎的牙都是有效的.
- 完整的牙切除术是诊断为有症状的不可逆转牙炎的永久牙的可行和成功的治疗选择.
- 血液静止在六分钟内,Biodentine的使用可以提高脉冲切除术的成功率.
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