关键词: deciduous molars dental pulp endodontics indirect pulp therapy pulpotomy

Mesh : Dental Caries / therapy Humans Molar Pulpotomy Retrospective Studies Tooth, Deciduous Treatment Outcome

来  源:   DOI:10.3390/ijerph18157970   PDF(Sci-hub)   PDF(Pubmed)

Abstract:
There is a paucity of information concerning vital pulp treatment outcomes in the undergraduate teaching setting. This study aimed to determine which type of deciduous molar, arch location, type of vital pulp therapy, and the number of carious surfaces involved had a better prognosis when carried out by undergraduate dental students. The method used was the review of clinical records of 590 patients with 600 deciduous molars, that visited the outpatient undergraduate dental clinics for vital pulp therapy. Statistical analysis used to determine the associations of tooth type, arch location, treatment type, and the number of carious surfaces involved in successful outcomes was logistic regression analysis with significance set at p < 0.05. According to the regression analysis model results, there was a significant association based on tooth type (p < 0.05) and arch location (p = 0.003). In addition, there was a significant association based on the type of treatment performed (p = 0.036). However, there was no significant association in success rates based on the number of carious surfaces involved (p = 0.873). In conclusion, second deciduous molars and maxillary deciduous molars had a better overall prognosis, and indirect pulp therapy was revealed to be more highly associated with successful treatment outcomes in comparison to ferric sulfate pulpotomy in our setting.
摘要:
在本科教学环境中,有关重要牙髓治疗结果的信息很少。这项研究旨在确定哪种类型的落叶磨牙,拱门位置,活髓疗法的类型,当本科牙科学生进行时,所涉及的龋齿表面的数量具有更好的预后。使用的方法是回顾590例600颗乳磨牙患者的临床记录,他们访问了门诊本科牙科诊所进行重要的牙髓治疗。用于确定牙齿类型关联的统计分析,拱门位置,治疗类型,与成功结局相关的龋齿表面数量进行了logistic回归分析,显著性设置为p<0.05.根据回归分析模型的结果,根据牙齿类型(p<0.05)和牙弓位置(p=0.003),存在显着相关性。此外,根据所进行的治疗类型存在显著关联(p=0.036).然而,根据所涉及的龋齿表面的数量,成功率没有显著关联(p=0.873).总之,第二乳磨牙和上颌乳磨牙的总体预后较好,在我们的设置中,与硫酸铁牙髓切除术相比,间接牙髓治疗与成功治疗结果的相关性更高.
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