PDF(Pubmed)
Abstract：
Background: This retrospective clinical study aimed to assess dental pulp tissue reactions to direct and indirect pulp capping after 10 years of follow-up. Methods: A total of 276 permanent teeth with deep carious lesions were evaluated and divided into five groups: Group (1), direct pulp capping with Mineral Trioxide Aggregate cement; Group (2), direct pulp capping with a resin-based glass ionomer; Group (3), direct pulp capping with TheraCal; Group (4), indirect pulp capping with a three-step total-etch adhesive system; and Group (5), indirect pulp capping with a two-step self-etch adhesive system. Results: A 72.5% success rate was achieved overall. A statistically significant difference was found when comparing direct and indirect pulp capping with a success rate of 23.8% and 93.8%, respectively. For direct pulp-capping procedures, the area of pulp exposure was correlated with pulp necrosis (p = 0.035), while bleeding after exposure appeared independent (p = 0.053). Patient age was significantly related to the maintenance of pulp vitality (p = 0.013). A statistically significant correlation between the pulp-capping material and the occurrence of pulp necrosis was discovered (p = 0.017). For the indirect pulp-capping treatments, a significant correlation between patient age (p = 0.021) and the adhesive system (p = 0.019) with pulp necrosis was described. Conclusions: The pulp-capping material, patient age, and the width of the pulp exposure before the procedure should be carefully considered when performing direct pulp-capping treatments. The performance of the etch-and-rinse adhesive systems was superior to the self-etch system during the indirect pulp-capping procedures.
摘要：
背景：这项回顾性临床研究旨在评估10年随访后牙髓组织对直接和间接盖髓的反应。方法:对276颗深龋病变恒牙进行评价,分为5组:(1),三氧化二矿物骨料水泥直接盖浆；组（2），用树脂基玻璃离聚物直接盖浆；组(3)，用TheraCal直接盖浆；组(4)，用三步全蚀刻粘合剂系统间接盖浆；和组(5)，用两步自蚀刻粘合剂系统间接盖浆。结果:总体成功率为72.5%。比较直接和间接盖髓的成功率分别为23.8%和93.8%，有统计学上的显著差异，分别。对于直接盖浆程序，牙髓暴露面积与牙髓坏死相关(p=0.035)，而暴露后出血似乎是独立的（p=0.053）。患者年龄与牙髓活力的维持显着相关（p=0.013）。发现盖髓材料与牙髓坏死的发生之间存在统计学上的显着相关性（p=0.017）。对于间接盖髓处理，描述了患者年龄(p=0.021)和粘附系统(p=0.019)与牙髓坏死之间的显著相关性.结论：盖髓材料，患者年龄,在进行直接盖髓处理时，应仔细考虑手术前接触纸浆的宽度。在间接盖浆过程中，蚀刻和冲洗粘合剂系统的性能优于自蚀刻系统。
