PDF(Pubmed)
Abstract：
UNASSIGNED: A new concept of antibiotic sterilization has come into existence which can be used to sterilize the demineralized portion of the teeth with minimal or ultraconservative excavation of caries in deep dentinal carious lesions as an alternative for indirect pulp therapy (IPT) and pulpotomy to avoid further complications. This study was undertaken to compare the success rates of antibiotic sterilization, indirect pulp treatment, and pulpotomy in the management of primary teeth with deep carious lesion.
UNASSIGNED: Ninety teeth involving deep carious lesions approaching pulp in primary molars were selected and randomly divided into three groups containing 30 teeth. Group I was treated with antibiotic sterilization using 3Mix-MP paste, group II was treated with indirect pulp treatment using calcium hydroxide, and group III was treated with conventional pulpotomy using 15.5% ferric sulfate (FS) solution. Clinical and radiographic analysis of all three groups was performed at 1, 3, 6, 9, and 12 months to evaluate the success of treatment procedures using predetermined criteria. Pearson\'s Chi-squared test and McNemar test were used for statistical analysis.
UNASSIGNED: At the end of the 12-month follow-up period, the overall clinical and radiographic success was determined to be 96.3% for group I, 100% for group II, and 96.4% for group III. There were no statistically significant differences observed between the success of three groups, suggesting that either of the procedures can be adopted for the management of deep carious lesions approaching pulp in primary teeth.
UNASSIGNED: Antibiotic sterilization can be introduced as a newer modality in the management of deep carious lesions approaching pulp in primary teeth which is ultraconservative in nature and reduces the risk of pulp exposure in comparison with indirect pulp treatment and pulpotomy procedures.
UNASSIGNED: Saxena D, Garg N, Pathivada L, et al. Success Rates of Antibiotic Sterilization, Indirect Pulp Treatment, and Pulpotomy in the Management of Primary Teeth with Deep Carious Lesions. Int J Clin Pediatr Dent 2024;17(3):237-242.
UNASSIGNED: Ninety teeth involving deep carious lesions approaching pulp in primary molars were selected and randomly divided into three groups containing 30 teeth. Group I was treated with antibiotic sterilization using 3Mix-MP paste, group II was treated with indirect pulp treatment using calcium hydroxide, and group III was treated with conventional pulpotomy using 15.5% ferric sulfate (FS) solution. Clinical and radiographic analysis of all three groups was performed at 1, 3, 6, 9, and 12 months to evaluate the success of treatment procedures using predetermined criteria. Pearson\'s Chi-squared test and McNemar test were used for statistical analysis.
UNASSIGNED: At the end of the 12-month follow-up period, the overall clinical and radiographic success was determined to be 96.3% for group I, 100% for group II, and 96.4% for group III. There were no statistically significant differences observed between the success of three groups, suggesting that either of the procedures can be adopted for the management of deep carious lesions approaching pulp in primary teeth.
UNASSIGNED: Antibiotic sterilization can be introduced as a newer modality in the management of deep carious lesions approaching pulp in primary teeth which is ultraconservative in nature and reduces the risk of pulp exposure in comparison with indirect pulp treatment and pulpotomy procedures.
UNASSIGNED: Saxena D, Garg N, Pathivada L, et al. Success Rates of Antibiotic Sterilization, Indirect Pulp Treatment, and Pulpotomy in the Management of Primary Teeth with Deep Carious Lesions. Int J Clin Pediatr Dent 2024;17(3):237-242.
摘要：
■已经出现了抗生素灭菌的新概念，该概念可用于对牙齿的去矿质部分进行灭菌，同时对深牙龋病变中的龋齿进行最小或超保守性挖掘，作为间接牙髓治疗的替代方法（IPT）和牙髓切除术，以避免进一步的并发症。这项研究是为了比较抗生素灭菌的成功率，间接纸浆处理，和牙髓切除术在治疗患有深龋病变的乳牙中的应用。
■选择了90颗牙齿，这些牙齿涉及接近原发性磨牙牙髓的深龋病变，并随机分为三组，每组30颗牙齿。使用3Mix-MP糊剂对I组进行抗生素灭菌处理，II组采用氢氧化钙间接牙髓处理，第三组采用15.5％硫酸铁（FS）溶液进行常规牙髓切除术。在1、3、6、9和12个月时对所有三组进行临床和影像学分析，以使用预定标准评估治疗程序的成功。采用Pearson卡方检验和McNemar检验进行统计分析。
■在12个月的随访期结束时，I组的总体临床和影像学检查成功率为96.3％，第二组100%,III组为96.4%。三组的成功率无统计学差异,这表明任何一种方法都可以用于处理接近乳牙牙髓的深龋病变。
■抗生素灭菌可以作为一种较新的方式引入，用于治疗接近乳牙牙髓的深龋病变，与间接牙髓治疗和牙髓切除术相比，它本质上是超保守性的，降低了牙髓暴露的风险。
■SaxenaD,GargN,PathivadaL,etal.抗生素灭菌的成功率，间接纸浆处理,牙髓切开术在原发性牙合并深部龋齿病变的治疗中的应用。IntJClinPediatrDent2024；17(3)：237-242。
■选择了90颗牙齿，这些牙齿涉及接近原发性磨牙牙髓的深龋病变，并随机分为三组，每组30颗牙齿。使用3Mix-MP糊剂对I组进行抗生素灭菌处理，II组采用氢氧化钙间接牙髓处理，第三组采用15.5％硫酸铁（FS）溶液进行常规牙髓切除术。在1、3、6、9和12个月时对所有三组进行临床和影像学分析，以使用预定标准评估治疗程序的成功。采用Pearson卡方检验和McNemar检验进行统计分析。
■在12个月的随访期结束时，I组的总体临床和影像学检查成功率为96.3％，第二组100%,III组为96.4%。三组的成功率无统计学差异,这表明任何一种方法都可以用于处理接近乳牙牙髓的深龋病变。
■抗生素灭菌可以作为一种较新的方式引入，用于治疗接近乳牙牙髓的深龋病变，与间接牙髓治疗和牙髓切除术相比，它本质上是超保守性的，降低了牙髓暴露的风险。
■SaxenaD,GargN,PathivadaL,etal.抗生素灭菌的成功率，间接纸浆处理,牙髓切开术在原发性牙合并深部龋齿病变的治疗中的应用。IntJClinPediatrDent2024；17(3)：237-242。
