目的:概述间接纸浆处理(IPT)技术和使用的新材料。
背景:间接牙髓治疗(IPT)是一种保守治疗方法,可用于原发性磨牙。牙髓切除术已被用作原发性磨牙深龋齿的首选治疗方法。在最近的研究中,IPT显示出更高的成功率。
方法:使用PubMed,ScienceDirect,还有Scopus.包括1995年至2019年发表的论文。使用的搜索术语是最近的进步,间接纸浆处理,矿物三氧化物骨料(MTA),Biodentine,TheraCal-LC,葡萄糖酸氯己定(CHX),树脂改性玻璃离聚物(RMGI),和氢氧化钙。
结果:从选定研究的电子检索和参考文献中获得72篇论文。35篇论文解释了用于初级磨牙的IPT材料的最新进展。MTA产生比氢氧化钙更优质的牙本质桥接。同样,生物牙本质可以在很短的时间内形成修复性牙本质。TheraCal-LC具有增强的稳定性和耐久性,具有强的物理性质和低的溶解度。此外,CHX是一种化学消毒剂,当与其他材料结合时,可以帮助提高IPT的成功率。当与RMGI或氢氧化钙结合时,它产生了非常成功的IPT。
结论:IPT是保留原牙列的首选治疗方法。CHX是一种新兴的材料,当与其他材料结合时,可以在IPT中提供有希望的结果。
结论:迄今为止,没有材料取代了氢氧化钙在IPT中的普遍使用。与RMGI一起使用CHX可以提高成功率,同时保留后者的优势,因为它被认为是乳牙的首选衬里,使IPT成为原发性磨牙牙髓切除术的合适替代品。
未经批准:SaberAM,ElMeligyOA,AlakiSM.初级牙齿间接纸浆处理材料的最新进展:文献综述。IntJClinPediatrDent2021;14(6):795-801。
OBJECTIVE: To provide an overview of the techniques of indirect pulp treatment (IPT) and the new materials used.
BACKGROUND: Indirect Pulp Treatment (IPT) is a conservative treatment approach that can be used in primary molars. Pulpotomy has been adopted as the treatment of choice for deep caries in primary molars. IPT showed higher success rates in recent researches.
METHODS: Electronic search of English scientific papers was accomplished using PubMed, ScienceDirect, and Scopus. Papers published from 1995 to 2019 were included. Search terms used were recent advances, indirect pulp treatment, mineral trioxide aggregate (
MTA), biodentine, TheraCal-LC, chlorhexidine gluconate (CHX), resin-modified glass ionomer (RMGI), and calcium hydroxide.
RESULTS: Seventy two papers were obtained from the electronic search and references of selected studies. Thirty five papers explained recent advances in IPT materials for primary molars.
MTA produces more dentinal bridging with superior quality than calcium hydroxide. Similarly, Biodentine can form reparative dentin in a very short period. TheraCal-LC has increased stability and durability with strong physical properties and low solubility. Furthermore, CHX is a chemical disinfectant which can aid in increasing the success rate of IPT when conjugated with other materials. It produced highly successful IPT when combined with RMGI or calcium hydroxide.
CONCLUSIONS: IPT is the preferred treatment approach for preservation of primary dentition. CHX is an emerging material that can provide promising results in IPT when combined with other materials.
CONCLUSIONS: Up to date, no material had replaced the popular use of calcium hydroxide in IPT. The use of CHX with RMGI can increase the success rate while preserving the advantages of the latter as it is considered the liner of choice for primary teeth, making IPT a suitable substitute for pulpotomy in primary molars.
UNASSIGNED: Saber AM, El Meligy OA, Alaki SM. Recent Advances in Indirect Pulp Treatment Materials for Primary Teeth: A Literature
Review. Int J Clin Pediatr Dent 2021;14(6):795-801.