Dycal versus Nd:YAG laser and Vitrebond for direct pulp capping in permanent teeth.
Dycal versus Nd:YAG laser and Vitrebond for direct pulp capping in permanent teeth.
复制标题
Dycal 与 Nd:YAG 激光和 Vitrebond 对比用于恒牙直接盖髓。
DOI：
10.1089/clm.1999.17.69
复制
发表时间：
1999
期刊：
影响因子：
--
通讯作者：
Phillip J. Santucci
中科院分区：
文献类型：
--
作者：
Phillip J. Santucci
目的
通过比较Nd：YAG激光和Vitrebond（3 M Corporation，圣保罗，MN）直接盖髓帽治疗的恒牙与传统氢氧化钙直接盖髓帽治疗的恒牙在长达54个月的时间间隔内的存活率，确定激光辅助直接盖髓的有效性。
背景数据摘要
虽然文献中有各种激光技术的病例报告和评估，但需要进行统计研究，将激光辅助应用与传统技术的成功进行比较。这是一个这样的激光辅助应用的回顾性调查。
方法
对所有活跃和非活跃患者进行的回顾性病历审查确定了83名接受直接盖髓的患者，共93颗恒牙; 29名使用氢氧化钙，64名使用Nd：YAG激光和Vitrebond。
结果
这项回顾性研究数据的生命表分析表明，在术后9至54个月的时间间隔内，用激光和Vitrebond直接髓盖治疗的牙齿的存活率明显高于用Dycal直接髓盖治疗的牙齿。Dycal（L.D.）术后存活牙齿的累积比例Caulk Corporation，米尔福德，CT）直接盖髓在1个月时为89.7%，下降到3个月时的79.4%和6个月时的76%，然后在最后两个时间段继续下降，在54个月后完成43.6%。对于激光和Vitrebond直接盖髓，1个月后的累积存活率为98.4%，3个月后降至93.8%，6个月后降至90.3%，但随后在最后2个时间间隔内保持稳定，54个月后达到90.3%。
结论
与Dycal直接盖髓帽相比，激光和Vitrebond直接盖髓帽在前6个月后产生的牙髓反应明显更可预测。在9至54个月的时间间隔内，使用激光和Vitrebond直接髓帽治疗的牙齿的存活率显著高于使用Dycal直接髓帽治疗的牙齿。直接盖髓术是一种值得进行的手术，应在有指征时进行，特别是考虑到激光和Vitrebond直接盖髓术在54个月时的存活率为90.3%。
PURPOSE
To determine the efficacy of laser-assisted direct pulp capping by comparing the survival rates of permanent teeth treated with Nd:YAG laser and Vitrebond (3M Corporation, St. Paul, MN) direct pulp caps to permanent teeth treated with the traditional calcium hydroxide direct pulp cap over intervals of up to 54 months.
SUMMARY BACKGROUND DATA
While there are case reports and evaluations of various laser techniques in the literature, statistical studies comparing the success of laser-assisted applications to traditional techniques are needed. This is a retrospective investigation of one such laser assisted application.
METHODS
A retrospective chart review of all active and inactive patients resulted in the identification of 83 patients who received direct pulp caps in a total of 93 permanent teeth; 29 with calcium hydroxide and 64 with Nd:YAG laser and Vitrebond.
RESULTS
Life table analysis of the data of this retrospective study demonstrated that the teeth treated with the laser and Vitrebond direct pulp cap showed significantly greater survival rates than those treated with Dycal direct pulp cap over intervals of nine to 54 months postoperatively. The cumulative proportion of teeth surviving postoperatively for the Dycal (L.D. Caulk Corporation, Milford, CT) direct pulp cap was 89.7% at 1 month declining to 79.4% at 3 months and 76% at 6 months and then continued to decline in the final two intervals finishing after 54 months at 43.6%. For the laser and Vitrebond direct pulp cap the cumulative proportion surviving stood at 98.4% after 1 month, declining to 93.8% at 3 months and 90.3% after 6 months but then held steady in the final 2 intervals finishing at 90.3% after 54 months.
CONCLUSION
The laser and Vitrebond direct pulp cap produces a significantly more predictable pulpal response after the first 6 months than the Dycal direct pulp cap. The survival rate of teeth treated with the laser and Vitrebond direct pulp cap is significantly greater than those treated with the Dycal direct pulp cap over intervals of 9 to 54 months. Direct pulp capping is a worthwhile procedure that should be performed when indicated, especially in light of the 90.3% survival rate achieved with the laser and Vitrebond direct pulp cap at 54 months.
影响因子：
4.3
作者：
J. White;Mark C. Fagan;H. Goodis
通讯作者：
J. White;Mark C. Fagan;H. Goodis