A clinical study of direct pulp capping applied to carious-exposed pulps

A clinical study of direct pulp capping applied to carious-exposed pulps
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DOI:
10.1016/s0099-2399(96)80017-3
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发表时间:
1996-10-01
影响因子:
4.2
通讯作者:
Ebisu, S
Ebisu, S
中科院分区:
医学2区
文献类型:
--
作者:
Matsuo, T;Nakanishi, T;Ebisu, S

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对44颗患牙进行了直接盖髓术。我们评估了这些病例的成功率,并分析了成功率与其临床表现的关系,此外,我们还检查了充分的术后随访所需的时间,本研究的成功率为81.8%。患者的年龄、牙齿类型、对热刺激和叩诊的反应以及牙髓暴露的直径对成功率没有影响。然而,露髓时出血的程度与成功率有关(p = 0.042),术后随访3 ~ 18个月的病例成功率相似(80%至83%),而随访21个月的患者结果表明,直接盖髓术适用于龋坏暴露的牙髓,出血程度是判断其预后的指标。充分的术后随访所需的时间长度建议为21个月。
Direct pulp capping of carious-exposed pulp was performed on 44 teeth. We evaluated the success rates of these cases, and analyzed the relationships between the success rates and their clinical findings, Furthermore, we examined the length of time necessary for adequate postoperative followup.The success rate in this study was 81.8%. Age of the patients, type of teeth, responses to thermal stimuli and percussion, and the diameter of pulpal exposure had no bearing on the success rate. However, the degree of bleeding on pulpal exposure was related to the success rate (p = 0.042), The success rates of cases in which postoperative follow-up periods were 3 to 18 months were similar (80 to 83%), whereas those with follow-up for 21 months (91.7%) and 24 months (100%) showed higher success rates, These results showed that direct pulp capping was applicable to carious-exposed pulp, and the degree of bleeding is indicative of the prognosis of this treatment, The length of time necessary for adequate postoperative follow-up was suggested to be 21 months.