Pulpotomy,which belongs to vital pulp therapy,has become a strategy for managing pulpitis in recent decades.This minimally invasive treatment reflects the recognition of preserving healthy dental pulp and optimizing l...Pulpotomy,which belongs to vital pulp therapy,has become a strategy for managing pulpitis in recent decades.This minimally invasive treatment reflects the recognition of preserving healthy dental pulp and optimizing long-term patient-centered outcomes.Pulpotomy is categorized into partial pulpotomy(PP),the removal of a partial segment of the coronal pulp tissue,and full pulpotomy(FP),the removal of whole coronal pulp,which is followed by applying the biomaterials onto the remaining pulp tissue and ultimately restoring the tooth.Procedural decisions for the amount of pulp tissue removal or retention depend on the diagnostic of pulp vitality,the overall treatment plan,the patient’s general health status,and pulp inflammation reassessment during operation.This statement represents the consensus of an expert committee convened by the Society of Cariology and Endodontics,Chinese Stomatological Association.It addresses the current evidence to support the application of pulpotomy as a potential alternative to root canal treatment(RCT)on mature permanent teeth with pulpitis from a biological basis,the development of capping biomaterial,and the diagnostic considerations to evidence-based medicine.This expert statement intends to provide a clinical protocol of pulpotomy,which facilitates practitioners in choosing the optimal procedure and increasing their confidence in this rapidly evolving field.展开更多
Objective:To explore the clinical effect of iRoot BP Plus pulpotomy for immediate repair in children with young permanent teeth crown fracture.Methods:From September 2017 to October 2018,80 children(80 affected teeth)...Objective:To explore the clinical effect of iRoot BP Plus pulpotomy for immediate repair in children with young permanent teeth crown fracture.Methods:From September 2017 to October 2018,80 children(80 affected teeth)with young permanent teeth crown fracture who treated in the hospital were selected as the research objects.Random number table method was used to divide them into observation and control groups with each group of forty patients(40 affected teeth).The children in the control group were treated with calcium hydroxide resin,while the observation group were treated with iRoot BP Plus for immediate repair.The surgical success rate was compared between the two groups,and the pulp vitality before and after treatment were compared.Results:At 3 months and 6 months after surgery,the success rate of children in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The percentage of children with negative pulp activity in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Immediate repair with iRoot BP Plus pulpotomy in children with young permanent teeth crown fracture has significant clinical effect.展开更多
基金supported by the National Natural Science Foundation of China(82170941 and 82370948 to Lu Zhang,82071110 and 82230029 to Zhi Chen)the National Key R&D Program of China(2018YFC1105100)。
文摘Pulpotomy,which belongs to vital pulp therapy,has become a strategy for managing pulpitis in recent decades.This minimally invasive treatment reflects the recognition of preserving healthy dental pulp and optimizing long-term patient-centered outcomes.Pulpotomy is categorized into partial pulpotomy(PP),the removal of a partial segment of the coronal pulp tissue,and full pulpotomy(FP),the removal of whole coronal pulp,which is followed by applying the biomaterials onto the remaining pulp tissue and ultimately restoring the tooth.Procedural decisions for the amount of pulp tissue removal or retention depend on the diagnostic of pulp vitality,the overall treatment plan,the patient’s general health status,and pulp inflammation reassessment during operation.This statement represents the consensus of an expert committee convened by the Society of Cariology and Endodontics,Chinese Stomatological Association.It addresses the current evidence to support the application of pulpotomy as a potential alternative to root canal treatment(RCT)on mature permanent teeth with pulpitis from a biological basis,the development of capping biomaterial,and the diagnostic considerations to evidence-based medicine.This expert statement intends to provide a clinical protocol of pulpotomy,which facilitates practitioners in choosing the optimal procedure and increasing their confidence in this rapidly evolving field.
文摘Objective:To explore the clinical effect of iRoot BP Plus pulpotomy for immediate repair in children with young permanent teeth crown fracture.Methods:From September 2017 to October 2018,80 children(80 affected teeth)with young permanent teeth crown fracture who treated in the hospital were selected as the research objects.Random number table method was used to divide them into observation and control groups with each group of forty patients(40 affected teeth).The children in the control group were treated with calcium hydroxide resin,while the observation group were treated with iRoot BP Plus for immediate repair.The surgical success rate was compared between the two groups,and the pulp vitality before and after treatment were compared.Results:At 3 months and 6 months after surgery,the success rate of children in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The percentage of children with negative pulp activity in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Immediate repair with iRoot BP Plus pulpotomy in children with young permanent teeth crown fracture has significant clinical effect.
