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Chompu-inwai Papimon Bua-on Puangporn Nirunsittirat Areerat Chuveera Patchanee Louwakul Phumisak Sastraruji Thanapat 《Clinical oral investigations》2020,24(2):945-951
Clinical Oral Investigations - Inferior alveolar nerve block (IANB) does not always provide adequate pulpal anesthesia, and supplemental techniques have been investigated in adults. This study... 相似文献
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Nuttaporn Parinyaprom Areerat Nirunsittirat Patchanee Chuveera Sakarat Na Lampang Tanida Srisuwan Thanapat Sastraruji Puangporn Bua-on Sophon Simprasert Issaraporn Khoipanich Thitida Sutharaphan Suthida Theppimarn Narumol Ue-srichai Waritorn Tangtrakooljaroen Papimon Chompu-inwai 《Journal of endodontics》2018,44(3):341-348
Introduction
This study aimed to compare the success rates of direct pulp capping (DPC) by using either ProRoot Mineral Trioxide Aggregate (MTA) or Biodentine in the cariously exposed permanent teeth of 6- to 18-year-old patients. Gray discoloration was also evaluated.Methods
Fifty-nine cariously exposed permanent teeth, including teeth with diagnosis of normal pulp, reversible pulpitis, or irreversible pulpitis, early periapical involvement, and exposure size of up to 2.5 mm, were included. Each patient with only 1 cariously exposed tooth was randomly allocated to DPC with either ProRoot MTA (n = 30) or Biodentine (n = 29). Patients were recalled every 6 months. Clinical and radiographic examinations were used to determine success.Results
Fifty-five patients (mean age, 10 ± 2 years), 27 treated with ProRoot MTA and 28 with Biodentine, were included in the analysis. At mean follow-up of 18.9 ± 12.9 months, the success rate was 92.6% with ProRoot MTA and 96.4% with Biodentine (P > .05; difference, 4%; 95% confidence interval [CI], –8% to 16%). Biodentine was non-inferior to ProRoot MTA. Failures were distributed equally in all categories of pulpal diagnosis and occurred in teeth with no periapical involvement and small exposures (0.5 mm). The survival probabilities of DPC with ProRoot MTA and Biodentine were 0.92 (95% CI, 0.73–0.98) and 0.96 (95% CI, 0.80–0.99). No significant difference was observed between them (P > .05). Gray discoloration was observed only with ProRoot MTA (55%).Conclusions
Biodentine was non-inferior to ProRoot MTA when used as a DPC material for cariously exposed permanent teeth of 6- to 18-year-old patients. However, Biodentine did not cause any gray discoloration in this study. 相似文献
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