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目的观察年轻恒前牙活髓切断术的临床疗效。方法用活髓切断术治疗20颗冠折露髓后3小时~1个月年轻恒前牙,术后追踪观察6个月~3年。结果20颗年轻恒前牙均有牙本质桥形成,牙根最终发育完成,其中仅1颗牙出现管腔钙化。结论年轻恒牙活髓切断术适应证较宽,成功的关键在于掌握切髓的深度,使保留的牙髓正常,牙根发育程度及牙髓状况影响活髓切断术的疗效。
Objective To observe the clinical effect of young permanent anterior pulpotomy. Methods Ten cases of young permanent anterior teeth were treated with pulpotomy for 20 hours after exposure to coronal pulp. The patients were followed up for 6 months to 3 years. Results Twenty young permanent anterior teeth were formed dentin bridge, root development finally completed, of which only one tooth calcification tube. Conclusions The indication of young permanent pulp live pulpotomy is relatively wide. The key to success is to master the depth of pulp incision, make the retained pulp normal, the degree of root development and pulp status affect the curative effect of pulpotomy.