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目的分析间接盖髓及早期充填预防年轻恒牙冠折后牙髓炎的应用效果。方法 100例年轻恒牙冠折后患儿,随机分成对照组及观察组,各50例。对照组施行脱敏治疗,观察组施行间接盖髓联合早期充填治疗,比较两组治疗效果。结果观察组术后修复成功情况优于对照组,差异有统计学意义(P<0.01)。术后7~90 d,观察组发生牙髓炎2例(4颗牙),占4.00%;对照组发生牙髓炎20例(25颗牙),占40.00%;观察组术后牙髓炎发生率明显低于对照组,差异有统计学意义(P<0.01)。结论间接盖髓及早期充填预防年轻恒牙冠折后牙髓炎应用效果良好,牙髓炎发生率较低,可以考虑在临床治疗中进一步的推广及应用。
Objective To analyze the effect of indirect pulp capping and early filling on prevention of pulpitis after posterior capsular fractures of young permanent teeth. Methods 100 cases of young children with permanent crown fracture, were randomly divided into control group and observation group, 50 cases each. The control group was treated with desensitization, the observation group was treated with indirect capping combined with early filling, and the treatment effect was compared between the two groups. Results The success rate of postoperative recovery in observation group was better than that in control group, the difference was statistically significant (P <0.01). Postoperative 7 to 90 days, 2 cases (4 teeth) of pulpitis occurred in observation group, 20 cases (25 teeth) of pulpitis occurred in control group, and pulpitis in observation group The incidence was significantly lower than the control group, the difference was statistically significant (P <0.01). Conclusion Indirect pulp capping and early filling in the prevention of young permanent tooth crown pulp after the application of good effect, lower incidence of pulpitis, can be considered in the clinical treatment of further promotion and application.