Dört Direkt Pulpa Kaplama Materyalinin Klinik Takip Sonuçlarının Değerlendirilmesi
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Dosyalar
Tarih
2021
Yazarlar
Dergi Başlığı
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Yayıncı
Selçuk Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Bu çalışmanın amacı, çürükten dolayı ekspoze olmuş matur daimi dişlerin Ca(OH)2, Biodentine, MTA ve TheraCal LC pulpa kaplama materyalleri ile tedavisi sonrası klinik olarak takip sonuçlarının 1 yıl boyunca değerlendirilmesidir. Gereç ve Yöntemler: Bu takip çalışmasına, Restoratif Diş Tedavisi kliniğine çürük semptomları nedeniyle başvurmuş, çürük uzaklaştırma esnasında ekspoze olmuş pulpa üzerine rastgele farklı pulpa kaplama materyalleri (Ca(OH)2, Biodentine, MTA ve TheraCal LC) kullanılarak direkt pulpa kaplama tedavisi uygulanmış hastalar dahil edildi. Bu hastalar arasından 18-45 yaş aralığında, sistemik sağlık problemi olmayan, her bir pulpa kaplama materyaline ait grupta yaklaşık eşit sayıda hasta olacak şekilde toplam 94 hasta dahil edildi. Hastalar tedavide kullanılan pulpa kaplama materyallerine göre 4 farklı gruba ayrıldı. Grup 1:Ca(OH)2 (Kerr,ABD) (n=25), Grup 2:MTA(Angelus,Brezilya) (n=25), Grup 3:TheraCal LC (Bisco Inc,ABD) (n=22) ve Grup 4:Biodentine (Septodont,Fransa) (n=22) idi. Hastaların klinik takipleri 1., 3., 6. ve 12. aylarda gerçekleştirildi. Klinik takipler için gelen hastaların spontan ağrı, perküsyon, postoperatif hassasiyet şikayetleri değerlendirildi, soğuk testi (Endo Ice, Coltene/Whaledent, Switzerland) ve elektrikli vitalite testi (Digitest II, Parkell, USA) ile tedavi edilen dişlerin canlılıkları ölçüldü. İstatistiksel analiz için KiKare testi ve Fisher Exact testi kullanıldı (p<0,05). Bulgular: Elde edilen verilere göre en yüksek başarı Biodentine grubunda (%90.9) iken, en düşük başarı Ca(OH)2 grubunda gözlendi (%80). MTA grubunda başarı %84, TheraCal LC grubunda ise %81.8’dir. Gruplar karşılaştırıldığında başarı açısından istatistiksel olarak anlamlı bir fark olmadığı gözlendi (p=0,763). Sonuç: Direkt pulpa kaplamasında kullanılmak için üretilen materyallerin kısa dönem klinik takiplerinde dişlerin canlılığını korumada klinik olarak yeterli başarıya sahip oldukları ve klinik başarı oranlarının benzer olduğu sonucuna varıldı. Ancak çalışmamızda kullanılmış olan bu direkt pulpa kaplama materyallerinin başarısını değerlendirmek için uzun dönem klinik takiplerine ihtiyaç duyulmaktadır.
Background: This study aimed to evaluate the clinical performance of Ca(OH)2, Biodentine, MTA and TheraCal LC in cariously exposed mature permanent teeth for one year after treatment. Methods: In this follow-up study, patients who applied to the Restorative Dentistry clinic due to caries symptoms, and were randomly applied pulp capping treatment using different pulp capping materials (Ca(OH)2, Biodentine, MTA and TheraCal LC) on the pulp that was exposed during caries removal were included. Among these patients, a total of 94 patients between the ages of 18-45, who had no systemic health problems and had approximately equal number of patients in each pulp capping material group were included. The patients in Group 1, 2, 3 and 4 were treated with Ca(OH)2 (Kerr, USA) (n=25), MTA(Angelus, Brasil) (n=25), TheraCal LC (Bisco Inc,USA) (n=22) and Biodentine(Septodont,France) (n=22), respectively. The patients were recalled for clinical evaluation after 1, 3, 6, and 12 months. Presence of spontaneous pain, percussion, and postoperative hypersensitivity, and tooth vitality were recorded. The vitality tests were done by both, cold (Endo Ice, Coltene/Whaledent, Switzerland) and electric pulp tests (Digitest II, Parkell, USA). The Chi-Square and Fisher Exact tests were used for statistical analysis (p<0,05). Results: The highest success in terms of tooth vitality was observed in the Biodentine group (%90.9), and the lowest was observed in Ca(OH)2 group (%80.0). The success in the MTA and TheraCal LC groups were %84.0 and %81.8 respectively. There were no statistically significant differences between success rates of materials. Conclusion: It was concluded that the materials produced for direct pulp capping had sufficient clinical success in preserving the vitality of teeth in short-term clinical follow-up and the clinical success rates were similar. However, longterm clinical follow-up is needed to evaluate the success of these direct pulp capping materials used in our study.
Background: This study aimed to evaluate the clinical performance of Ca(OH)2, Biodentine, MTA and TheraCal LC in cariously exposed mature permanent teeth for one year after treatment. Methods: In this follow-up study, patients who applied to the Restorative Dentistry clinic due to caries symptoms, and were randomly applied pulp capping treatment using different pulp capping materials (Ca(OH)2, Biodentine, MTA and TheraCal LC) on the pulp that was exposed during caries removal were included. Among these patients, a total of 94 patients between the ages of 18-45, who had no systemic health problems and had approximately equal number of patients in each pulp capping material group were included. The patients in Group 1, 2, 3 and 4 were treated with Ca(OH)2 (Kerr, USA) (n=25), MTA(Angelus, Brasil) (n=25), TheraCal LC (Bisco Inc,USA) (n=22) and Biodentine(Septodont,France) (n=22), respectively. The patients were recalled for clinical evaluation after 1, 3, 6, and 12 months. Presence of spontaneous pain, percussion, and postoperative hypersensitivity, and tooth vitality were recorded. The vitality tests were done by both, cold (Endo Ice, Coltene/Whaledent, Switzerland) and electric pulp tests (Digitest II, Parkell, USA). The Chi-Square and Fisher Exact tests were used for statistical analysis (p<0,05). Results: The highest success in terms of tooth vitality was observed in the Biodentine group (%90.9), and the lowest was observed in Ca(OH)2 group (%80.0). The success in the MTA and TheraCal LC groups were %84.0 and %81.8 respectively. There were no statistically significant differences between success rates of materials. Conclusion: It was concluded that the materials produced for direct pulp capping had sufficient clinical success in preserving the vitality of teeth in short-term clinical follow-up and the clinical success rates were similar. However, longterm clinical follow-up is needed to evaluate the success of these direct pulp capping materials used in our study.
Açıklama
Anahtar Kelimeler
Biodentine, Direkt pulpa kaplama, Kalsiyum hidroksit, Direct pulp capping, Calcium hydroxide, MTA, TheraCal LC
Kaynak
Selçuk Üniversitesi Diş Hekimliği Fakültesi Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
8
Sayı
2
Künye
Velioğlu, M. S., Ünlü, N., (2021). Dört Direkt Pulpa Kaplama Materyalinin Klinik Takip Sonuçlarının Değerlendirilmesi. Selçuk Üniversitesi Diş Hekimliği Fakültesi Dergisi, 8 (2), 288-295. Doi: 10.15311/selcukdentj.829044
