氢氧化钙糊剂治疗前牙冠折露髓的短期疗效观察

The clinical effect of direct pulp capping with multi-cal in crown fracture with pulp exposure in incisors

目的 观察氢氧化钙糊剂治疗前牙冠折露髓的短期治疗效果.方法 回顾性分析14例使用氢氧化钙糊剂＋爱诺赛光固化复合体＋可乐丽菲露树脂修补前牙冠折露髓（≤2 mm）患者的临床资料,评价此方法的短期治疗效果.结果 14例患者共16颗患牙1例患者的1颗患牙因冠髓部分切除行直接盖髓术后第2天出现自发痛及夜间痛复诊,诊断为急性牙髓炎,局部麻醉下行一次性根管治疗;其余13例患者的15颗患牙3个月内均无自发疼痛,临床及X线检查无异常.短期观察治疗成功率为93.8%.结论 氢氧化钙糊剂在前牙冠折露髓中有较好的治疗效果.

Objective To evaluate the method in treatment pulp exposure caused by crown fracture with Multi-cal and the its clinical effect. Methods In the retrospective study, 14 cases （ 16 teeth）were treated to repair pulp exposure with Multi-cal, Ionosit-Baseliner, SE-BOUND and AP-X after debridement. To evaluate the result in short-term with pulp vitality detection and X-ray after three months. Results One tooth treated with direct pulp capping after partial crown-pulptomy appeared spontaneous pain and night pain. The tooth was diagnosed with acute pulpitis and treated with one-step root canal therap under local anesthesia. Other 15 teeth were successfully treated.in 3 months with no spontaneous pain. Clinical and X-ray examination were normal. The success rate was 93.8% in short-term. Conclusion Multi-cal is an effective material in treatment of crown fracture with pulp exposure.