Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)

Korean Academy of Pediatric Dentistry (대한소아치과학회)
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Comparison of Partial Pulpotomy in Permanent Molars Using Different Pulp Capping Agents and Restoration Materials

치수복조재와 최종수복재에 따른 대구치 부분치수절단술의 비교

  • Lee, Jimi (Department of Pediatric Dentistry, School of Dentistry, Chosun University) ;
  • Lee, Nanyoung (Department of Pediatric Dentistry, School of Dentistry, Chosun University) ;
  • Lee, Sangho (Department of Pediatric Dentistry, School of Dentistry, Chosun University) ;
  • Jih, Myeongkwan (Department of Pediatric Dentistry, School of Dentistry, Chosun University)
  • 이지미 (조선대학교 치과대학 소아치과학교실) ;
  • 이난영 (조선대학교 치과대학 소아치과학교실) ;
  • 이상호 (조선대학교 치과대학 소아치과학교실) ;
  • 지명관 (조선대학교 치과대학 소아치과학교실)
  • Received : 2019.10.10
  • Accepted : 2019.11.18
  • Published : 2020.05.31
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Abstract

The purpose of this study was to compare the success rates of two pulp capping materials, Biodentine™ and RetroMTA®, used for partial pulpotomy in permanent molars after carious exposures and to compare the final restorative outcome of using composite resin to that of using a stainless steel crown. We studied children who were diagnosed with dental caries of permanent molars and underwent partial pulpotomy. The patients were followed up for more than 1 year. Clinical and radiographic evaluation were used to evaluate the success of each treatment. Fisher's exact test was used to compare the outcomes of two groups. For pulp capping agents, the success rate of using RetroMTA® was lower than that of using Biodentine™(p < 0.05). Final restoration with composite resin was less successful than restoration with an stainless steel crown(p < 0.05). In combination of pulp capping agents and final restoration material, RetroMTA®-composite resin shows the lowest success rate(p < 0.05).

이 연구의 목적은 우식에 의해 치수가 노출된 영구대구치에서 Biodentine™(BD)과 RetroMTA®(RMTA)의 치수복조재 및 stainless steel crown(SSC)와 composite resin(CR)의 최종수복재를 적용하여 치료한 부분치수절단술 증례들의 임상 및 방사선학적 비교 평가를 통해 각 치수복조재 및 최종수복재가 치료 결과에 미치는 영향을 알아보는 것이다. 영구대구치의 상아질의 우식으로 진단되어 부분치수절단술을 받은 소아 및 청소년을 대상으로 경과관찰 기간이 1년 이상인 증례를 선정하여 임상적 평가 및 방사선학적 평가를 통해 치료의 성공률을 평가하였으며 각 성공률에 대해 Fisher's exact test로 통계 분석하였다. 치수복조재에 대한 평가에서 BD이 RMTA에 비해 더 높은 치료 성공률을 보였다(p < 0.05). 치수복조재의 종류와 관계없이 최종수복재를 평가하였을 때 SSC으로 수복했을 때 CR으로 수복한 경우에 비해 더 높은 성공률을 보였다(p < 0.05). 치수복조재로 RMTA를 사용하고 최종수복재로 CR을 사용한 경우에 가장 낮은 성공률을 보였다(p < 0.05).

Keywords

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