目的:观察成熟恒磨牙去龋未净时露髓使用无机三氧化物聚合体(Mineral trioxide aggregate,MTA)和生物陶瓷类材料(iRoot BP Plus)行直接盖髓术的临床疗效,探讨此类术式的可行性及其影响因素,比较两种盖髓剂疗效的差异。方法:选取2018年4...目的:观察成熟恒磨牙去龋未净时露髓使用无机三氧化物聚合体(Mineral trioxide aggregate,MTA)和生物陶瓷类材料(iRoot BP Plus)行直接盖髓术的临床疗效,探讨此类术式的可行性及其影响因素,比较两种盖髓剂疗效的差异。方法:选取2018年4月-2019年10月就诊于笔者科室符合纳入标准的53例患者,共53颗患牙,随机分为M组和B组,分别使用MTA与iRoot BP Plus行直接盖髓术,术后定期复查,比较两组的临床疗效。结果:共计45例患者(45颗患牙)完成2年随访,总体成功率84.4%;M组和B组分别为85.7%、83.3%,两组比较差异无统计学意义(P>0.05)。性别、年龄、露髓孔大小等因素对疗效均无显著影响(P>0.05)。结论:成熟恒磨牙术中露髓时使用MTA或iRoot BP Plus行直接盖髓术均可获得良好疗效;相较于性别、年龄、露髓孔大小等因素,如何简单准确评判牙髓状态及避免龈下微渗漏更加值得关注。展开更多
Lateral root perforations are unfortunate procedures during endodontic treatment and often lead to tooth extraction. Conditioning factors such as time, size, location, inappropriate disinfection and sealing, are indis...Lateral root perforations are unfortunate procedures during endodontic treatment and often lead to tooth extraction. Conditioning factors such as time, size, location, inappropriate disinfection and sealing, are indispensable to achieve acceptable long-term outcomes. Calcium silicate cements are bioactive materials used for perforation repair. They can be set in moist environments such as blood, saliva and dentinal fluid making them a reliable material for clinical applications. This case report describes the treatment and repair after a 16-month follow-up of a lateral root perforation of the maxillary lateral incisor.展开更多
In order to form the apatite nuclei on a surface of the substrate, the substrate was placed on or in CaO, SiO2-based glass particles which were soaked in a simulated body fluid with ion concentrations nearly e-qual to...In order to form the apatite nuclei on a surface of the substrate, the substrate was placed on or in CaO, SiO2-based glass particles which were soaked in a simulated body fluid with ion concentrations nearly e-qual to those of human blood plasma, and to make the apatite nuclei grow on the substrate in situ, the substrate, was soaked in another solution highly supersaturated with respect to the apatite. The induction period for the apatite nucleation varied from 0 to 4 days depending on the kind of the substrate. The thickness of the apatite layer increases linearly with increasing soaking time in the second solution. The rate of growth of the apatite layer increases with increasing degree of the supersaturation and temperature of the second solution, reaching 7um/d in a solution with ion concentrations which is as 1.5 times as those of the simulated body fluid at 60℃. The adhesive strength of the apatite layer to the substrate varies depending on the kind and roughness of the substrate. Polyethyleneterephthalate and polyethersulfone plates abraded with No. 400 diamond paste show adhesive strengths of as high as 4 MPa. This type of composite of the bone-like apatite with metals, ceramics and organic polymers might be useful not only as highly biaactive hard tissue-repairing materials with analogous mechanical properties to those of the hard tissues , but also as highly biocompatible soft tissue-repairing materials with ductility.展开更多
文摘目的:观察成熟恒磨牙去龋未净时露髓使用无机三氧化物聚合体(Mineral trioxide aggregate,MTA)和生物陶瓷类材料(iRoot BP Plus)行直接盖髓术的临床疗效,探讨此类术式的可行性及其影响因素,比较两种盖髓剂疗效的差异。方法:选取2018年4月-2019年10月就诊于笔者科室符合纳入标准的53例患者,共53颗患牙,随机分为M组和B组,分别使用MTA与iRoot BP Plus行直接盖髓术,术后定期复查,比较两组的临床疗效。结果:共计45例患者(45颗患牙)完成2年随访,总体成功率84.4%;M组和B组分别为85.7%、83.3%,两组比较差异无统计学意义(P>0.05)。性别、年龄、露髓孔大小等因素对疗效均无显著影响(P>0.05)。结论:成熟恒磨牙术中露髓时使用MTA或iRoot BP Plus行直接盖髓术均可获得良好疗效;相较于性别、年龄、露髓孔大小等因素,如何简单准确评判牙髓状态及避免龈下微渗漏更加值得关注。
文摘Lateral root perforations are unfortunate procedures during endodontic treatment and often lead to tooth extraction. Conditioning factors such as time, size, location, inappropriate disinfection and sealing, are indispensable to achieve acceptable long-term outcomes. Calcium silicate cements are bioactive materials used for perforation repair. They can be set in moist environments such as blood, saliva and dentinal fluid making them a reliable material for clinical applications. This case report describes the treatment and repair after a 16-month follow-up of a lateral root perforation of the maxillary lateral incisor.
文摘In order to form the apatite nuclei on a surface of the substrate, the substrate was placed on or in CaO, SiO2-based glass particles which were soaked in a simulated body fluid with ion concentrations nearly e-qual to those of human blood plasma, and to make the apatite nuclei grow on the substrate in situ, the substrate, was soaked in another solution highly supersaturated with respect to the apatite. The induction period for the apatite nucleation varied from 0 to 4 days depending on the kind of the substrate. The thickness of the apatite layer increases linearly with increasing soaking time in the second solution. The rate of growth of the apatite layer increases with increasing degree of the supersaturation and temperature of the second solution, reaching 7um/d in a solution with ion concentrations which is as 1.5 times as those of the simulated body fluid at 60℃. The adhesive strength of the apatite layer to the substrate varies depending on the kind and roughness of the substrate. Polyethyleneterephthalate and polyethersulfone plates abraded with No. 400 diamond paste show adhesive strengths of as high as 4 MPa. This type of composite of the bone-like apatite with metals, ceramics and organic polymers might be useful not only as highly biaactive hard tissue-repairing materials with analogous mechanical properties to those of the hard tissues , but also as highly biocompatible soft tissue-repairing materials with ductility.
