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치수복조재와 최종수복재에 따른 대구치 부분치수절단술의 비교

Comparison of Partial Pulpotomy in Permanent Molars Using Different Pulp Capping Agents and Restoration Materials

이상호|이난영|지명관|이지미
대한소아치과학회 (The Korean Academy Of Pediatric Dentistry)|2020.05|대한소아치과학회지 (Journal of the Korean academy of pediatric dentistry)|제47권 제2호|pp. 148-156|DOI https://doi.org/10.5933/JKAPD.2020.47.2.148

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참고문헌

키워드

Restoration materialStainless steel crownSuccess rateComposite resinPartial pulpotomyPulp capping agent
주제분류치의학

초록

이 연구의 목적은 우식에 의해 치수가 노출된 영구대구치에서 BiodentineTM(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 평가를통해 각 치수복조재 및 최종수복재가 치료 결과에 미치는 영향을 알아보는 것이다. 영구대구치의 상아질의 우식으로 진단되어 부분치수절단술을 받은 소아 및 청소년을 대상으로 경과관찰 기간이 1년 이상인 증례를선정하여 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).

Abstract

The purpose of this study was to compare the success rates of two pulp capping materials, BiodentineTM 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 BiodentineTM(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).

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