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目的:观察光固化氢氧化钙治疗乳磨牙髓室底穿孔的临床疗效。方法:对我院2006年4月—2008年10月收治的78例乳磨牙髓室底穿孔患者的临床资料进行回顾性分析,所有患者均采用光固化氢氧化钙修复治疗,观察治疗效果。结果:本组78例患儿治疗均成功,随访观察1年后判断疗效,其中治愈64例,好转12例,无效2例,总有效率为97.43%。2年后疗效,其中治愈63例,好转10例,无效5例,总有效率为93.58%。失败5例患儿均为病理性穿孔,2例患儿穿孔直径均>3mm。结论:光固化氢氧化钙治疗乳磨牙髓室底穿孔效果理想,对患儿恒牙生长起到良好的保护作用。
Objective: To observe the clinical efficacy of light-cured calcium hydroxide in the treatment of perforation of pulp chamber. Methods: A retrospective analysis was performed on the clinical data of 78 patients with PFM perforation treated from April 2006 to October 2008 in our hospital. All patients were treated with light-cured calcium hydroxide and the therapeutic effect was observed. Results: The treatment of 78 children in this group were successful. One year after the treatment, the curative effect was judged. Among them 64 cases were cured, 12 cases improved, 2 cases ineffective, and the total effective rate was 97.43%. Two years after the curative effect, of which 63 cases were cured, 10 cases improved, 5 cases ineffective, the total effective rate was 93.58%. Five patients failed pathological perforation, two children with perforation diameter> 3mm. Conclusion: The light-cured calcium hydroxide treatment of perfused pulp chamber perforation is effective and has a good protective effect on the permanent teeth growth of children.