Comparison on Curative Effect and Prognosis of Vital Pulpotomy and Indirect Pulp Capping in Children with Deep Caries of Deciduous Molar
Objective To compare and analyze the curative effect and prognosis of vital pulpotomy and indirect pulp capping in children with deep caries of deciduous molar.Methods A retrospective analysis was performed on the clinical data of 152 children with deep caries of deciduous molar in the hospital between January 2019 and February 2023.According to different treatment methods,they were divided into group A(n=78,96 affected teeth,vital pulpotomy)and group B(n=74,96 affected teeth,indirect pulp capping).After 12 months of follow-up,curative effect,formation rate of dentin bridge,chewing function,incidence of complications and scores of early childhood oral health impact scale(ECOHIS)were compared between the two groups.Results At 12 months after treatment,success rate of affected teeth repair in group A was higher than that in group B(P＜0.05).At 6 and 12 months after treatment,formation rate of dentin bridge in group A was higher than that in group B(P＜0.05).At 12 months after treatment,scores of chewing function were increased in both groups,which were higher in group A than group B(P＜0.05).The incidence of complications in group A was lower than that in group B(P＜0.05).After treatment,scores of ECOHIS(oral symptoms,oral function,psychological state,social interaction)were decreased in both groups,which were lower in group A than group B(P＜0.05).Conclusion Compared with indirect pulp capping,curative effect of vital pulpotomy is more significant in children with deep caries of deciduous molar,which can effectively increase success rate of repair,promote the formation of dentin bridge,improve chewing function and quality of life,and reduce complications.
deep caries of deciduous molarvital pulpotomyindirect pulp cappingcurative effectprognosis
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