Đặc điểm lâm sàng và Xquang răng hàm sữa có chỉ định điều trị tủy buồng

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Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam) 2021

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Mô tả đặc điểm lâm sàng và X-quang của các răng hàm sữa ở trẻ 3-8 tuổi có chỉ định điều trị tuỷ buồng. Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang được thực hiện trên 136 răng hàm sữa có chỉ định điều trị tuỷ buồng ở 50 bệnh nhân trẻ em từ 3 đến 8 tuổi, đến khám và điều trị tại Viện Đào tạo Răng Hàm Mặt, Trường Đại học Y Hà Nội năm 2018-2021. Các răng hàm sữa đạt tiêu chuẩn lựa chọn được mô tả các triệu chứng lâm sàng (gồm có: loại răng
vị trí, kích thước lỗ sâu
tính chất đáy lỗ sâu), X-quang (giai đoạn tiêu chân răng sữa) và các đặc điểm chung của bệnh nhân (tuổi, giới). Kết quả: Trong 50 bệnh nhân trẻ em được khám và điều trị tuỷ buồng, số trẻ nam (28 trẻ, chiếm 56,00%) cao gấp 1,27 lần số trẻ nữ (22 trẻ, chiếm 44,00%), số trẻ 3-5 tuổi (30 trẻ, chiếm 60,00%) gấp 1,5 lần số trẻ 6-8 tuổi (20 trẻ,chiếm 40,00%). Trong 136 răng có chỉ định điều trị tuỷ buồng, vị trí sâu răng hay gặp nhất ở mặt nhai phối hợp mặt bên (60 răng, chiếm 44,12%), sau đó là mặt bên (46 răng, chiếm 33,82%), ít gặp nhất là mặt nhai (30 răng, chiếm 22,06%)
loại kích thước lỗ sâu hay gặp nhất là trung bình (60 răng, chiếm 44%)
ác chân răng hàm sữa ở giai đoạn I và II. Kết luận: Nghiên cứu cho thấy trong 50 bệnh nhân trẻ em được khám và điều trị tuỷ buồng, số trẻ nam nhiều hơn nữ, số trẻ 3-5 tuổi hay gặp hơn trẻ 6-8 tuổi. Các răng hàm sữa có chỉ định điều trị tuỷ buồng thường có lỗ sâu ở vị trí mặt bên phối hợp mặt nhai và kích thước trung bình
chân răng ở giai đoạn I hoặc II., Tóm tắt tiếng anh, To assess the clinial and radiographic symptoms of primary molars among 3-8 year-old children with indication of pulpotomy. Materials and Methods: A cross-sectional study among 136 primary molars with indication of pulpotomy of 50 children age group from 3-8 years old, who are taken to School of Odonto-Stomatology, Ha Noi Medical University in 2019-2021 for dental examination and treatment, were selected. The primary teeth meeting the selective criteria were described the clinical symptoms (including: type of tooth, site and size of cavity, feature of the cavity's base), radiographic symptoms (period of physical root resorption), and general information (age and gender). Results: Among 50 pulpotomy-treated patients, the number of male children patients were higher 1,27 times than those of famale children patients, the number of 3-5-year-old patients were higher 1,5 times than those of 6-8-year old patients. Among 136 pulpotomy-treated teeth, the most popular site of caries was on the combination of the occlusal and proximal surface
the proximal surface was lower and the occlusal one was lowest. The moderate-sized cavity was the most popular. All roots of elective teeth were at the first and second stage. Conclusion: The study showed that among 50 pulpotomy-treated patients, the number of male patients was higher than those of female, the number of 3-5-year-old patients was higher than of of 6-8-year-old patients. Among primary molars with pulpotomy-treated indication, the "proximal - occlusal" caries with moderate size were the most popular. All roots of elective teeth were at the first and second stage.

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