摘要
目的比较无机三氧化矿物凝聚体（mineral trioxide aggregate,MTA）与Vitapex糊剂治疗恒牙根尖周炎伴根尖闭合不全的临床效果。方法选择天津市口腔医院综合门诊7~25岁年轻恒牙根尖周炎伴根尖闭合不全患者80例,患牙90颗,随机分别为MTA组和Vitapex组各45颗,分别采用MTA和Vitapex糊剂治疗,治疗后6个月和12个月复诊,观察疗效。结果 6个月复诊时,2组X线（MTA组93.33%、Vitapex组88.89%）和临床指标（MTA组95.56%、Vitapex组86.67%）的成功率差异均无统计学意义。12个月复诊时,MTA组的X线检查的成功率为93.33%,明显高于Vitapex组的68.89%（P〈0.05）,MTA组的临床指标成功率为95.56%,明显高于Vitapex组的71.11%（P〈0.05）。根管治疗期间疼痛（endodontic interappointment pain,EIP）的发生情况,MTA组优于Vitapex组（P〈0.05）。结论 MTA对年轻恒牙根尖周炎伴根尖闭合不全的短期治疗效果确切,是一种理想的根尖诱导成型材料。
Objective To compare clinical effect of MTA and Vitapex for young permanent teeth with periapical incomplete apical closuret.Method Teeth 90 were chosen from 80 patients at 7-25 years old young permanent teeth with periapical and randomly divided into MTA group and Vitapex group 45 in each group. Two groups were treated with MTA and Vitapex paste treatment respectively. 6-month and 12-month after treatment followed up,observed clinical efficacy of two groups. Results The six-month recall,X-ray（ MTA group 93. 33%,Vitapex group 88. 89%） and clinical parameters（ MTA group 95. 56%,Vitapex group 86. 67%） success rate of two group was no significant difference. When the 12-month followed up,Xray examination of MTA group＇s success rate was 93. 33%,significantly higher than 68. 89% Vitapex group（ P〈0. 05）,clinical indicators of success rate of 95. 56% MTA group,significantly higher than the 71. 11% Vitapex group（ P〈0. 05）. Pain during root canal therapy（ EIP） of the occurrence,MTA group than Vitapex group（ P〈0. 05）. Conclusion The effect of short-term treatment of MTA in treatment of young permanent teeth with periapical incomplete apical closure is definite,it is an ideal induce apical molding material.
出处
《中国生化药物杂志》
CAS
2015年第11期119-120,123,共3页
Chinese Journal of Biochemical Pharmaceutics
作者简介
作者简介：周颖蕊，通信作者，女，硕士，主治医师，研究方向：口腔医学，E-mail：zyr745123@sina．com.
