摘要
目的 比较两种根管疏通方法对下颌乳磨牙窦道型根尖周炎的疗效。方法 选取安徽省阜阳市人民医院口腔科2022年4月至2023年4月诊治的80例下颌乳磨牙窦道型根尖周炎患者,采用随机数字表法将其分为观察组和对照组,每组40例。观察组采用机用镍钛疏通锉疏通,对照组采用不锈钢K锉疏通,两组疏通后均使用机用镍钛器械根管预备及Vitapex糊剂一次性根管充填,术后随访6个月。比较两组每根管疏通及每牙根管预备时间、术后疼痛情况、牙周指标[龈沟出血指数(SBI)、牙周袋深度(PD)、牙龈指数(GI)]及近远期疗效。结果 观察组每根管疏通时间及每牙根管预备时间短于对照组,差异有统计学意义(P<0.05)。观察组术后疼痛分级优于对照组,差异有统计学意义(P<0.05)。治疗前,两组GI、SBI评分及PD比较,差异无统计学意义(P>0.05);治疗后,两组GI、SBI评分及PD低于治疗前,差异有统计学意义(P<0.05);两组GI、SBI评分及PD比较,差异无统计学意义(P>0.05)。两组术后近远期疗效比较,差异无统计学意义(P>0.05)。结论 机用镍钛疏通锉可缩短操作时间,减少疼痛反应,更适用于儿童根管治疗。
Objective To compare the efficacy of two root canal dredging methods in the treatment of mandibular primary molar with sinusoidal periapical inflammation.Methods A total of 80 cases in the Department of Stomatology,Fuyang People’s Hospital from April 2022 to April 2023 were divided into observation group and control group by random number table method,with 40 cases in each group.The observation group was dredged with mechanical nickel-titanium file,and the control group was dredged with stainless steel K-file.After dredging,both groups were treated with mechanical nickel-titanium instrument root canal preparation and one-time root canal filling with Vitapex paste,following up for six months.The time of each canal dredging and each root canal preparation,postoperative pain,periodontal index(sulus bleeding index[SBI],probing depth[PD],gingival index[GI]),and short and long term curative effects were compared between the two groups.Results The dredging time of each canal and the preparation time of each root canal in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The postoperative pain grade of the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).Before treatment,there were no significant differences in GI,SBI scores,and PD between the two groups(P>0.05).After treatment,GI,SBI scores,and PD in both groups were lower than before treatment,and the differences were statistically significant;there were no significant differences in GI,SBI scores,and PD between the two groups(P>0.05).There was no significant difference between the two groups at short and long term after surgery(P>0.05).Conclusion Nickel-titanium are suitable for children root canal treatment for shorting operation time and reducing pain reaction.
作者
张培娟
王娜娜
朱青
储婷
陈旭兵
ZHANG Peijuan;WANG Nana;ZHU Qing;CHU Ting;CHEN Xubing(Department of Stomatology,Fuyang People’s Hospital,Anhui Province,Fuyang 236000,China)
出处
《中国医药导报》
CAS
2024年第17期85-87,共3页
China Medical Herald
基金
安徽省重点研究与开发计划项目(2022e070200592)。
关键词
窦道型慢性根尖周炎
根管疏通
术后疼痛
牙周指标
近远期疗效
Sinus chronic periapical inflammation
Root canal dredging
Postoperative pain
Periodontal index
Short and long term effect
作者简介
张培娟(1987.5-),女,硕士,研究方向:口腔全科;通讯作者:陈旭兵(1968.10-),男,硕士,主任医师,研究方向:口腔颌面外科。
