摘要
目的探究iRoot SP单尖法充填技术应用于牙体牙髓病治疗中的效果及对血清炎症因子的影响。方法研究选取2022年7—12月重庆市大足区人民医院收治的86例牙体牙髓病患者,采用随机数字表法均分为观察组、对照组各43例,观察组采用iRoot SP单尖法行根管充填,对照组采用iRoot SP冷牙胶侧压法行根管充填,比较2组患者充填效果、治疗前后血清白细胞介素‐1β(IL‐1β)、白细胞介素‐4(IL‐4)、肿瘤坏死因子‐α(TNF‐α)水平及近期疗效。结果观察组恰填率93.02%,高于对照组的76.76%(P<0.05);观察组根管充填时长较对照组缩短(P<0.05),但2组患者患牙充填面积比差异无统计学意义(P>0.05);治疗后,2组患者血清IL‐4均升高(P<0.05),IL‐1β、TNF‐α均下降(P<0.05),且观察组IL‐4高于对照组(P<0.05),IL‐1β、TNF‐α低于对照组(P<0.05)。治疗后3个月,观察组总有效率与对照组比较差异无统计学意义(P>0.05)。结论iRoot SP单尖法充填技术能缩短牙体牙髓病治疗时间,提高恰填率,有助于减轻炎症水平,临床实际可根据患者具体情况选择合适的技术。
Objective To explore the application of iRoot SP single‐tip filling technique in the treatment of dental pulp disease and its influence on serum inflammatory factors.Methods A total of 86 patients with dental pulp disease who were admitted to Dazu District People’s Hospital from July 2022 to December 2022 were selected and assigned to observation group or control group according to a random number table,with 43 cases in each group.The observation group underwent root canal filling by iRoot SP single‐tip method,and the control group was given root canal filling by iRoot SP cold lateral condensation.The filling effect,serum levels of interleukin(IL)‐1β,IL‐4,and tumor necrosis factor‐α(TNF‐α)before and after treatment,and short‐term efficacy were compared between the two groups.Results The exact filling rate in the observation group was higher than that in the control group(93.02%vs.76.76%,P<0.05).The time of root canal filling in the observation group was shorter than that in the control group(P<0.05),but there was no significant difference in the proportion of filling area between the two groups(P>0.05).After treatment,serum IL‐4 level was increased,while IL‐1βand TNF‐αwere decreased in both groups(P<0.05);observation group had higher IL‐4 level and lower IL‐1βand TNF‐αlevels than control group(P<0.05).After 3 months of treatment,no significant difference was found in the total effective rate between the two groups(P>0.05).Conclusion iRoot SP single‐tip filling technique can shorten the filling time,increase the exact filling rate,and reduce the inflammation levels in the treatment of dental pulp disease.In clinical practice,the appropriate technique should be selected according to patient’s condition.
作者
宗杨
张志刚
何花
Zong Yang;Zhang Zhigang;He Hua(Department of Stomatology,Dazu District People’s Hospital,Chongqing 402360,China)
出处
《海军医学杂志》
2025年第7期693-697,共5页
Journal of Navy Medicine
基金
重庆市自然科学基金面上项目(CSTB2023NSCQ MSX0087)
重庆市大足区科委计划项目(DZKJ,2016ACC1026)。
作者简介
通信作者:何花,电子信箱:18723528496@163.com。
