地塞米松-氢氧化钙-碘仿糊剂在急性根尖周炎治疗中的应用  

Use of dexamethasone-calcium hydroxide-iodoform paste for treating acute periapical periodontitis

作　　者：杜芙蓉[1] 朱莉[1] 张栓香[1] 

机构地区：[1]山西医科大学第二临床医学院口腔科,太原030001

出　　处：《山西医科大学学报》2006年第7期758-759,共2页Journal of Shanxi Medical University

摘　　要：目的探讨地塞米松-氢氧化钙-碘仿糊剂在急性根尖周炎根管封药治疗中的临床疗效。方法临床46例急性根尖周炎根管预备的病例,随机分实验组(地塞米松-氢氧化钙-碘仿糊剂组)和对照组(甲醛甲酚组)各23例,两组均行两次法完成根管治疗术。实验组暂封地塞米松-氢氧化钙-碘仿糊剂,对照组暂封甲醛甲酚(FC)药物,观察术后疼痛反应。结果地塞米松-氢氧化钙-碘仿糊剂根管封药组疼痛率(13.0%)低于甲醛甲酚根管封药组(47.8%)。结论地塞米松-氢氧化钙-碘仿糊剂可以有效地预防根管治疗期间的疼痛和水肿,并降低其发生率。Objective To evaluate the efficacy of dexamethasone-calcium hydroxide-iodoform paste used as an intracanal medication in root canal therapy on acute periapical periodontitis. Methods Forty-six patients with acute periapical periodontitis were randomly allocated to test group （dexamethasone-calcium hydroxide-iodoform paste） and control group （formocresol, FC） equally, twovisit endodontic treatment was applied to both groups. Test group was covered by dexamethasone-calcium hydroxide-iodoform paste, and control group was covered by FC. Postoperative pain was observed. Results The markedly pain rate of dexamethasone-calcium hydroxide-iodoform paste group （13.0 % ） was significantly lower than that of FC group （47.8 % ）. Conclusion Dexamethasone-calcium hydroxide-iodoform paste used in intracanal medication can effectively prevent and reduce the pain and dropsy during root canal therapy.

关 键 词：地塞米松 氢氧化钙 根管封药 疼痛 急性根尖周炎 

分 类 号：R781.341[医药卫生—口腔医学]