根管治疗期间急症的防治  

Prevention of Endodontic Interappointment Emergencies

作　　者：李素珍[1] 

机构地区：[1]海南省农垦总局医院口腔科,海南海口570203

出　　处：《口腔医学研究》2008年第5期557-558,共2页Journal of Oral Science Research

摘　　要：目的:探讨根管治疗期间急症的防治。方法:将患牙髓炎、牙髓坏死、根尖周炎,需接受根管治疗的348例(348颗患牙)随机分成4组,分别在根管内封甲醛甲酚(FC)、奥硝唑、氢氧化钙、地塞米松-氢氧化钙,观察其根管治疗期间急性疼痛发作率。结果:奥硝唑与氢氧化钙组比较,差异无显著性(P>0.05)。地塞米松-氢氧化钙组与奥硝唑组、氢氧化钙组比较,各组之间有显著差异(P<0.05),地塞米松-氢氧化钙糊剂同FC组比较具有非常显著差异(P<0.01)。结论:根管内封地塞米松-氢氧化钙能较好预防和降低EIAE的发生率,并能减轻疼痛程度。Objective： To prevent the incidence of endontic interappointment emergencies（EIAE）. Methods： 348 teeth （348 cases ）with pulpitis, pulp necrosis or pcriapical periodontitis were randomly divideel into formocresol （FC） group （n = 80）, ornidazole group（ n = 83 ）, calcium hydroxide group （ n = 90 ） and dexamethasone - calcium hydroxide group （ n = 95 ）. They were then observed the incidences of EIAE. Results： The incidence of EIAE was not significant different between ornidagole group and calcium hydroxide group （ P 〉 0.05 ）. The incidence of EIAE was significant different between dexamethasone - calcium hydroxide group and ornidazole group or calcium hydroxide group （ P 〈 0.05 ）. The EIAE incidence was significant different between dexamethasone - calcium hydroxide group and FC group （ P 〈 0.01 ）. Conclusion： Dexamethasone - calcium hydroxide endodontic sterilization can significantly prevent the incidence of EIEA.

关 键 词：根管治疗急症 根管治疗 疼痛 

分 类 号：R781.05[医药卫生—口腔医学]