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机构地区:[1]复旦大学附属中山医院青浦分院口腔科,上海201700
出 处:《中国临床医学》2011年第3期376-377,共2页Chinese Journal of Clinical Medicine
摘 要:目的:探讨Vitapex糊剂和甲醛甲酚联合碘仿作为根管消毒药物治疗有瘘型根尖周炎的疗效。方法:收集158颗有瘘型慢性尖周炎的患牙,随机分为2组,研究组用Vitapex糊剂根管内封药,对照组用甲醛甲酚联合碘仿根管内封药。对2组封药后患牙疗效及对根管治疗期间急症疼痛的发生率进行比较。结果:研究组的有效率为97.47%,对照组的有效率为86.08%,研究组的临床疗效优于对照组(P<0.05);与对照组比较,研究组疼痛的发生率显著降低,死髓牙根管治疗期间疼痛(endodontic interappointment pain,EIP)发生率为6.33%,对照组为16.45%,差异有统计学意义(P<0.05)。结论:Vitapex糊剂用于有瘘型根尖周炎根管内封药能有效控制感染和预防根管治疗期间疼痛的发生。Objective:To compare the effect of Vitapex paste and formocresol joint iodoform in root canal disinfection for apical periodontitis with fistula.Methods:A total of 158 teeth with apical periodontitis with fistula were randomly divided into Vitapex paste group as the study group and the formo cresol joint iodoform group as the control group.The therapeutic effect and incidence rate of endodontic inter appointment pain(EIP)between them were compared as root canal disinfection medicaments.Results:The effective ratio of the study group and the control group were 97.47% and 86.08%,respectively.The incidence of EIP of Vitapex paste group and control group were 6.33% and 16.45%,respectively.The difference between them was statistically significant(P0.05).Conclusions:This study showed that Vitapex paste can prevent the infection and incidence of EIP in the root canal of apical periodontitis with fistula efficiently better than formocresol joint iodoform,and is worth popularizing.
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