不同充填剂治疗乳牙根尖周炎的疗效对比研究  

Comparative efficacy of different filler treatment of deciduous teeth periapical

作　　者：张金龙 

机构地区：[1]聊城市复退军人医院口腔科,252000

出　　处：《中国实用医药》2012年第16期30-31,共2页China Practical Medicine

摘　　要：目的探讨不同充填剂治疗乳牙根尖周炎的近远期临床疗效。方法我院诊治的120颗患尖周炎的乳牙,随机将其分为A(使用干髓糊剂进行充填)、B(使用氢氧化钙碘仿糊剂进行充填)、C(使用抗生素糊剂进行根管充填)三个治疗组,治疗3个月、6个月、1年后,比较各组患牙的治疗成功率。结果于治疗3个月、6个月和1年,与A组相比,B组和C组的成功率都明显升高,P<0.05,差异具有统计学意义;与B组相比,C组的成功率没有明显差异,P>0.05。近期失败的主要临床表现为存在不同程度的咬合痛、叩击痛,窦道没有消失;远期的主要临床表现为牙齿折断、充填物脱落、继发龋齿。结论氢氧化钙碘仿糊剂和抗生素糊剂根管充填是目前治疗乳牙根尖周炎的相对比较有效方法,值得临床推广应用。Objective To investigate the short and long term clinical efficacy of different filler treat- ment of deciduous teeth periapical. Methods 120 periapical teeth of our hospital were randomly divided into three treatment groups, A （using the stem pith paste filling）, B （using the calcium hydroxide iodoform paste filling） and C （using the antibiotic paste for root canal filling）. Compare the treatment success rate after the treatment for three months, six months and one year. Results After the treatment for 3 months, 6 months and 1 year, the success rate of group B and group C were significantly higher compared with group A （ P 〈 0. 05 ）, the difference was statistically significant, there was no significant difference in group C compared with group B （ P 〉 0. 05 ）. The main clinical manifestations of recent failure were varying degrees of occlusal pain, percus- sion pain, disappear sinus; the forward main clinical manifestations were broken teeth, fillings off, secondary caries. Conclusion Calcium hydroxide iodoform paste and antibiotic paste root canal filling are the relatively effective treatment of deciduous teeth periapical, and worthy of clinical application.

关 键 词：乳牙 尖周炎 氢氧化钙碘仿糊剂 抗生素糊剂 

分 类 号：R781.34[医药卫生—口腔医学]