一次性根管治疗术治疗根尖周炎的临床观察  

Clinical observation of apical periodontitis treated with single root canal therapy

作　　者：邹红[1] 

机构地区：[1]重庆三峡中心医院口腔门诊,重庆404000

出　　处：《临床和实验医学杂志》2012年第23期1864-1865,1868,共3页Journal of Clinical and Experimental Medicine

摘　　要：目的探讨一次性根管治疗术治疗根尖周炎的临床效果。方法对2009年8月至2010年7月口腔科诊断为根尖周炎的88颗患牙采取分层随机分组,分为一次治疗组及多次治疗组各44颗,一次治疗组采取一次性根管治疗术治疗,多次治疗组采取多次性根管治疗术治疗。比较术后疼痛、充填效果及牙根尖周炎恢复情况。结果术后1周复诊,疼痛发生率一次治疗组为15.91%,多次治疗组为11.36%,两组比较无显著性差异(P>0.05);术后1周摄片进行充填效果比较,适充、欠充、超充发生率两种根管治疗方法之间无显著性差异;术后1年一次治疗组患者失访6例,多次治疗组患者失访9例。患牙治疗效果比较,成功、进步、无变化及失败发生率在两种不同治疗方法之间比较无显著性差异(P>0.05)。结论一次性根管治疗术治疗根尖周炎与多次根管治疗术效果相近。Objective To investigate the clinical effect of apical periodontitis treated with single root canal therapy. Methods Eighty - eight teeth diagnosed as apical periodontitis in the department of stomatology of our hospital from August 2009 to July 2010 were selected and ran- domly divided into single treatment group and multiple treatment group. The multiple treatment group was treated with multiple root canal therapy. Postoperative pain, filling effects and root recovery were compared. Results The patients except 6 eases in single treatment group and 9 cases in multiple treatment group were followed - up 1 week after the treatment. The incidences of postoperative pain in single treatment group and multiple treatment group were 15.91% and 11.36% respectively （ P 〉 0.05 ）. There were no significant differences in the incidences of appropriate fill- ing, less filling and super filling between the two groups. There was also no significant difference in the effect of the treatment between the two dif- ferent treatment methods （ P 〉 0.05 ）. Condusion The clinical effect of single root canal therapy is similar to that of multiple root canal thera- py.

关 键 词：根尖周炎 一次性根管治疗术 多次性根管治疗术 

分 类 号：R781.05[医药卫生—口腔医学]