Vitapex糊剂根管消毒治疗有瘘型难治性根尖周炎的临床疗效分析  

Clinical Effect of Vitapex on Refractory Periapical Periodontitis with Fistula

作　　者：高晓琳[1] 张巧红[2] 刘璐[1] 王国友[2] 李效斐[1] 

机构地区：[1]潍坊医学院口腔学教研室,山东潍坊261053 [2]潍坊医学院附属潍坊市人民医院牙科

出　　处：《潍坊医学院学报》2012年第6期461-463,I0002,共4页Acta Academiae Medicinae Weifang

摘　　要：目的观察比较Vitapex糊剂和氢氧化钙糊剂用于有瘘型难治性根尖周炎根管消毒的疗效.方法将80颗有瘘型难治性慢性根尖周炎患牙,在常规根管预备成形后随机分为实验组和对照组,实验组（40颗患牙）采用Vitapex糊剂根管封药消毒,对照组（40颗患牙）采用氢氧化钙糊剂根管封药消毒,分别将Vitapex糊剂、氢氧化钙糊剂导入根管内暂封2周.对两组根管消毒效果进行临床观察和分析.结果实验组有效率（92.50%）与根充率（22.50%）与对照组（有效率为57.50%,根充率为8.00%）比较差异有显著性,且实验组在术后疼痛控制方面优于对照组.结论 Vitapex糊剂根管内封药能够减少有瘘型难治性根尖周炎根管封药消毒的次数,有利于瘘道的尽快愈合.Objective To investigate the clinical effect of Vitapex paste and calcium hydroxide paste on re-fractory periapical periodontitis with fistula .Methods A total of 80 tooth with apical periodontitis and fistula were ran-domly divided into Vitapex paste goup as the study goup and the calcium hydroxide paste group as the control group . Root canals were disinfected and dressed at interim for one week .The therapeutic effect between them was compared .Re-sults The effective ratio and root filling rate of the study group were 92.50%and 22.50%respectively.And the control group were 57.50%and 8.00%respectively.The effect of postoperative pain control of Vitapex paste group was superior to control group.The difference between two groups was statistically significant （P〈0.05）.Conclusion Vitapex paste has a better therapeutic effect on refractory periapical periodontitis and is worth popularizing .

关 键 词：根尖周炎 难治性 瘘 VITAPEX 氢氧化钙 根管消毒 

分 类 号：R781.05[医药卫生—口腔医学]