140例急性牙髓炎一次性根管治疗术临床疗效分析  

Clinical effect analysis of the one-time root canal filling method in treating acute pulpitis in 140 patients

作　　者：司心玲 范丽平 

机构地区：[1]山东省青岛市骨伤医院口腔科,266021

出　　处：《中国实用医药》2013年第13期41-42,共2页China Practical Medicine

摘　　要：目的比较一次与多次根管治疗术治疗急性牙髓炎及外伤漏髓患牙的疗效,以评价一次性根管治疗术的可靠性。方法选140例急性牙髓炎及外伤漏髓患者,随机分成2组,实验组于就诊当天用热牙胶充填法一次性完成根管治疗,对照组用传统的根管治疗术分次(2次或2次以上)完成根管治疗,术后2 d、7 d进行复诊检查,比较两种治疗方法的术后疼痛情况,6个月随访两种治疗方法的远期疗效,比较其成功率。结果多次根管治疗组术后2 d疼痛发生的例数少于一次法治疗组,但两者差异无统计学意义(P>0.05);术后7 d与术后6个月的治疗效果两组间比较差异无统计学意义(P>0.05)。结论一次性根管治疗术的远期治疗效果与传统的多次根管治疗术相当,只要选择好适应证,可以避免治疗后疼痛,且远期疗效确切。Objective To evaluate the efficacy of one-time root canal filling method through the clinical analysis of one-time versus multiple-time root canal filling method in treating acute pulpitis and trauma induced dental pulp exposure.Methods 140 cases of acute pulpitis and trauma induced dental pulp exposure were selected and randomly divided into 2 groups.One group（test group） was treated with one-time root canal filling method on the day of visiting doctor,while the control group was treated with traditional multiple times root canal filling method.The pain was assessed on the following day 2 and day7 after treatment and the long term efficacy was evaluated after 6 months.Results The case number of feeling pain in test group was fewer than that of the control group on 2 day return visit,but there was no significant difference between the two groups（P0.05）.The pain rate of 7 day and 6 month were no significant difference between the two groups（P0.05）.Conclusion The efficacy of one-time root canal filling method is similar to that of the traditional multiple-time canal filling method,the pain can be avoided as long as having proper indications and the long term efficacy is confident.

关 键 词：急性牙髓炎 一次性根管治疗 疼痛 

分 类 号：R781.31[医药卫生—口腔医学]