3种根管充填材料在一次法根管治疗中的临床疗效比较  

Three kinds of root canal sealers in one-visit root canal therapy:a comparison of clinical outcomes

作　　者：徐冬梅[1] 王其宝[1] 

机构地区：[1]济南市口腔医院牙体牙髓科,济南250001

出　　处：《第二军医大学学报》2013年第9期1029-1031,共3页Academic Journal of Second Military Medical University

摘　　要：目的比较3种根管充填材料在一次法根管治疗中的临床疗效。方法将362例牙髓炎患者(425颗患牙)随机分为3组:A组(120例/121颗患牙)以氧化锌丁香油为封闭剂,B组(121例/151颗患牙)以Cortisomol为封闭剂,C组(121例/153颗患牙)以2Seal easymiX为封闭剂,分别加牙胶尖进行冷侧压充填。观察并比较3组根管充填后疼痛发生率及1年的治疗成功率。结果 A、B、C组患牙术后疼痛发生率分别为15.7%(19/121)、5.3%(8/151)、6.5%(10/153),A组患牙术后疼痛发生率高于B组和C组(P<0.05或0.01),B组与C组比较差异无统计学意义;术后1年复查,A、B、C组治疗成功率分别为94.0%(110/117)、96.5%(137/142)、97.9%(142/145),差异无统计学意义。结论在一次法根管治疗中,3种根管充填材料术后1年疗效均较好,其中Cortisomol和2Seal easymiX可以减少术后疼痛,是理想的根管充填材料。Objective To evaluate the clinical outcomes of three different sealers for one-visit root canal therapy. Methods A total of 362 patients/425 teeth diagnosed as pulpitis were randomly divided into three groups： group A, including 120 patients/121 teeth, treated with zinc oxide engenol（ZOE）; group B, including 121 patients/151 teeth, treated with Cortisomol; and group C, including 121 patients/153 teeth, treated with 2Seal easymiX. All the teeth were filled with gutta percha by cold lateral condensation. The post-treatment pain and the one-year successful rate were observed. Results The incidence rate of post-treatment pain in group A （15, 7%[19/121]） were significantly higher than those in group B （5.3%[8/151] , P〈0.01） and group C （6.5%[10/153], P〈 0.05） ; and there was no significant difference between group B and C. The one-year successful rates were not significantly different between group A （94.0%[110/117]）, B （96.5%[137/142]） and C （97.9%[142/145]）. Conclusion The three kinds of root canal sealers can all achieve satisfactory one-year successful rate in one-visit root canal therapy; moreover, Cortisomol and 2Seal easymiX can also reduce post-treatment pain, making them ideal root canal sealers.

关 键 词：根管充填 根管充填材料 氧化锌丁香油糊剂 CORTISOMOL 2Seal easymiX 

分 类 号：R781.3[医药卫生—口腔医学]