口腔显微镜对减少老年根管治疗期间磨牙根管遗漏的临床意义  

Clinical significance analysis of dental operating microscope reducing omission of molars root canal in elderly patients during the treatment of root canal

作　　者：李浩萍[1] 孟媛[1] 

机构地区：[1]解放军第451医院口腔科,陕西西安710000

出　　处：《中国医药导报》2015年第15期113-116,共4页China Medical Herald

摘　　要：目的：探讨口腔显微镜对于减少老年根管治疗期间磨牙根管遗漏的临床意义。方法选取解放军第451医院2011年4月~2014年7月收治的接受根管治疗的老年患者184例，将其随机分为常规组和显微根管治疗组（DOM组），分别进行常规根管治疗和DOM根管治疗，对两组老年患者根管遗漏情况进行统计分析。对所有患者进行1年随访，观察老年患者的磨牙治疗及根管遗漏情况。结果常规组检出4根根管为14例（15.22%），与DOM组28例（30.43%）相比，差异有统计学意义（P〈0.05）；常规组检出5根根管0例（0.00%），与DOM组4例（4.35%）比较，差异有统计学意义（P〈0.05）。常规组治疗失败6例（6.52%），DOM组治疗失败2例（2.17%），两组比较，差异有统计学意义（P〈0.05）。结论应用DOM对老年磨牙患者进行根管治疗可有效减少磨牙根管遗漏率，值得临床推广使用。Objective To discuss the clinical effect of dental operating microscope for reducing the omission of molars root canal in elderly patients during the treatment of root canal. Methods 184 cases of elderly patients who had re-ceived molars root canal treatment in the 451st Hospital of People＆#39;s Liberation Army from April 2011 to July 2014 were selected. All the patients were divided into conventional group and DOM group, the conventional group was treat-ed with normal root canal therapy and the DOM group was treated with DOM root canal therapy. The incidence of root canal omission was analyzed. Then all the patients were followed up for 1 year, treatment of root canal and the inci-dence of root canal omission were observed. Results 14 cases of patients （15.22%） of the conventional group and 28 cases （30.43%） of the DOM group were detected with 4 root canals, which showed a statistically significant difference （P〈0.05）. None of the patients （0.00%） of conventional group and 4 cases （4.35%） of the DOM group were detected with 5 root canals, which showed a statistically significant difference （P〈 0.05）. 6 cases （6.52%） of conventional group failed in the root canal treatment, while 2 cases （2.17%） of DOM group failed in the root canal treatment, which showed a sta-tistically significant difference between the two groups （P 〈 0.05）. Conclusion Apply DOM in the treatment of root canal can help lessen omission of molars root canal in elderly patients, and it is worthy of clinical application.

关 键 词：口腔显微镜 老年磨牙 根管治疗 根管遗漏 

分 类 号：R781.3[医药卫生—口腔医学]