局麻下直接拔髓和失活术对老年患者磨牙急性牙髓炎疼痛控制的对比观察  

Clinical observation of pulpectomy and pulp devitalization for the control of pain in acute pulpitis of molars in elderly patients

作　　者：孟丹婕 蒋勇[2] 胡晓蕾[1] 

机构地区：[1]安徽医科大学口腔医学院,安徽医科大学合肥口腔临床医院,合肥市口腔医院综合科,安徽合肥230001 [2]安徽医科大学口腔医学院口腔预防医学教研室,安徽医科大学附属口腔医院,安徽省口腔疾病研究中心实验室,安徽合肥230032

出　　处：《暨南大学学报（自然科学与医学版）》2016年第3期249-252,258,共5页Journal of Jinan University(Natural Science & Medicine Edition)

基　　金：安徽省重点科研项目(12070403062)

摘　　要：目的:探讨局麻下直接拔髓和失活术对老年患者磨牙急性牙髓炎的疼痛控制效果.方法:将204颗老年患者急性牙髓炎磨牙随机分为两组,实验组开髓后封多聚甲醛失活剂(Antipulp),对照组局麻下直接拔髓后封氢氧化钙糊剂.比较首诊后疗效、疼痛缓解率,首诊术后疼痛等级,根管治疗间急症发生率,复诊时根管探诊疼痛等级.结果:两组首诊后疗效、疼痛缓解率、首诊后疼痛等级及根管治疗间急症发生率均无显著性差异(P>0.05),复诊时根管探诊疼痛等级有显著性差异(P<0.05).结论:两种方法均对于老年患者急性牙髓炎磨牙有较好的止痛效果,多聚甲醛失活剂复诊时疼痛较小,更适合临床使用.Aim：To evaluate the analgesic effects of pulpectomy and pulp devitalization on acute pulpitis of molars in elderly patients. Methods： 204 cases of molars with acute pulpitis in elderly patients were randomly divided into experimental and control groups. Each molar of the experimental group was drained and sealed with devitalized material,while that of the control group was treated with pulpectomy and sealed with calcium hydroxide paste under local anesthesia. Comparation was made between the groups in efficacy,remission rate of pain, pain degree, incidence of endodontic interappointment emergencies after the first visit, and degree of pain in canal at the subsequent visit.Results： There was no significant difference between the two groups in efficacy,remission rate of pain, pain degree, incidence of endodontic interappointment emergencies after the first visit（P〉0.05）. However, there was significant difference in degree of pain in canal at the subsequent visit between the two groups（P〈0.05）. Conclusion：The two methods achieved analgesic effects for the elderly patients,and the antipulp inactivation agent showed less pain,which is recommended for treatment of these diseases.

关 键 词：老年患者 急性牙髓炎 根管治疗间急症(EIAE) 多聚甲醛 

分 类 号：R787[医药卫生—口腔医学]