冠修复、根管治疗隐裂牙牙髓临床对比研究  

Clinical comparison of cracked teeth pulp treatment with crown and root canal

作　　者：袁晓玲[1] YUAN Xiao-ling(Department of Stomatology, Rugao Hospital of Traditional Chinese Medicine,Jiangsu Nantong 226500,Chin)

机构地区：[1]江苏省如皋市中医院口腔科,江苏南通226500

出　　处：《全科口腔医学电子杂志》2016年第11期1-2,4,共3页Electronic Journal of General Stomatology

摘　　要：目的 分析在隐裂牙牙髓患者的临床治疗工作中冠修复与根管联合治疗方案的治疗疗效.方法 选择我院2014年12月~2015年12月收治的隐裂牙牙髓患者82例作为研究对象,将其分为观察组和对照组,各41例.对照组予以常规治疗,观察组实施冠修复与根管联合治疗方案,对比两组治疗疗效.结果 实施不同治疗方案后,对观察组患者采用冠修复与根管联合治疗的咬合力、牙龈、咀嚼效率和出血指数等牙齿功能指标变化均明显优于对照组,差异有统计学意义（P〈0.05）;观察组患者临床治疗显效率（70.73,29/41）和总有效率为（92.7%,38/41）都显著优于对照组的治疗显效率（39.02,16/39）和总有效率（75.61%,31/41）,差异有统计学意义（P〈0.05）;且观察组患者采用冠修复与根管联合治疗后的疼痛发生率为（26.83%,11/41）,显著低于对照组的疼痛发生率（56.1%,23/41）,差异有统计学意义（P〈0.05）.结论 在隐裂牙牙髓患者的临床治疗中应用冠修复与根管联合治疗方案治疗,疼痛发生率更低,患牙功能修复疗效更好,疗效显著.Objective To observe and analyze the therapeutic effect of the combined crown and root canal therapy in the clinical treatment of patients with cracked tooth pulp.Methods In our hospital from December 2014 to December 2015 were cracked teeth in 82 patients as the research object, randomly divided into observation group and control group, 41 cases in each group. The control group was given routine treatment, the observation group implementation of crown and root canal therapy, treatment efficacy of two groups were compared.Results After different treatments, the observation group were treated with crown and root canal treated with bite, gums, change function of masticatory efficiency and bleeding index etc. the teeth are signicantly better than the control group, the difference was statistically signicant （P〈0.05）; patients in the observation group the clinical treatment efficiency （70.73,29/41） and the total efficiency （92.7%, 38/41） was higher than that of the control group treatment effective rate （39.02,16/39） and the total effciency （75.61%, 31/41）, the difference was statistically signicant （P〈0.05）; and the patients in the observation group and the crown The incidence of pain after root canal therapy was 26.83% （11/41）, which was significantly lower than that of the control group （23/41）, and the difference was statistically signicant （P〈0.05）.Conclusion In the clinical treatment of cracked teeth in patients with clinical application of crown repair and root canal combined treatment program, the lower the incidence of pain, dental restoration effect is better, the effect is signicant.

关 键 词：牙隐裂 牙髓 冠修复 根管治疗 

分 类 号：R781.3[医药卫生—口腔医学]