无砷失活剂和砷失活剂对恒磨牙牙髓的失活效果比较  

Effects comparison of arsenic-free inactivator and arsenic inactivator on the inactivation of pulp in permanent molars

作　　者：方远鹏 肖卓 阮方超 戴杰 

机构地区：[1]西安医学院口腔系,陕西西安710021 [2]西安莲湖新西北口腔诊所,陕西西安710086 [3]台州恩泽医疗中心(集团)路桥医院口腔科,浙江台州318050

出　　处：《临床医学研究与实践》2018年第2期96-97,共2页Clinical Research and Practice

摘　　要：目的比较无砷失活剂Antipulp和砷失活剂对恒磨牙牙髓炎的失活效果。方法将600例经临床诊断为磨牙急性牙髓炎或慢性牙髓炎的患者随机分为观察组和对照组。观察组300例采用无砷失活剂Antipulp失活,对照组300例采用砷失活剂失活,比较两组的失活效果。结果观察组封药后疼痛反应总发生率为32.33%,低于对照组的46.67%(P<0.01);观察组牙髓失活总有效率为94.00%,高于对照组的89.67%(P<0.05);观察组牙周损伤总发生率为13.41%,低于对照组的27.50%(P<0.05)。结论 Antipulp是一种安全、有效、疼痛反应小的牙髓失活剂,值得临床推广使用。Objective To compare the devitalizing effects of arsenic -free inactivator and arsenic inactivator on theinactivation of pulp in permanent molars. Methods A total of 600 patients with molars diagnosed as acute pulpitis orchronic pulpitis were randomly designed into observation group and control group, with 300 cases in each group. Theobservation group was treated with Antipulp, an arsenic-free deactivator; and the control group was inactivated by arsenicinactivator. The inactivation effects were compared between the two groups. Results The total incidence of pain reaction inthe observation group was 32.33%, which was lower than 46.67% in the control group （P〈0.01）. The total devitalizingeffective rate of the observation group was 94.00%, which was higher than 89.67% of the control group （P〈0.05）. The totalincidence of periodontal injury in the observation group was 13.41%, which was lower than 27.50% in the control group（P〈0.05）. Conclusion Antipulp is an effective, safe, less painful operative agent. It is worthy to be recommended forclinical application.

关 键 词：无砷失活剂 失活效果 疼痛 牙周损伤 

分 类 号：R781.05[医药卫生—口腔医学]