牙髓切断术与牙髓摘除术在深龋露髓乳磨牙临床治疗中的对比分析  

Comparative Analysis of Pulp Amputation and Pulpectomy in the Clinical Treatment of Deep Caries Pulp Exposure

作　　者：杨涛 YANG Tao(Department of Endodontics,Jilin Second Stomatological Hospital,Jilin,Jilin Province,132001 China)

机构地区：[1]吉林市第二口腔医院牙体牙髓科,吉林省吉林市132001

出　　处：《系统医学》2017年第15期118-120,共3页Systems Medicine

摘　　要：目的探讨牙髓切断术与牙髓摘除术在深龋露髓乳磨牙临床治疗中的对比效果情况。方法分析该院2015年6月—2016年9月收治的60例深龋露髓乳磨牙患儿临床资料,依据治疗方式不同进行分组,牙髓切断术组(牙髓切断术治疗)30例和牙髓摘除术组(牙髓摘除术治疗)30例。观察两组深龋露髓乳磨牙患儿临床效果情况、随访6个月的病理改变。结果牙髓切断术组和牙髓摘除术组深龋露髓乳磨牙患儿临床治疗有效率93.3%和90.0%、随访6个月的牙周膜间隙增宽10.0%和20.0%、根尖根分叉暗影10.0%和20.0%、根管内外吸收10.0%和16.7%均差异无统计学意义(P>0.05)。结论牙髓切断术与牙髓摘除术在深龋露髓乳磨牙临床治疗中均有较好的效果,但是牙髓切断术价格相对昂贵,临床应根据实际情况,采取有效的手术治疗。Objective To study the comparative effect of pulp amputation and pulpectomy in the clinical treatment of deep caries pulp exposure.Methods 60 cases of children with deep caries pulp exposure primary molar admitted and treated in our hospital from June 2015 to September 2016 were selected and divided into two groups with 30 cases in each,including the pulp amputation group and pulpectomy group.The clinical effect and pathological changes after 6 months of the two groups were observed.Results The clinical treatment effective rate in the pulp amputation group and pulpectomy group was respectively 93.3%vs 90.0%,and the periodontal membrane space broadened by 10.0%and 20.0%,root lip and furcation shadows were 10.0%vs 20.0%,and the internal and external absorption of root canal was 10.0%and 16.7%,and the difference was hot statistically significant(P>0.05).Conclusion The effect of pulp amputation and pulpectomy in the clinical treatment of deep caries pulp exposure is good,but the price of pulp amputation is relatively expensive,and we should use the effective operation treatment according to the practical conditions.

关 键 词：牙髓切断术 牙髓摘除术 深龋露髓乳磨牙 

分 类 号：R783[医药卫生—口腔医学]