活髓牙失活后根管与拔髓后根管治疗牙髓炎的效果比较  

Effect comparison of root canal and post-myelinus root canal in the treatment of pulpitis after inactivation of vital pulp

作　　者：赵瑛洁 张晓娇 ZHAO Ying-jie;ZHANG Xiao-jiao(Department of Stomatology,Beijing Aerospace General Hospital,Beijing100076,China)

机构地区：[1]北京航天总医院口腔科,北京100076

出　　处：《中国当代医药》2020年第19期159-161,共3页China Modern Medicine

摘　　要：目的比较活髓牙失活后根管与拔髓后根管治疗牙髓炎的效果。方法选取2017年1月~2019年4月就诊于我院的86例牙髓炎患者作为研究对象,根据入院时间先后分为两组,各43例。观察组应用活髓牙失活后根管治疗,对照组采用拔髓后根管治疗,治疗后随访4个月,对比两组疗效。结果观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05);观察组治疗后疼痛发生率低于对照组,差异有统计学意义(P<0.05);观察组急性反应发生率低于对照组,差异有统计学意义(P<0.05);观察组不良反应总发生率低于对照组,差异有统计学意义(P<0.05)。结论与拔髓后根管治疗相比,活髓牙失活后根管治疗可显著提升牙髓炎的疗效,改善疼痛情况,不良反应少。Objective To compare the effect of endodontic treatment of pulpitis after inactivation of living pulp teeth and root canal extraction.Methods A total of 86 patients with pulpitis who were admitted to our hospital from January 2017 to April 2019 were selected as the research objects.They were divided into two groups according to the time of admission,and each had 43 patients.The observation group was treated with root canal after inactivation of the living pulp teeth,and the control group was treated with root canal after extubation.The patients were followed up for 4 months after treatment,the efficacy were compared between the two groups.Results The total effective rate of treatment in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05);the incidence of pain in the observation group after treatment was lower than that in the control group,the difference was statistically significant(P<0.05);The rate of acute reaction occurred in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05);the total incidence of adverse reactions in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion Compared with root canal treatment after pulp extraction,root canal treatment after active pulp tooth deactivation can significantly improve the efficacy of pulpitis,improve pain,and have fewer adverse reactions.

关 键 词：活髓牙失活 根管治疗 拔髓 总有效率 疼痛发生率 不良反应发生率 

分 类 号：R781.3[医药卫生—口腔医学]