一次性根管治疗与多次根管治疗对牙槽骨骨密度的影响  

Influence of One-Time Root Canal Therapy and Multiple Root Canal Therapy on Alveolar Bone Mineral Density

作　　者：徐高旭 闫波[2] XU Gaoxu;YAN Bo(Department of Stomatology,He'nan Electric Power Hospital,Zhengzhou 450000,China;Department of Radiology,the First Affiliated Hospital of Zhengzhou University/He'nan Stomatological Hospital,Zhengzhou 450000,China)

机构地区：[1]河南电力医院口腔科,河南郑州450000 [2]郑州大学第一附属医院/河南省口腔医院放射科,河南郑州450000

出　　处：《临床医学工程》2021年第3期301-302,共2页Clinical Medicine & Engineering

摘　　要：目的探讨一次性根管治疗与多次根管治疗对牙槽骨骨密度的影响。方法选择2015年1月至2018年12月收治的64例根尖周炎患者,随机分为观察组和对照组各32例。观察组采用一次性根管治疗,对照组采用多次根管治疗。比较两组患者的根管填充效果、疼痛情况、复诊情况、疗效及治疗后根尖病损处牙槽骨骨密度。结果两组的欠充率、超充率、适充率及VAS评分比较,差异无统计学意义(P>0.05)。与对照组比较,观察组疼痛持续时间较短,复诊次数较少(P <0.05)。两组的治疗总有效率比较无统计学差异(P>0.05)。治疗后3个月、 6个月,两组的牙槽骨骨密度均升高(P <0.05);治疗后1个月、 3个月、6个月,两组的牙槽骨骨密度比较差异无统计学意义(P>0.05)。结论一次性根管治疗的疗效、填充效果和牙槽骨骨密度改善效果与多次根管治疗相当,且能够缩短疼痛持续时间,减少复诊次数,值得推广。Objective To explore the influence of one-time root canal therapy and multiple root canal therapy on alveolar bone mineral density.Methods 64 patients with periapical periodontitis from January 2015 to December 2018 were selected and randomly divided into observation group and control group,with 32 cases in each group.The observation group was given one-time root canal therapy,and the control group was given multiple root canal therapy.The effect of root canal filling,pain,follow-up visit,efficacy and were compared between the two groups,and Alveolar bone mineral density in apical lesions after treatment were compared between the two groups.Results No statistical difference was found in the rates of unfilled,overfilled,flush filled canals and the VAS score between the two groups(P>0.05).Compared with the control group,the pain duration of the observation group was shorter,and the follow-up visit times were fewer(P<0.05).No statistical difference was found in the total effective rate between the two groups(P>0.05).After 3 months and 6 months of treatment,the alveolar bone mineral density of the two groups increased(P<0.05);No statistical difference was found in the alveolar bone mineral density after 1 month,3 months and 6 months of treatment between the two groups(P>0.05).Conclusions One-time root canal therapy has similar efficacy,filling effect and improvement effect of alveolar bone mineral density with multiple root canal therapy,and can shorten the pain duration and reduce the follow-up visit times,which is worthy of promotion.

关 键 词：一次性根管治疗 多次根管治疗 牙槽骨 骨密度 

分 类 号：R781.341[医药卫生—口腔医学]