一次性根管充填治疗牙隐裂伴牙髓炎的临床效果  

Clinical effect of one-time root canal filling in the treatment of cracked teeth with pulpitis

作　　者：戴玉平 DAI Yu-ping(Department of Stomatology,the First people′s Hospital of Ji′an City,Jiangxi Province,Ji′an 343000,China)

机构地区：[1]江西省吉安市第一人民医院口腔科,江西吉安343000

出　　处：《中国当代医药》2021年第30期130-132,139,共4页China Modern Medicine

基　　金：江西省教育厅科学技术研究项目(180103)。

摘　　要：目的探讨牙隐裂伴牙髓炎患者临床治疗中应用一次性根管充填技术的有效性及价值。方法选取2018年1月至2020年1月于吉安市第一人民医院就诊的62例牙隐裂伴牙髓炎患者作为研究对象,采用抽签分组法将其分为对照组(30例)与观察组(32例)。对照组患者采用多次根管充填治疗,观察组患者采用一次性根管充填治疗。比较两组患者的近期疗效、疼痛分级情况、不良反应总发生率、术后6个月复发率及远期疗效。结果观察组患者的治疗总有效率高于对照组,术后1年成功率高于对照组,差异有统计学意义(P<0.05)。观察组患者的疼痛率、不良反应总发生率及术后6个月复发率低于对照组,差异有统计学意义(P<0.05)。结论牙隐裂伴牙髓炎患者应用一次性根管充填治疗技术,疼痛度较轻,疗效及安全性更高,复发率更低,远期疗效显著,临床应用价值较高。Objective To investigate the effectiveness and value of one-time root canal filling in the treatment of cracked teeth with pulpitis.Methods From January 2018 to January 2020,62 patients with dental cryptic crack and pulpitis in the First people′s Hospital of Ji′an City were selected as the research objects,and they were divided into control group(30 cases)and observation group(32 cases)by drawing lots.The control group was treated with multiple root canal filling,and the observation group was treated with one-time root canal filling.The short-term efficacy,pain grading,total incidence of adverse reactions,recurrence rate 6 months after operation and long-term efficacy were compared between the two groups.Results The total effective rate of observation group was higher than that of the control group,and the success rate of 1 year after operation was higher than that of the control group,the differences were statistically significant(P<0.05).The pain rate,the total incidence of adverse reactions and the recurrence rate 6 months after operation in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The application of disposable root canal filling technique in the treatment of dental cleft with pulpitis has the advantages of lighter pain,higher efficacy and safety,lower recurrence rate,significant long-term efficacy and high clinical application value.

关 键 词：一次性根管充填 牙隐裂 牙髓炎 疗效评价 不良反应 

分 类 号：R781.31[医药卫生—口腔医学]