多次法根管与一次性根管治疗牙体牙髓病的临床疗效分析  

Analysis of the clinical efficacy of multiple root canal and one-time root canal treatments for dental pulp disease

作　　者：冯承水 荣培华 钱浩 胡珊珊 FENG Cheng-shui;RONG Pei-hua;QIAN Hao(Department of Stomatology,Xishan People’s Hospital,Wuxi 214105,China)

机构地区：[1]无锡市锡山人民医院口腔科,214105

出　　处：《中国实用医药》2021年第34期26-29,共4页China Practical Medicine

摘　　要：目的探讨牙体牙髓病采用多次法根管与一次性根管治疗的效果。方法94例牙体牙髓病患者,按照抽签方式分为对照组(单数)与观察组(双数),各47例。对照组采用多次法根管治疗,观察组采用一次性根管治疗。比较两组治疗效果、术后疼痛评分、治疗时间、治疗前后患牙功能指标及术后并发症发生情况。结果观察组治疗总有效率为95.74%,高于对照组的80.85%,差异有统计学意义(P<0.05)。观察组术后疼痛评分(2.78±1.15)分低于对照组的(4.45±1.18)分,治疗时间(112.78±15.79)min短于对照组的(180.21±18.23)min,差异有统计学意义(P<0.05)。治疗后3个月,两组患者的咀嚼效能及咬合力较治疗前升高、牙龈指数评分较治疗前降低,且观察组咀嚼效能及咬合力高于对照组,牙龈指数评分低于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率4.26%低于对照组的21.28%,差异有统计学意义(P<0.05)。结论牙体牙髓病可选择多次法根管与一次性根管治疗,但后者在治疗效果、缓解疼痛及安全性方面显著更优,可改善患者患牙功能,使得患者在更短时间内获得良好的治疗效果。Objective To discuss the effect of multiple root canal and one-time root canal treatments for dental pulp disease.Methods A total of 94 patients with dental pulp disease were divided into control group(odd number)and observation group(even number)according to lottery method,with 47 cases in each group.The control group received multiple root canal treatments,and the observation group received one-time root canal treatments.The therapeutic effect,postoperative pain score,treatment time,functional indicators of the affected tooth before and after treatment,and postoperative complications were compared between the two groups.Results The total effective rate of treatment in the observation group was 95.74%,which was higher than 80.85%in the control group,and the difference was statistically significant(P<0.05).The postoperative pain score(2.78±1.15)points of the observation group was lower than(4.45±1.18)points of the control group,and the treatment time(112.78±15.79)min was shorter than(180.21±18.23)min of the control group.All the differences were statistically significant(P<0.05).3 months after treatment,the mastication efficiency and bite force of the two groups were higher than those of this group before treatment,and the gingival index score was lower than that of this group before treatment;the mastication efficiency and bite force of the observation group were higher than those of the control group,and the gingival index score was lower than that of the control group;all the differences were statistically significant(P<0.05).The complication rates 4.26%in the observation group was lower than 21.28%in the control group,and the difference was statistically significant(P<0.05).Conclusion Dental pulp disease can choose multiple root canal and one-time root canal treatments,but the latter is significantly better in terms of therapeutic effect,pain relief and safety.It can improve the patient’s function of the affected tooth and make a good therapeutic effect in a shorter time.

关 键 词：牙体牙髓病 多次法根管 一次性根管 

分 类 号：R781.05[医药卫生—口腔医学]