一次法与多次法根管充填术治疗不可复性牙髓炎患者的效果比较  

Compare the Effect of One-visit and Multiple-visit Root Canal Filling in the Treatment of Irreversible Pulpitis

作　　者：景然 JING Ran(General Hospital of the Northern Theater of the People's Liberation Army,Shenyang 110000,China)

机构地区：[1]解放军北部战区总医院,辽宁沈阳110000

出　　处：《中国医药指南》2022年第11期85-87,共3页Guide of China Medicine

摘　　要：目的 评析不可复性牙髓炎患者应用一次法根管充填术治疗以及多次法根管充填术治疗的效果。方法 选取2019年2月至2020年2月本院接诊的62例(患牙62颗)不可复性牙髓炎患者,以双盲法分为两组,每组31例,对照组接受多次法根管充填术治疗,观察组接受一次法根管充填术治疗,对比两组的治疗效果。结果 观察组咀嚼效率、咬力、牙龈指数和出血指数均高于对照组,差异有统计学意义(P <0.05);观察组VAS评分低于对照组,差异有统计学意义(P <0.05)。观察组咬不适、牙龈肿胀等不良反应发生率低于对照组,差异有统计学意义(P <0.05)。结论 不可复性牙髓炎患者使用一次法根管充填术治疗的效果理想,安全性高,成功率高。Objective To evaluate the effect of one-visit root canal filling and multiple-visit root canal filling in patients with irreversible pulpitis.Methods From February 2019 to February 2020, 62 patients(62 teeth) with irreducible pulpitis were divided into two groups by double-blind method, 31 cases in each group, and 31 cases in the control group, observation group received a root canal filling treatment, comparison of treatment results. Results The masticatory efficiency, bite force, gingival index and bleeding index of the observation group were all higher than those in the control group(P<0.05).The VAS score of the observation group was lower than that of the control group(P<0.05). The incidence of occlusal discomfort, gingival swelling adverse reactions in the observation group was lower than that in the control group(P<0.05). Conclusion One-visit root canal filling is an effective, safe and effective method for the treatment of irreversible pulpitis.

关 键 词：不可复性牙髓炎 一次法根管充填术 多次法根管充填术 

分 类 号：R781.31[医药卫生—口腔医学]