不同根管填充材料对根尖周炎患者根管填充效果和咀嚼功能的影响  

Influence of different root canal filling materials on root canal filling effects and masticatory function of patients with periapical periodontitis

作　　者：张婧 符增涛 宋紫竹 ZHANG Jing;FU Zeng-tao;SONG Zi-zhu(Department of Stomatology,Baoji Central Hospital,Baoji 721008,Shaanxi,CHINA;Department of Stomatology,Ankang Hospital of Traditional Chinese Medicine,Ankang 725000,Shaanxi,CHINA)

机构地区：[1]宝鸡市中心医院口腔科,陕西宝鸡721008 [2]安康市中医医院口腔科,陕西安康725000

出　　处：《海南医学》2022年第13期1706-1709,共4页Hainan Medical Journal

基　　金：陕西省重点研发计划项目(编号:S2020-YF-YBSF-0777)。

摘　　要：目的 比较不同根管填充材料(Vitapex糊剂与Cortisomol糊剂)对根尖周炎患者根管填充效果、咀嚼功能的影响。方法 回顾性分析2017年1月至2019年12月宝鸡市中心医院口腔科收治的144例根尖周炎患者的诊治资料,按照根管填充材料不同分为Vitapex组63例和Cortisomol组81例,采用对应糊剂+牙胶尖填充,比较两组患者治疗后1周的疼痛程度(Mohd Sulong疼痛分级)、治疗后6个月的咀嚼功能、治疗后6个月、12个月的根管填充效果。结果 治疗后1周,Vitapex组与Cortisomol组患者的Mohd Sulong疼痛分级明显低于治疗前,差异均具有统计学意义(P<0.05),但两组间治疗前、治疗后1周的Mohd Sulong疼痛分级比较差异均无统计学意义(P>0.05);治疗后6个月,Vitapex组与Cortisomol组患牙咬合力[(136.42±14.58) lbs vs (139.35±15.73) lbs]、咀嚼效率[(89.82±10.21)%vs(91.15±12.69)%]、牙龈指数[(0.42±0.09)分vs (0.41±0.10)]、松动度[(0.58±0.14)分vs (0.56±0.12)分]比较,差异均无统计学意义(P>0.05);治疗后6个月,Vitapex组与Cortisomol组根管填充成功率(84.00%vs 92.55%)比较差异无统计学意义(P>0.05),但治疗后12个月,Cortisomol组根管填充成功率为96.81%,明显高于Vitapex组的86.67%,差异有统计学意义(P<0.05)。结论 Vitapex糊剂与Cortisomol糊剂用于根尖周炎根管填充早期对疼痛缓解和咀嚼功能的影响相当,但Cortisomol糊剂根管填充效果优于Vitapex糊剂。Objective To compare the influence of different root canal filling materials(Vitapex paste and Cortisomol paste)on root canal filling effects and masticatory function of patients with periapical periodontitis.Methods The diagnosis and treatment data of 144 patients with periapical periodontitis admitted to Department of Stomatology,Baoji Central Hospital between January 2017 and December 2019 were retrospectively analyzed.According to different root canal filling materials,the patients were divided into Vitapex group(63 cases)and Cortisomol group(81 cases),which were given corresponding paste+gutta percha point for filling.The pain level(Mohd Sulong pain grading)at 1 week after treatment,masticatory function at 6 months after treatment,and root canal filling effects at 6 months and 12 months after treatment were compared between the two groups.Results At 1 week after treatment,the Mohd Sulong pain grading in Vitapex group and Cortisomol group was lower than that before treatment(P<0.05),but there was no statistically significant differece in the grading between the two groups before treatment and at 1 week after treatment(P>0.05).At 6 months after treatment,there were no statistically significant differences in the following indexes between the two groups(P>0.05):the bite force of affected teeth,(136.42±14.58)lbs vs(139.35±15.73)lbs;masticatory efficiency,(89.82±10.21)%vs(91.15±12.69)%;gingival index,(0.42±0.09)points vs(0.41±0.10)points;tooth mobility,(0.58±0.14)points vs(0.56±0.12)points.There was no statistically significant difference in the success rate of root canal filling at 6 months after treatment between Vitapex group and Cortisomol group(84.00%vs 92.55%,P>0.05),but the success rate of root canal filling in Cortisomol group at 12 months after treatment was higher than that in Vitapex group(96.81%vs 86.67%,P<0.05).Conclusion Vitapex paste and Cortisomol paste have similar influence on pain relief and masticatory function in the early root canal filling of periapical periodontitis.However,Cortiso

关 键 词：根尖周炎 VITAPEX糊剂 CORTISOMOL糊剂 根管填充效果 咀嚼功能 

分 类 号：R781.341[医药卫生—口腔医学]