Vitapex糊剂充填在小儿急性牙髓炎一次性根管治疗中的应用效果  

Application effects of Vitapex paste filling in one-time root canal therapy for children with acute pulpitis

作　　者：曹馨 CAO Xin(Department of Oral Prevention OF Dalian Stomatological Hospital,Dalian 116021 Liaoning,China)

机构地区：[1]大连市口腔医院口腔预防科,辽宁大连116021

出　　处：《中国民康医学》2022年第19期65-67,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察Vitapex糊剂充填在小儿急性牙髓炎一次性根管治疗中的应用效果。方法:选取2019年6月至2020年6月该院收治的122例(共151颗患齿)急性牙髓炎患儿进行前瞻性研究,按照随机数字表法分为观察组61例(共76颗患齿)与对照组61例(共75颗患齿)。两组均采用一次性根管治疗术,对照组使用氧化锌碘仿糊剂作为填充材料,观察组使用Vitapex糊剂作为填充材料,比较两组治疗总有效率、急性反应发生率和患儿家长就医满意度。结果:两组术后3 d治疗总有效率比较,差异无统计学意义(P>0.05);观察组术后1年治疗总有效率为100.00%,明显高于对照组的88.52%,差异有统计学意义(P<0.05);观察组术后7 d急性反应发生率为9.84%,明显低于对照组的27.87%,差异有统计学意义(P<0.05);术后1年,观察组患儿家长满意度评分为(86.12±5.21)分,明显高于对照组的(70.68±3.57)分,差异有统计学意义(P<0.05)。结论:Vitapex糊剂充填应用于一次性根管治疗术治疗小儿急性牙髓炎患儿可提高术后1年治疗总有效率和患儿家长就医满意度,降低术后7 d急性反应发生率,效果优于氧化锌碘仿糊剂。Objective: To observe application effects of Vitapex paste filling in one-time root canal therapy for children with acute pulpitis. Methods: 122 children with acute pulpitis(a total of 151 teeth) admitted to this hospital from June 2019 to June 2020 were selected for the prospective study, and were divided into observation group(61 cases, 76 teeth in total) and control group(61 cases, 75 teeth in total) according to the random number table method. Both groups received one-time root canal therapy. The control group used zinc oxide iodoform paste as filling material, while the observation group used Vitapex paste. The total effective rate of treatment, the incidence of acute reaction and the parental medical satisfaction of these children were compared between the two groups. Results: There was no significant difference in the total effective rate between the two groups 3 days after the surgery(P>0.05). The total effective rate of one year after the surgery in the observation group was 100.00%, which was significantly higher than 88.52% in the control group, and the difference was statistically significant(P<0.05). The incidence rate of acute reactions 7 days after the surgery in the observation group was 9.84%, which was significantly lower than the control group of 27.87%, and the difference was statistically significant(P<0.05). One year after the surgery, the parental satisfaction score of the observation group was(86.12±5.21), which was significantly higher than the control group of(70.68±3.57), and the difference was statistically significant(P<0.05). Conclusions: The Vitapex paste filling in the treatment of the children with acute pulpitis after one-time root canal therapy can improve the total effective rate of treatment 1 year after the surgery and the parental medical satisfaction, and reduce the incidence of acute reactions 7 days after the surgery. Moreover, it is superior to zinc oxide iodoform paste filling.

关 键 词：一次性根管治疗术 急性牙髓炎 VITAPEX糊剂 氧化锌碘仿糊剂 急性反应 就医满意度 

分 类 号：R781.31[医药卫生—口腔医学]