3种根管充填方法在慢性根尖周炎根管治疗中的短期疗效观察  

Short-term efficacy of three root canal filling methods in endodontic treatment of chronic periapical inflammation

作　　者：郭晶晶 汤屹群 何宏[2] 徐震[2] GUO Jing-jing;TANG Yi-qun;HE Hong;XU Zhen(Department of Stomatology,Taiyuan Central Hospital.Taiyuan 030009,Shanxi Province;Department of General Dentistry,Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine,College of Stomatology,Shanghai Jiao Tong University,National Center for Stomatology,National Clinical Research Center for Oral Diseases,Shanghai Key Laboratory of Stomatology,Shanghai 200011,China)

机构地区：[1]太原市中心医院口腔科,山西太原030009 [2]上海交通大学医学院附属第九人民医院口腔综合科,上海交通大学口腔医学院,国家口腔医学中心,国家口腔疾病临床医学研究中心,上海市口腔医学重点实验室,上海200011

出　　处：《上海口腔医学》2022年第5期544-549,共6页Shanghai Journal of Stomatology

摘　　要：目的:比较3种根管充填方法在治疗慢性根尖周炎中的短期疗效,为临床上选择合理有效的根管治疗方法提供参考。方法:选择2019年10月—2020年10月就诊于上海交通大学医学院附属第九人民医院口腔综合科、接受根管充填治疗的慢性根尖周炎患者120例,随机分为3组(n=40)。3组均行根管充填治疗,A组为i Root SP糊剂单尖法充填,B组为AH-plus糊剂热牙胶垂直加压充填,C组为AH-plus糊剂冷牙胶侧压充填。通过统计3组根管充填时间,使用视觉模拟评分法(VAS)比较分析3组患者治疗后24 h的疼痛评分;采用根尖周指数(periapicalindex,PAI)评定X线片并结合临床检查,对3组患者的根管治疗时间、疼痛情况、根管治疗效果进行评价。采用SPSS 22.0软件包进行数据分析。结果:3组患者的根管充填时间分别为A组(75.50±7.44)s,B组(85.38±3.46)s,C组(102.33±3.32)s,差异有统计学意义(P<0.05);组间两两比较具有统计学差异。3组患者术后发生疼痛发生率A组为25%,B组为25%,C组为32.5%,差异无统计学意义(P>0.05);A组与B组之间无统计学差异,A组、B组与C组之间有统计学差异。3组患者X线片PAI评分比较结果显示,PAI总分的时间效应F=498.93,P<0.001,提示不同时间点的PAI总分差异有统计学意义;组别效应F=0.91,P=0.406,提示不同组的PAI总分差异无统计学意义;时间和组别的交互效应F=0.44,P=0.777,提示不同组在不用时间点的PAI总分上差异无统计学意义。3组患者3个月、12个月总有效率A组为97.5%、97.3%,B组为97.5%、97.2%,C组为90%、91.9%,差异无统计学意义(P>0.05);两两相比,各组间差异无统计学意义。结论:相比其他2种根管充填方式,i Root SP糊剂单尖法根管充填技术对于节约临床操作时间,增加患者就诊舒适度具有良好效果。PURPOSE:To provide a reference basis for clinical selection of a reasonable and effective root canal treatment by comparing the short-term clinical efficacy of three root canal filling methods in the treatment of chronic periapical inflammation.METHODS:One hundred and twenty patients with chronic periapical inflammation who received root canal filling between October 2019 and October 2020 were randomly divided into 3 groups,with 40 patients in each group.All patients received root canal filling,group A was filled with i Root SP paste by matched-taper single cone obturation tech-nique,group B was filled with AH-plus paste by warm vertical condensation,and group C filled with AH-plus paste by cold lateral condensation.Root canal filling time in the three groups was calculated,pain score 24 h after treatment was determined using visual analogue scale/score(VAS),and periapical index(PAI)was used to evaluate radiographs.SPSS 22.0statistical software was applied for data analysis.RESULTS:Root canal filling times in the three groups were(75.50±7.44)s in group A,(85.38±3.46)s in group B and(102.33±3.32)s in group C,the differences were statistically significant(P<0.05);the incidence of postoperative pain in the three groups was 25%in group A,25%in group B and 32.5%in group C,the difference was not statistically significant(P>0.05).There was no significant difference between group A and group B,but significant difference existed between group A,group B and group C.The results of comparison of PAI scores showed a time effect was F=498.93,P<0.001,suggesting significant difference in total PAI scores at different time points;a group effect was F=0.91,P=0.406,suggesting no significant difference in total PAI scores of the 3 groups;an interaction effect of time and group was F=0.44,P=0.777,suggesting that there was no significant difference in total PAI scores of the3 groups at the time points.The total effective rate at 3 and 12 months was 97.5%,97.3%in group A,97.5%,97.2%in group B and 90%,91.9%in group C,the difference w

关 键 词：根管治疗 根管充填 单尖根管充填法 热垂直加压 冷侧压 

分 类 号：R783.5[医药卫生—口腔医学]