全瓷冠修复+iRoot SP糊剂根管充填治疗隐裂性牙髓炎患者的临床研究  

Clinical Study on All-porcelain Crown Repair+Root Canal Filling with iROOT SP Paste in the Treatment of Patients with Cryptic Fissure Pulpitis

作　　者：柯丽娇 叶慧芬[1] KE Lijiao;YE Hu(Siming Branch of the First Affiliated Hospital of Xiamen University,Xiamen 361000,China)

机构地区：[1]厦门大学附属第一医院思明分院,福建厦门361000

出　　处：《中外医学研究》2023年第30期149-153,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探究全瓷冠修复联合iRoot SP糊剂根管充填在隐裂性牙髓炎治疗中的应用价值。方法:选取2018年4月—2021年3月厦门大学附属第一医院思明分院收治的78例隐裂性牙髓炎患者,按照治疗方法将其分为常规组和治疗组,患者均予以i Root SP糊剂进行根管充填,常规组39例(患牙46颗)采用烤瓷冠进行牙冠修复,治疗组39例(患牙47颗)采用全瓷冠进行牙冠修复。比较两组治疗效果、疼痛情况、炎症指标水平、牙周情况、咀嚼功能、生活质量。结果:治疗组总有效率为94.87%,高于常规组的79.49%,差异有统计学意义(P<0.05)。术后1周,治疗组视觉模拟评分法(visual analogue scale,VAS)评分优于常规组,差异有统计学意义(P<0.05)。术后1 d两组肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)、白细胞介素-8(interleukin-8,IL-8)、基质金属蛋白酶-8(matrix metalloproteinase-8,MMP-8)水平升高,但治疗组低于常规组,差异有统计学意义(P<0.05)。两组术后3个月龈沟出血指数(sulcus bleeding index,SBI)、牙龈指数(gingival index,GI)、牙周探诊深度(probing depth,PD)降低,且治疗组低于常规组,差异有统计学意义(P<0.05)。两组术后3个月咀嚼效率、咬合力升高,且治疗组高于常规组,差异有统计学意义(P<0.05)。术后3个月,两组口腔健康影响程度量表(oral health impact profile-14,OHIP-14)评分较术前降低,且治疗组低于常规组,差异有统计学意义(P<0.05)。结论:隐裂性牙髓炎患者iRoot SP糊剂根管充填后采用全瓷冠修复效果显著,能减轻炎症反应,缓解患者疼痛,有助于改善牙周情况,促进咀嚼功能恢复,提高生活质量。Objective:To explore the application value of all-porcelain crown repair combined with root canal filling with iRoot SP paste in the treatment of cryptic fissure pulpitis.Method:A total of 78 patients with cryptic fissure pulpitis admitted to Siming Branch of the First Affiliated Hospital of Xiamen University from April 2018 to March 2021 were selected,they were divided into conventional group and treatment group according to treatment methods.All patients were given root canal filling with iRoot SP paste,and 39 patients(46 affected teeth)in the conventional group were given porcelain crowns for dental crown repair.In the treatment group,39 patients(47 affected teeth)were treated with all-porcelain crown repair.The therapeutic effect,pain,inflammatory index,periodontal condition,masticatory function and quality of life were compared between the two groups.Result:The total effective rate of the treatment group was 94.87%,which was higher than 79.49%of the conventional group,the difference was statistically significant(P<0.05).One week after surgery,the visual analogue scale(VAS)score of the treatment group was better than that of the conventional group,the difference was statistically significant(P<0.05).Tumor necrosis factor-α(TNF-α),interleukin-8(IL-8)and matrix metalloproteinase-8(MMP-8)in both groups at 1 d after surgery were increased,but those of the treatment group were lower than those of the conventional group,the differences were statistically significant(P<0.05).Sulcus bleeding index(SBI),gingival index(GI)and probing depth(PD)in both groups were decreased at 3 months after surgery,and those of the treatment group were lower than those of the conventional group,the differences were statistically significant(P<0.05).The masticatory efficiency and biting force in both groups were increased at 3 months after surgery,and those of the treatment group were higher than those of the conventional group,the differences were statistically significant(P<0.05).At 3 months after surgery,the scores of oral health im

关 键 词：全瓷冠修复 iRoot SP糊剂 根管充填 隐裂性牙髓炎 

分 类 号：R781.31[医药卫生—口腔医学]