不同根管消毒药物治疗慢性有窦型根尖脓肿的疗效观察  

Efficacy of Different Root Canal Disinfections in the Treatment of Chronic Sinusoidal Apical Abscesses

作　　者：张国庆[1] 王卫国[1] 万悦 任艳云[1] ZHANG Guo-qing;WANG Wei-guo;WAN Yue;REN Yan-yun(Department of Stomatology,the 903 th Hospital of the Chinese People’s Liberation Army Joint Logistic Support Force,Hangzhou 310000,China)

机构地区：[1]中国人民解放军联勤保障部队第九○三医院口腔科,杭州310000

出　　处：《南昌大学学报（医学版）》2024年第1期38-41,共4页Journal of Nanchang University：Medical Sciences

基　　金：国家自然科学基金(81600916)。

摘　　要：目的探讨不同根管消毒药物对慢性有窦型根尖脓肿的临床效果。方法筛选慢性有窦型根尖脓肿60例患者,按随机数字表法分为Vitapex组和Multi-Cal组,各30例,在根管治疗中分别将Vitapex(Vitapex组)和Multi-Cal(Multi-Cal组)糊剂充满根管及窦道。比较2组患者治疗后2周及治疗后1年的临床疗效、根管充填后1周急性疼痛反应发生情况和牙周探诊情况[牙周袋深度(periodontal pocket depth,PD)、菌斑指数(plaque index,PLI)及龈沟出血指数(sulcus bleeding index,SBI)]。结果治疗后2周及1年,Vitapex组疗效均显著好于Multi-Cal组(P<0.05);根管充填后1周Vitapex组的急性疼痛反应程度明显低于Multi-Cal组(P<0.05);治疗后1年Vitapex组的PD、PLI、SBI值显著小于Multi-Cal组(P<0.05)。结论Vitapex治疗慢性有窦型根尖脓肿见效快、疗效好、不良反应小、复发率低。Objective To investigate clinical effects of different root canal disinfection drugs on chronic sinusoidal apical abscess.Methods A total of 60 patients with chronic sinusoidal apical abscess were randomly divided into Vitapex group and Multi-Cal group,with 30 cases in each group.The clinical efficacy at week 2 and 1 year after treatment,the occurrence of acute pain reactions 1 week after root canal filling,periodontal pocket depth(PD),plaque index(PLI),and gingival sulcus bleeding index(SBI)were compared between the two groups.Results 2 weeks and 1 year after treatment,the efficacy of the Vitapex group was significantly better than that of the Multi-Cal group(P<0.05);1 week after root canal filling,the degree of acute pain response in the Vitapex group was significantly lower than that of the Multi-Cal group(P<0.05);1 year after treatment,the values of PD,PLI,and SBI in the Vitapex group were significantly smaller than those in the Multi-Cal group(P<0.05).Conclusion Vitapex can be clinically fast-acting and effective in the treatment of chronic sinusoidal apical abscesses,with minimal adverse effects and low recurrence rates.

关 键 词：根尖脓肿 慢性 窦道 根管治疗 疗效 

分 类 号：R781.3[医药卫生—口腔医学]