探究显微根管治疗术联合超声技术对不可逆性牙髓炎的临床疗效  

Clinical efficacy of micro-root canal therapy combined with ultrasound technology on irreversible pulpitis

作　　者：徐保东[1] XU Bao-dong(Jining Stomatological Hospital,Jining 272100,China)

机构地区：[1]济宁口腔医院,272100

出　　处：《中国实用医药》2024年第10期73-76,共4页China Practical Medicine

摘　　要：目的 观察不可逆性牙髓炎采取显微根管治疗术联合超声技术治疗的效果。方法 选择60例不可逆性牙髓炎患者纳入基础研究,按治疗方式的不同将患者分为对照组(30例)与观察组(30例)。对照组采取常规根管治疗,观察组采取显微根管治疗术联合超声技术治疗。比较两组治疗前后疼痛[视觉模拟评分法(VAS)]评分、临床症状评分、炎性因子[白细胞介素-1β(IL-1β)、C反应蛋白、P物质(SP)]、舒适度[舒适状况量表(GCQ)评分]以及治疗效果。结果 两组治疗后VAS评分均低于本组治疗前,且观察组VAS评分(2.65±0.27)分低于对照组的(3.21±0.38)分(P<0.05)。两组治疗后牙齿敏感、牙齿松动、咬合不适等临床症状评分均低于本组治疗前,且观察组牙齿敏感、牙齿松动、咬合不适等临床症状评分分别为(1.35±0.20)、(1.15±0.12)、(1.29±0.10)分,低于对照组的(1.80±0.28)、(1.67±0.33)、(1.72±0.26)分(P<0.05)。两组治疗后IL-1β、CRP、SP水平均低于本组治疗前,且观察组IL-1β、CRP、SP水平分别为(102.49±3.03)pg/ml、(2.13±0.21)mg/L、(392.56±65.91)pg/ml,低于对照组的(137.82±5.10)pg/ml、(3.95±0.36)mg/L、(435.70±69.15)pg/ml(P<0.05)。两组治疗后生理、心理、社会和环境等GCQ评分均高于本组治疗前,且观察组生理、心理、社会和环境等GCQ评分高于对照组(P<0.05)。观察组治疗总有效率90.00%高于对照组的66.67%(P<0.05)。结论 显微根管治疗术联合超声技术可提高不可逆性牙髓炎的临床治疗效果,改善患者疼痛及临床相关症状,有助于患牙早日恢复至正常状态。Objective To observe the effect of micro-root canal therapy combined with ultrasound technology on irreversible pulpitis.Methods 60 patients with irreversible pulpitis were selected for basic study and divided into a control group(30 cases)and an observation group(30 cases)according to different treatment methods.The control group was treated with conventional root canal therapy,and the observation group was treated with micro-root canal therapy combined with ultrasound.The pain[visual analogue scale(VAS)]score,clinical symptom score,inflammatory factors[interleukin-1β(IL-1β),C-reactive protein,P substance(SP)],comfort level[general comfort questionnaire(GCQ)score]before and after treatment,and treatment effect were compared between the two groups.Results After treatment,the VAS score in both groups was lower than that before treatment in this group,and the VAS score of(2.65±0.27)points in the observation group was lower than(3.21±0.38)points in the control group(P<0.05).After treatment,the scores of clinical symptoms such as tooth sensitivity,tooth looseness and occlusal discomfort in both groups were lower than those before treatment in this group;the scores of clinical symptoms such as tooth sensitivity,tooth looseness and occlusal discomfort in the observation group were(1.35±0.20),(1.15±0.12)and(1.29±0.10)points,which were lower than(1.80±0.28),(1.67±0.33)and(1.72±0.26)points in the control group(P<0.05).After treatment,the levels of IL-1β,CRP and SP in both groups were lower than those before treatment in this group;the levels of IL-1β,CRP and SP in the observation group were(102.49±3.03)pg/ml,(2.13±0.21)mg/L and(392.56±65.91)pg/ml,which were lower than(137.82±5.10)pg/ml,(3.95±0.36)mg/L and(435.70±69.15)pg/ml in the control group(P<0.05).After treatment,the GCQ scores of physiology,psychology,society and environment in both groups were higher than those before treatment in this group,and the GCQ scores of physiology,psychology,society and environment in the observation group were higher th

关 键 词：显微根管治疗术 超声技术 不可逆性牙髓炎 

分 类 号：R781.31[医药卫生—口腔医学]