显微镜下根管治疗仪在复杂根管系统治疗中的应用效果及对根尖周组织的影响  

Application Effect of Root Canal Therapy Instrument Under microscope in the Treatment of Complex Root Canal System and Its Influence on Periapical Tissue

作　　者：李霞 汪婷婷 Li Xia;Wang Tingting(Department of Stomatology,Nanjing Tongren Hospital,Nanjing Jiangsu 210000,China)

机构地区：[1]南京市同仁医院口腔科,江苏南京210000

出　　处：《生命科学仪器》2024年第1期35-36,39,共3页Life Science Instruments

摘　　要：目的 探讨分析显微镜下根管治疗仪在复杂根管系统治疗中的应用效果及对根尖周组织的影响。方法 选取2019年1月至2020年12月在南京市同仁医院口腔科就诊的70例复杂根管系统患者,采用随机对照原则将其分为两组,对照组接受传统根管治疗,实验组采用显微镜下根管治疗仪进行根管治疗。比较两组治疗时间、根管形态、根尖封闭情况、根尖周炎症反应、根尖周骨吸收及愈合情况。结果 实验组根管治疗时间明显短于对照组,根管形态评分、根尖周炎症反应评分、根尖周骨吸收评分均低于对照组,根尖封闭情况评分、根尖周愈合情况评分均高于对照组,差异有统计学意义(P<0.05)。结论 显微镜下根管治疗仪在复杂根管系统患者治疗中具有明显优势,可有效清洁和消毒根管,保护根尖周组织,促进根尖周愈合,提高根管治疗的成功率和长期效果。Objective:To explore and analyze the application effect of root canal therapy instrument under microscope in the treatment of complex root canal system and its influence on periapical tissue.Methods:From January 2019 to December 2020, 70 patients with complex root canal system in the Department of Stomatology of Nanjing Tongren Hospital were randomly divided into two groups. The control group received traditional root canal therapy, and the experimental group received root canal therapy with a root canal therapy instrument under a microscope. The treatment time, root canal morphology, apical sealing, periapical inflammatory reaction, periapical bone absorption and healing were compared between the two groups.Results:The time of root canal treatment in the experimental group was significantly shorter than that in the control group, and the scores of root canal morphology, periapical inflammatory reaction and periapical bone absorption were lower than those in the control group, while the scores of apical sealing and periapical healing were higher than those in the control group, with statistical significance(P<0.05).Conclusion:Microscopic root canal therapy instrument has obvious advantages in the treatment of patients with complex root canal system, which can effectively clean and disinfect root canals, protect periapical tissues, promote periapical healing, and improve the success rate and long-term effect of root canal therapy.

关 键 词：显微镜 根管治疗仪 复杂根管系统 根尖周组织 

分 类 号：R781.3[医药卫生—口腔医学]