iRoot SP单尖充填法与AH Plus热牙胶垂直加压充填法应用于一次性根管治疗的临床疗效观察  

A comparison of two obturation method for single-visit root canal treatment: iRoot SP combined with single-cone technique versus AH Plus combined with warm vertical condensation technique

作　　者：彭若冰 黄丽 刘林花 彭友俭[1] 毛甜甜[1] PENG Ruo-bing;HUANG Li;LIU Lin-hua;PENG You-jian;MAO Tian-tian(Department of Stomatology,Renmin Hospital of Wuhan University,Hubei Wuhan 430060,China;School of Stomatology,Jianghan University,Hubei Wuhan 430056,China)

机构地区：[1]武汉大学人民医院口腔科,湖北武汉430060 [2]江汉大学医学院口腔系,湖北武汉430056

出　　处：《临床口腔医学杂志》2024年第7期398-401,共4页Journal of Clinical Stomatology

基　　金：湖北省重点实验室项目基金资助(编号2021KFY029)。

摘　　要：目的:评价iRoot SP单尖充填法与AH Plus热牙胶垂直加压充填法在一次性根管治疗中的疗效。方法:选择2020年1月~2022年6月武汉大学人民医院口腔科符合纳入标准的152例患者分为两组,均接受一次性根管治疗。研究组(73例)使用iRoot SP根管封闭剂,单尖充填法进行根管充填,对照组(79例)使用AH Plus与热牙胶垂直加压法进行根管充填。比较两组患者根管充填质量与时间,HP-VAS量表配合电话随访比较两组患者术后24 h、7 d的疼痛状况,12个月后对两组患者的疗效进行随访评估。结果:研究组和对照组根管充填质量并无显著性差异(P>0.05),研究组根管充填所耗时间显著低于对照组(P<0.001)。研究组患者治疗后24 h, 7 d所反馈的疼痛状况显著优于对照组(P<0.05)。术后12个月随访,研究组与对照组疗效无显著差异(P>0.05),治疗总有效率均在90%以上。结论:与AH Plus热牙胶垂直加压充填法相比,iRoot SP单尖充填法在一次性根管治疗中能够优化操作时间,有效减少术后疼痛,同时12个月后疗效并无差异。Objective:To evaluate the effect of the iRoot SP combined with single-cone technique and AH Plus combined with warm vertical condensation technique applied in single-visit root canal treatment.Methods:From January 2020 to June 2022,152 patients that met the inclusion criteria were selected to do single-visit root canal treatment in the Department of Stomatology, Renmin Hospital of Wuhan University.The patients were allocated to two groups, the experimental group with 73 patients using iRoot SP as the sealer, combined with single-cone technique for root canal filling, and the control group with 79 patients using AH Plus as the sealer combined with warm vertical condensation technique for root canal filling.Time for root canal filling and quality of obturation were recorded and compared.Postoperative pains were assessed by the Heft-Parker visual analog scale(HP-VAS)in telephone follow-up 24 hours and 7 days after treatments, and the effects of the treatment were evaluated after 12 months.Results:There was no significant difference in the quality of obturation between the experimental group and the control group(P>0.05).The experimental group spent significantly less time on root canal filling than the control group(P<0.001),and revealed less pain 24 hours and 7 days after treatments(P<0.05).There was no significant difference between two groups in the effect of root canal treatment after 12 months follow-up(P>0.05),and the effective rate of both underwent single-visit root canal treatment were above 90%.Conclusion:Compared with the AH Plus combined with warm vertical condensation technique, the iRoot SP combined with single-cone technique can shorten the duration of single-visit root canal treatment, while effectively reduce the postoperative pain and ensure a favorable prognosis.

关 键 词：iRoot SP AH Plus 根管封闭剂 一次性根管治疗 

分 类 号：R781.05[医药卫生—口腔医学]