双波长激光联合生物陶瓷材料iRoot SP辅助磨牙根管治疗效果分析  

Effect of dual-wavelength laser combined with bioceramics iRoot SP to assist molar root canal treatment

作　　者：王冕[1] 姚莉莉 韩爽[2] 笪海芹[3] 侯颖 WANG Mian;YAO Li-li;HAN Shuang;DA Hai-qin;HOU Ying(Division 1 of Dentistry and Pulp,Hefei Stomatological Hospital,Hefei School of Stomatology,Anhui Medical University,Hefei 230001,Anhui Province,China;Department of Orthodontics,Hefei Stomatological Hospital,Hefei School of Stomatology,Anhui Medical University,Hefei 230001,Anhui Province,China;Department of Periodontal Mucosal Diseases,Hefei Stomatological Hospital,Hefei School of Stomatology,Anhui Medical University,Hefei 230001,Anhui Province,China;Department of Shengli Road Outpatient,Hefei Stomatological Hospital,Hefei School of Stomatology,Anhui Medical University,Hefei 230001,Anhui Province,China)

机构地区：[1]安徽医科大学合肥口腔临床学院,合肥市口腔医院牙体牙髓病一科,安徽合肥230001 [2]安徽医科大学合肥口腔临床学院,合肥市口腔医院正畸二科,安徽合肥230001 [3]安徽医科大学合肥口腔临床学院,合肥市口腔医院牙周黏膜病科,安徽合肥230001 [4]安徽医科大学合肥口腔临床学院,合肥市口腔医院胜利路门诊部,安徽合肥230001

出　　处：《上海口腔医学》2024年第4期421-425,共5页Shanghai Journal of Stomatology

基　　金：2022年安徽医科大学校科研基金项目(2022xkj255)。

摘　　要：目的:探讨双波长激光联合生物陶瓷材料iRoot SP辅助磨牙根管治疗的效果。方法:选择2020年1月—2023年6月收治的104例磨牙根管治疗患者,按照随机数字表法分为对照组与试验组,每组52例。对照组采用iRoot SP糊剂进行根管充填,试验组以双波长激光(Nd:YAG和Er:YAG)联合iRoot SP糊剂进行治疗。比较2组总有效率、疼痛程度及并发症,观察治疗前、治疗后6周及12周的血清白细胞介素6(IL-6)、白细胞介素17(IL-17)、肿瘤坏死因子α(TNF-α)、出血指数(bleeding index,BI)、牙周探诊深度(depth of periodontal probing,PD)和临床附着水平(clinical attachment level,CAL)。采用SPSS 22.0软件包对数据进行统计学分析。结果:试验组总有效率显著高于对照组,根管填充后疼痛程度显著低于对照组(P<0.05);试验组治疗后6、12周的IL-6、IL-17、TNF-α、BI、PD和CAL显著低于对照组(P<0.05)。结论:双波长激光联合生物陶瓷材料iRoot SP辅助磨牙根管治疗效果较为理想,有利于减轻牙周炎症和疼痛程度。PURPOSE:To investigate the effect of dual-wavelength laser combined with bioceramics material iRoot SP on molar root canal treatment.METHODS:A total of 104 patients receiving root canal treatment from January 2020 to June 2023 were selected and divided into control group and experimental group according to random number table method,with 52 cases in each group.The control group was treated with iRoot SP paste,and the experimental group was treated with dual-wavelength laser(Nd:YAG and Er:YAG)combined with iRoot SP paste.The total effective rate,pain degree and complications were compared.Serum interleukin-6(IL-6),interleukin-17(IL-17),tumor necrosis factor-α(TNF-α),bleeding index(BI),depth of periodontal probing(PD)and clinical attachment level(CAL)were observed before treatment,6 weeks and 12 weeks after treatment.SPSS 22.0 software package was used for statistical analysis.RESULTS:The total effective rate of the experimental group was significantly higher than that of the control group,and the pain degree after root canal filling was significantly lower than the control group(P<0.05).The levels of IL-6,IL-17,TNF-α,BI,PD and CAL in the experimental group were significantly lower than those in the control group at 6 and 12 weeks after treatment(P<0.05).CONCLUSIONS:Dual wavelength laser combined with bioceramic material iRoot SP has a better effect in the treatment of molar root canal,which is conducive to reducing periodontal inflammation and pain.

关 键 词：双波长激光 生物陶瓷材料iRoot SP 磨牙 根管治疗 疼痛 炎性因子 

分 类 号：R781.05[医药卫生—口腔医学]