iRoot BP Plus对前牙根尖周病根管倒充填治疗患者牙周炎症和美学效果的影响  

Effect of iRoot BP Plus on Periodontal Inflammation and Aesthetics of Affected Teeth in Patients with Anterior Teeth Periapical Disease Undergoing Root Canal Therapy

作　　者：赵慧东 张婧 崔婷 ZHAO Huidong;ZHANG Jing;CUI Ting(Department of Stomatology,Shanxi Hospital of Integrated Traditional and Western Medicine,Taiyuan 030013,Shanxi,China)

机构地区：[1]山西省中西医结合医院口腔科,山西太原030013

出　　处：《中国美容医学》2024年第11期165-168,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探究iRoot BP Plus对前牙根尖周病根管倒填充治疗患者局部肿痛情况、牙周炎症和美学效果的影响。方法:按照随机数字表法将2020年1月-2022年2月山西省中西医结合医院口腔科收治的65例前牙根尖周病患者分为观察组(33例)和对照组(32例)。对照组和观察组分别采用氢氧化钙糊剂和iRoot BP Plus进行根管倒充填。对比两组患者治疗后肿痛情况,治疗前及治疗后6、12个月旧根尖周指数(Old-periapical index,O-PAI),龈沟液炎症因子水平及患者对美学效果的满意度。结果:治疗后,观察组肿痛率为3.03%,低于对照组的21.88%(P<0.05);两组O-PAI的时间效应、组间效应及交互效应比较差异有统计学意义(F=99.320、14.870、7.596,均P<0.05);治疗后两组患者O-PAI随着时间延长而降低,且观察组低于对照组(P<0.05);治疗后,两组患者龈沟液中白细胞介素-6和白细胞介素-1β水平均降低,且观察组低于对照组(P<0.05);治疗后,观察组患者对牙齿咬合度、咀嚼功能、牙齿色泽和整体美观性的满意度评分均高于对照组(P<0.05)。结论:前牙根尖周病患者采用iRoot BP Plus倒充填根管治疗,可有效降低患者牙龈红肿、缓解牙周炎症并提高患者对美观性的满意度。Objective The purpose of this study was to investigate the effect of iRoot BP Plus on local redness and swelling,periodontal inflammation and aesthetics of affected teeth in patients with anterior teeth periapical disease undergoing root canal therapy.Methods A total of 65 patients with anterior teeth periapical disease who were admitted to the Department of Stomatology at Shanxi Provincial Integrated Traditional Chinese Medicine and Western Medicine Hospital from January 2020 to February 2022 were divided into an observation group(33 cases)and a control group(32 cases)by random number table method.The control group and the observation group underwent filling with calcium hydroxide pastes and iRoot BP Plus,respectively.The condition of postoperative swelling and pain,old periapical index(O-PAI),levels of inflammatory factors in gingival crevicular fluid,and patient satisfaction with aesthetics of affected teeth were compared between the two groups.Results After treatment,the rate of swelling and pain in the observation group(3.03%)was lower than that in the control group(21.88%)(P<0.05).There were statistically significant differences in O-PAI in terms of time effect,inter-group effect and interaction effect(F=99.320,14.870,7.596,all P<0.05).After operation,O-PAI in the two groups decreased over time,and O-PAI in the observation group was lower than that in the control group(P<0.05).After treatment,the levels of interleukin-6 and interleukin-1βin gingival crevicular fluid of the two groups decreased,and levels in the observation group were lower than those in the control group(P<0.05).After treatment,patients in the observation group were more satisfied with tooth occlusion,masticatory function,tooth color and overall appearance than those in the control group(P<0.05).Conclusion Applying iRoot BP Plus filling in root canal therapy for patients with anterior teeth periapical disease can effectively reduce gingival redness and swelling,alleviate periodontal inflammation,and improve the patients'satisfaction with a

关 键 词：前牙根尖周病 iRoot BP Plus 根管倒充填 牙周炎 美学效果 

分 类 号：R781.1[医药卫生—口腔医学]