年轻恒牙牙髓感染的治疗中采取氢氧化钙髓腔封药治疗的效果及修复作用  

The effect and repairing effect of calcium hydroxide in the treatment of pulp infection in young permanent teeth

作　　者：张元 Zhang Yuan(Chenzhou municipal Hospital of Traditional Chinese Medicine(Suxian Zhangyuan Stomatology Department),Chenzhou,Hunan 423000,China)

机构地区：[1]湖南省郴州市中医医院(苏仙张元口腔门诊部),湖南郴州423000

出　　处：《首都食品与医药》2024年第22期55-57,共3页Capital Food Medicine

摘　　要：目的 探究年轻恒牙牙髓感染治疗中采取氢氧化钙髓腔封药治疗方案应用价值.方法 选取2021年5月-2023年5月本院收治的年轻恒牙牙髓感染患儿为研究对象,共有72例患儿自愿参与本次研究,基于随机数字表法分为对照组与研究组.所有患儿均接受牙髓血运重建术治疗,对照组接受三联抗生素糊剂髓腔封药,研究组接受氢氧化钙髓腔封药治疗.对比观察两组临床疗效、牙周与血清数据、疼痛与牙根生长情况、不良反应发生率变化差异.结果 研究组治疗总有效率差异对比无统计学差异(P>0.05);观察不同治疗方案对患者牙周健康的影响发现,研究组治疗后牙周改善情况优于对照组,且研究组治疗后血清数据包括TNF-α、IL-6、bFGF、VEGF的表达水平优于对照组(P<0.05);研究组术后疼痛评分低、患牙冠根比低、患牙根管壁厚度大(P<0.05),两组不良反应发生率比较,差异无统计学意义(P>0.05).结论 在年轻恒牙牙髓感染接受牙髓血运重建术治疗中,辅以氢氧化钙髓腔封药的治疗方法,能改善牙周及炎性组织反应,并有效减轻疼痛症状,利于促进牙根生长发育,临床可进一步推广运用.Objective To explore the application value of calcium hydroxide in the treatment of pulp infection in young permanent teeth.Methods A total of 72 young children with permanent tooth pulp infection admitted to our hospital from May 2021 to May 2023 were selected as the study objects,and were divided into control group and study group based on random number table method.All the children were treated with pulp revasculopathy.The control group was treated with triple antibiotic paste and the study group was treated with calcium hydroxide.The clinical efficacy,periodontal and serum data,pain and root growth,and the incidence of adverse reactions were compared between the two groups.Results There was no significant difference in the total effective rate between the study groups(P>0.05).Observation of the effects of different treatment schemes on patients'periodontal health showed that the periodontal improvement in the study group after treatment was better than that in the control group,and the expression levels of serum data including TNF-α,IL-6,bFGF and VEGF data in the study group after treatment were better than those in the control group(P<0.05).In the study group,the postoperative pain score was lower,the crown root ratio of the affected tooth was lower,and the root canal wall thickness of the affected tooth was larger(P<0.05).There was no statistical significance in the incidence of adverse reactions between the two groups(P>0.05).Conclusion In the treatment of pulp infection in young permanent teeth with pulp revascularization,the treatment method supplemented with calcium hydroxide pulp cavity sealing medicine can improve periodontal and inflammatory tissue reaction,effectively reduce pain symptoms,promote the growth and development of tooth roots,and can be further promoted in clinical application.

关 键 词：年轻恒牙牙髓感染 髓腔封药 牙髓血运重建术 牙根生长发育 

分 类 号：R781.05[医药卫生—口腔医学]