不同的根管填充剂在治疗牙体牙髓病中的应用效果  

Effect analysis of different root canal fillers in treatment for endodontic diseases

作　　者：王龙西 徐征 王娟 WANG Longxi;XU Zheng;WANG Juan(Department of Stomatology,Third People's Hospital of Nanyang City,Nanyang,Henan 473000,China)

机构地区：[1]南阳市第三人民医院口腔科,河南南阳473000

出　　处：《中国医学工程》2024年第11期70-73,共4页China Medical Engineering

摘　　要：目的探讨不同的根管填充剂在治疗牙体牙髓病中的应用效果。方法选取2020年1月至2023年2月南阳市第三人民医院收治的64例患有牙体牙髓病的患者作为研究对象,患者均采用根管填充术进行治疗。根据使用根管填充材料的不同将其分为A(20例)、B(22例)、C(22例)三组,其中A组使用氧化锌丁香油糊剂进行根管填充,B组使用纳米羟基磷灰石进行根管填充,C组使用AH-plus糊剂进行根管填充。比较三组患者的临床疗效,牙齿咬合力、出血指数及牙龈指数,不良反应发生率。结果A、B、C三组临床总有效率分别为65.00%、81.81%和90.91%,A组相较于B组和C组更低(P<0.05)。治疗后,B组和C组牙齿咬合力水平相较于A组更高(P<0.05);B组和C组出血指数和牙龈指数相较于A组更低(P<0.05)。A组不良反应发生率为30.00%,B组为13.64%,C组为4.55%,B组和C组不良反应发生率均较A组低(P<0.05)。结论AH-plus糊剂的临床效果最好,纳米羟基磷灰石治疗效果仅次于AH-plus糊剂,可增强牙齿咬合力,降低出血指数和牙龈指数,缓解患者治疗后不良反应的发生情况,有效改善口腔环境。【Objective】To investigate the effect of different root canal fillers in the treatment for endodontic diseases.【Methods】A random number table method was used to select patients with endodontic disease admitted to the Third People's Hospital of Nanyang City from January 2020 to February 2023,and 64 cases were selected as research objects during the screening period.All patients were treated with root canal filling.According to the different root canal filling materials used,the patients were divided into 3 groups.Group A(20 cases)was filled with zinc oxide clove oil paste,group B(22 cases)was filled with nanohydroxyapatite,and group C(22 cases)was filled with AH-plus paste.The clinical effects,teeth bite force,bleeding index,gingival index and the incidence of adverse reactions among the three groups were compared.【Results】The total clinical effective rate of group A was 65.00%,group B was 81.81%,and group C was 90.91%,which was lower in group A than in group B and group C(P<0.05).After treatment,the level of tooth biting force in group B and group C was higher than that in group A(P<0.05);the bleeding index and gingival index of group B and group C were lower than those of group A(P<0.05).The incidence of adverse reactions in group A was 30.00%,group B was 13.64%,and group C was 4.55%.The incidence of adverse reactions in group B and group C was lower than that in group A(P<0.05).【Conclusion】AH-plus paste has the best clinical effect,and the therapeutic effect of nano-hydroxyapatite is second only to AH-plus paste,which can enhance the teeth biting force,reduce the bleeding index and gingival index,alleviate the occurrence of adverse reactions after treatment,and effectively improve the oral environment.

关 键 词：根管填充 牙体牙髓病 临床疗效 AH-PLUS糊剂 氧化锌丁香油糊剂 纳米羟基磷灰石 

分 类 号：R781.3[医药卫生—口腔医学]