iRoot SP糊剂与AH-plus糊剂根管充填治疗牙隐裂合并牙髓炎患者的效果比较  

Comparison of effects of iRoot SP paste and AH-plus paste root canal filling in treatment of patients with cracked teeth complicated with pulpitis

作　　者：崔婕 徐风霞 CUI Jie;XU Fengxia(Department of Dentistry and Endodontics of Anyang People’s Hospital No.6,Anyang 455000 Henan,China)

机构地区：[1]安阳市第六人民医院牙体牙髓病科,河南安阳455000

出　　处：《中国民康医学》2024年第23期146-148,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:比较iRoot SP糊剂与AH-PLUS糊剂根管充填治疗牙隐裂合并牙髓炎患者的效果。方法:回顾性分析2021年9月至2024年1月该院收治的150例牙隐裂合并牙髓炎患者的临床资料,按照所用糊剂不同将其分为观察组和对照组各75例。两组均进行根管充填治疗,对照组采用AH-plus糊剂,观察组采用iRoot SP糊剂。比较两组临床疗效,单位根管充填时间,治疗前后疼痛[视觉模拟评分法(VAS)]评分、咀嚼相关指标(咬合力、咀嚼效率)水平,以及并发症发生率。结果:两组治疗总有效率比较,差异无统计学意义(P>0.05);观察组单位根管充填时间短于对照组,差异有统计学意义(P<0.05);治疗后1、7 d,两组VAS评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);治疗后,两组咬合力、咀嚼效率均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:iRoot SP糊剂根管充填治疗牙隐裂合并牙髓炎患者可缩短单位根管充填时间,降低疼痛评分,改善咀嚼相关指标水平,效果优于AH-plus糊剂根管充填。Objective:To compare effects of iRoot SP paste and AH-plus paste root canal filling in treatment of patients with cracked teeth complicated with pulpitis.Methods:The clinical data of 150 patients with cracked teeth complicated with pulpitis admitted to this hospital from September 2021 to January 2024 were retrospectively analyzed.According to the different pastes used,they were divided into observation group and control group,75 cases in each group.Both groups were treated with root canal filling.The control group was treated with AH-plus paste,while the observation group was treated with iRoot SP paste.The clinical efficacy,the unit root canal filling time,the pain[visual analogue scale(VAS)]scores,the chewing related indicators(bite force,masticatory efficiency)levels before and after the treatment,and the incidence of complications were compared between the two groups.Results:There was no significant difference in the total effective rate between the two groups(P>0.05).The unit root canal filling time in the observation group was shorter than that in the control group,and the difference was statistically significant(P<0.05).At 1 and 7 days after the treatment,the VAS scores of the two groups were lower than those before the treatment,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the treatment,the levels bite force and masticatory efficiency of the two groups were higher than those before the treatment,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusions:iRoot SP paste root canal filling in the treatment of the patients with cracked teeth and pulpitis can shorten the unit root canal filling time,reduce the pain scores,and improve the levels of chewing related indicators.Moreover,it is superior to AH-plus paste root canal filling

关 键 词：牙隐裂 牙髓炎 根管充填 iRoot SP糊剂 AH-PLUS糊剂 咀嚼 疼痛 

分 类 号：R781[医药卫生—口腔医学]