iRoot SP封闭剂单尖法根管充填治疗牙髓根尖周病的临床效果  

Clinical effect of iRoot SP sealer single-cone obturation root canal filling in the treatment of pulp and periapical diseases

作　　者：钟琳 张良付 唐芝羲 钟苑 鲁铭炜 胡雯 ZHONG Lin;ZHANG Liangfu;TANG Zhixi;ZHONG Yuan;LU Mingwei;HU Wen(School of Stomatology,Hunan University of Chinese Medicine,Hunan Province,Changsha410005,China)

机构地区：[1]湖南中医药大学口腔医学院,湖南长沙410005

出　　处：《中国当代医药》2024年第33期92-95,共4页China Modern Medicine

基　　金：湖南省科技创新计划项目(S2024JJYWLH0611);湖南中医药大学校院联合基金项目(2024XYLH284)。

摘　　要：目的探讨iRoot SP封闭剂单尖法根管充填治疗牙髓根尖周病的临床效果。方法选取2023年1月至2024年1月湖南中医药大学口腔医学院80例牙髓根尖周病患者作为研究对象,按照随机数字表法分为研究组和对照组,每组各40例。研究组行iRoot SP封闭剂单尖法根管充填,对照组行AH Plus结合热塑牙胶垂直加压充填。比较两组患者根管填充效果、单根管填充时间、疼痛程度、牙周指标。结果两组患者根管填充效果比较,差异无统计学意义(P>0.05);研究组单根管填充时间短于对照组,差异有统计学意义(P<0.05);治疗后7 d,两组患者视觉模拟评分法(VAS)评分均低于本组治疗前,且研究组VAS评分低于对照组,差异有统计学意义(P<0.05);治疗后3个月,两组患者菌斑指数(PI)、探诊出血指数(PBI)指标均低于本组治疗前,牙周探诊深度(PD)、临床附着水平(CAL)指标均短于本组治疗前,且研究组PI、PBI指标均低于对照组,PD、CAL指标均短于对照组,差异有统计学意义(P<0.05)。结论iRoot SP封闭剂单尖法根管充填可缩短根管填充时间,缓解患者疼痛,改善牙周指标。Objective To investigate the clinical effect of iRoot SP sealer single-cone obturation root canal filling in the treatment of pulp and periapical disease.Methods A total of 80 patients with pulp and periapical disease in the School of Stomatology of Hunan University of Chinese Medicine from January 2023 to January 2024 were selected as the research objects,and they were divided into study group and control group according to random number table method,with 40 cases in each group.The study group received iRoot SP sealer single-cone obturation root canal filling,and the control group received vertical compression filling with AH Plus combined with thermoplastic adhesive.Root canal filling effect,single canal filling time,pain degree and periodontal indexes were compared between the two groups.Results There was no significant difference in the effect of root canal filling between two groups(P>0.05).The filling time of single canal in the study group was shorter than that in the control group,the difference was statistically significant(P<0.05).On the 7th day after treatment,the visual analogue scale(VAS)scores of two groups were lower than those before treatment,and the VAS score of the study group was lower than that of the control group,the differences were statistically significant(P<0.05).Three months after treatment,the indexes of plaque index(PI)and papillary bleeding index(PBI)in both groups were lower than those before treatment,the indexes of probing depth(PD)and clinical attachment level(CAL)were shorter than those before treatment,and the indexes of PI and PBI in the study group were lower than those in the control group,and the indexes of PD and CAL were shorter than those in the control group.The differences were statistically significant(P<0.05).Conclusion IRoot SP sealer single-cone obturation root canal filling can shorten the filling time,relieve pain and improve periodontal indexes.

关 键 词：根管充填 iRoot SP封闭剂 单尖法 AH Plus封闭剂 牙周指标 

分 类 号：R781[医药卫生—口腔医学]