iRoot BP Plus根尖屏障术和Vitapex根尖诱导成形术对发生慢性根尖周炎的年轻恒牙的疗效比较  

Comparison of the efficacy of iRoot BP Plus apical barrier surgery and Vitapex apexification in the treatment of chronic apical periodontitis in young permanent teeth

作　　者：廖佳辰 陈龙[1] 陆畅畅 孙汉堂 曹天翼 LIAO Jia-chen;CHEN Long;LU Chang-chang;SUN Han-tang;CAO Tian-yi(Nantong University,Nantong 226000,China;不详)

机构地区：[1]南通大学,江苏南通226000 [2]南通大学附属南通口腔医院,江苏南通226000

出　　处：《牙体牙髓牙周病学杂志》2024年第12期709-712,718,共5页Chinese Journal of Conservative Dentistry

基　　金：南通市科技局项目(JCZ2022011);南通市卫生健康委员会项目(MS2022092)。

摘　　要：目的:研究iRoot BP Plus根尖屏障术及Vitapex根尖诱导成形术两种不同术式治疗出现慢性根尖周炎的年轻恒牙的差异。方法:把63个出现慢性根尖周炎的年轻恒牙随机分为A组(iRoot BP Plus根尖屏障术)和B组(Vitapex根尖诱导成形术),比较两组3、6、12个月的根尖区低密度影像面积、旧根尖周指数(O-PAI)、临床疗效和疼痛情况。结果:术后12个月,A组和B组的根尖区低密度影像面积分别为(0.6±0.36)、(1.1±0.23),O-PAI评级分别为(2.50±0.27)、(1.36±0.2),2组间根尖区低密度影像面积及O-PAI评级均差异显著(P<0.05)。术后3、6、12个月,A、B组的根尖区低密度影像面积逐步减小(P<0.05),O-PAI评级逐渐降低(P<0.05)。术后第6个月,两组的临床疗效有显著性差异(P<0.05)。术后12个月内,两组的疼痛度无显著差异。结论:在治疗出现慢性根尖周炎的年轻恒牙时,iRoot BP Plus根尖屏障术相较于Vitapex根尖诱导成形术能有效率降低O-PAI指数,促进根尖周炎症愈合,缩短就诊周期,患者满意度高。AIM:To investigate the Two different types of surgery diferences in efficacy between the iRoot BP Plus apical barrier surgery and the Vitapex apexification in the treatment of chronic apical periodontitis in young permanent teeth.METHODS:Sixty-three young permanent teeth with chronic apical periodontitis were randomly divided into Group A(iRoot BP Plus apical barrier surgery)and Group B(Vitapex apexification).Low-density imaging area in the apical area,old periapical index(O-PAI),clinical efficacy and pain in the apical region at 3,6 and 12 months were compared between the two groups.RESULTS:At 12 months after surgery,the low-density imaging area of apical region for Group A and Group B were(0.6±0.36)and(1.1±0.23),respectively,while the 0-PAI scores were(2.50±0.27)and(1.36±0.2).The differences apical low-density image areaand 0-PAI scores between the two groups were statistically significant(P<0.05).Over 3,6 and 12 months posttreatment,apical low-density image areagradually decreased in both groups(P<0.05),and the O-PAI scores showed a significant decline(P<0.05).At 6 months post-treatment,there was a significant difference in clinical efficacy between the two groups(P<0.05).However,no significant difference in pain levels was observed between the two groups within 12 months post-treatment.CONCLUSION:Compared to the Vitapex apexification,the iRoot BP Plus apical barrier surgury is can effectively reduce the O-PAI index,promote the healing of periapical inflammation,shorten the duration of consultation,and achieve high patient satisfaction in the treatment of young permanent teeth with chronic apical periodontitis.

关 键 词：根尖诱导成形术 根尖屏障术 iRoot BP Plus 年轻恒牙 慢性根尖周炎 

分 类 号：R781.4[医药卫生—口腔医学]