机用镍钛锉结合超声荡洗在乳磨牙牙髓炎根管治疗中的应用  

Application of Nickel-titanium Instruments Combined with Ultrasonic Irrigation in Root Canal Therapy of Primary Molars with Pulpitis

作　　者：江春 周键斈 JIANG Chun;ZHOU Jianxue(Department of Stomatology,Nanjing BenQ Medical Center,Nanjing 210000,Jangsu,China)

机构地区：[1]南京明基医院口腔科,江苏南京210000

出　　处：《中国美容医学》2025年第2期167-170,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:研究机用镍钛锉结合超声荡洗在乳磨牙牙髓炎根管治疗中的应用效果,分析其对根管清洁度、炎性因子的影响。方法:选取2021年1月-2022年12月南京明基医院就诊的100例乳磨牙牙髓炎患儿,均进行根管填充治疗,按随机数字表法分为观察组和对照组,每组50例。观察组采取机用镍钛锉结合超声荡洗行根管治疗,对照组单纯采取机用镍钛锉治疗。比较两组术后根管预备与填充效果、根管清洁度,ELISA检测龈沟液中炎性因子水平变化,记录根管预备、治疗时间和术后疼痛程度。结果:两组根管手术成功率、根管预备时间与治疗时间比较差异均无统计学意义(P>0.05);观察组根管恰填率、预备良好率均高于对照组,疼痛发生率及根尖、根中和根冠处面积占比均低于对照组(P<0.05);术后,两组龈沟液IL-1β、IL-6与TNF-α水平均低于术前,且观察组低于对照组(P<0.05)。结论:机用镍钛锉联合超声荡洗可改善乳磨牙牙髓炎根管预备、填充效果,提高根管清洁度,预防牙龈炎症反应,减轻术后疼痛。Objective To study the filling effect of nickel-titanium instruments combined with ultrasonic irrigation in the root canal therapy of primary molars with pulpitis,and analyze its impact on root canal cleanliness and inflammatory factors.Methods One hundred children with pulpitis of primary molars who visited Nanjing Mingji Hospital from January 2021 to December 2022 were treated with root canal filling treatment.They were randomly divided into an observation group and a control group with 50 cases each.The observation group underwent root canal surgery was performed with nickel-titanium instruments combined with ultrasonic irrigation,while in the control group,only nickel-titanium instruments was used for treatment.Compared the postoperative root canal preparation and filling effects,root canal cleanliness between two groups,detect changes in inflammatory factor levels in gingival crevicular fluid using ELISA,record root canal preparation,treatment time,and postoperative pain level.Results There was no statistically significant difference in the success rate of root canal surgery,root canal preparation time,and treatment time between the observation group and the control group(P>0.05).The root canal filling rate and preparation rate in the observation group were higher than those in the control group,while the incidence of pain and the proportion of apical,middle and crown areas in the observation group were lower than those in the control group(P<0.05).After surgery,the root canal cleanliness score of debris and stained layer,the levels of IL-1β,IL-6 and TNF-αin gingival crevicular fluid in both groups were lower than those before operation,and the above indexes in the observation group were lower than those in the control group(P<0.05).Conclusion The combination of nickel-titanium instrument and ultrasonic irrigation can improve the root canal preparation and filling effect of primary molars with pulpitis,improve root canal cleanliness,prevent gingival inflammation,and reduce postoperative pain.

关 键 词：镍钛锉 超声荡洗 乳磨牙 牙髓炎 根管清洁度 炎性因子 

分 类 号：R575.2[医药卫生—消化系统]