一次性根管治疗后冠修复在牙髓病患儿中的应用效果研究  

Application effect of one-time root canal treatment followed by crown restoration on chewing function in children with dental pulp disease

作　　者：闫秀娟 Yan Xiu-juan(Department of Pediatric Dentistry,The Third People's Hospital of Puyan,Puyang 457000,Henan,China)

机构地区：[1]濮阳市第三人民医院儿童口腔科,河南濮阳457000

出　　处：《四川生理科学杂志》2025年第2期325-327,421,共4页

摘　　要：目的:探讨一次性根管治疗后冠修复对牙髓病患儿咀嚼功能的影响。方法:选取我院2020年1月到2023年10月收治的70例牙髓病患儿,随机分为对照组与试验组,各35例,分别实施多次根管治疗后冠修复以及一次性根管治疗后冠修复。治疗7 d后评估患儿临床疗效,并于治疗前、后采用咀嚼功能实验评价咀嚼功能,采取视觉模拟量表(Visual analogue scale,VAS)评价疼痛程度变化,采用酶联免疫吸附法检测龈沟液白细胞介素(Interleukin,IL)-23、IL-17、IL-10水平,及治疗后1y远期成功率。结果:试验组近期总有效率高于对照组(P<0.05);与治疗前相比,治疗后两组的咀嚼功能评分均明显增加,VAS评分均明显降低(P<0.05),其中试验组咀嚼功能评分明显高于对照组,VAS评分低于对照组(P<0.05);与治疗前相比,治疗后两组龈沟液IL-17、IL-23、IL-10水平均明显降低(P<0.05),其中试验组龈沟液IL-17、IL-23、IL-10水平低于对照组(P<0.05);治疗后1y,试验组远期成功率高于对照组(P<0.05)。结论:针对牙髓病患儿采取一次性根管治疗后冠修复治疗效果更优,且可改善患儿咀嚼功能,减轻牙周疼痛程度,降低牙周炎症反应。Objective:To investigate the effect of crown restoration after one-time root canal treatment on the chewing function of children with dental pulp disease.Methods:Seventy cases of children with dental pulp disease in our hospital from January 2020 to October 2023 were selected and randomly divided into the control group and the experimental group,35 cases in each group.The clinical efficacy was evaluated after 7 days of treatment.The masticatory function was evaluated by masticatory function test before and after treatment.The changes of pain were evaluated by visual analogue scale(VAS).The levels of interleukin(IL)-23,IL-17 and IL-10 in gingival crevicular fluid were detected by enzyme-linked immunosorbent assay,and the long-term success rate was 1 year after treatment.Results:The short-term total effective rate of the experimental group was higher than that of the control group(P<0.05).Compared with before treatment,the masticatory function scores of the two groups after treatment were significantly increased,and the VAS scores were significantly decreased(P<0.05).The masticatory function scores of the experimental group were significantly higher than those of the control group,and the VAS scores were lower than those of the control group(P<0.05).Compared with before treatment,the levels of IL-17,IL-23 and IL-10 in gingival crevicular fluid in the two groups were significantly decreased after treatment(P<0.05),and the levels of IL-17,IL-23 and IL-10 in gingival crevicular fluid in the experimental group were lower than those in the control group(P<0.05).One year after treatment,the long-term success rate of the experimental group was higher than that of the control group(P<0.05).Conclusion:A one-time root canal treatment followed by crown restoration is more effective for children with dental pulp disease,and can improve their chewing function,alleviate periodontal pain,and reduce periodontal inflammation.

关 键 词：一次性根管治疗 多次根管治疗 牙髓病 咀嚼功能 炎性因子 

分 类 号：R78[医药卫生—口腔医学]