牙髓炎患者根管治疗失败的影响因素分析  

Analysis of Influencing Factors on Root Canal Therapy Failure in Patients with Pulpitis

作　　者：张宝萍[1] ZHANG Baoping(Department of Dentistry,Shouguang People's Hospital,Weifang 262700,China)

机构地区：[1]寿光市人民医院牙科,山东潍坊262700

出　　处：《反射疗法与康复医学》2024年第24期147-149,163,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的分析牙髓炎患者根管治疗失败的影响因素。方法回顾性分析2020年5月—2023年5月寿光市人民医院收治的82例牙髓炎患者的临床资料,所有患者均接受根管治疗,按根管治疗成功与否将其分为成功组和失败组。采集两组患者的牙弓、根管治疗后冠修复情况、牙髓活力、根尖病变、有无隐裂等一般资料,采用单因素和多因素分析牙髓炎患者根管治疗失败的影响因素。结果随访1年,82例患者中,共93颗患牙,其中根管治疗成功81颗,根管治疗失败12颗,根管治疗成功率为87.10%(81/93)。单因素分析结果显示,两组牙弓、C型根管使用情况、根管充填密度比较,组间差异无统计学意义(P>0.05);两组根管治疗后冠修复情况、牙髓活力、根尖病变、有无隐裂比较,组间差异有统计学意义(P<0.05)。多因素分析结果显示,根管治疗后未做冠修复、死髓、有根尖病变、有隐裂均为牙髓炎根管治疗失败的独立危险因素(P<0.05)。结论牙髓炎患者根管治疗失败与根管治疗后未做冠修复、死髓、有根尖病变、有隐裂相关,临床需提高重视,采取有效干预措施。Objective Analyzing the influencing factors of root canal therapy failure in patients with pulpitis.Methods Retrospective analysis of clinical data of 82 patients with pulpitis admitted to Shouguang People's Hospital from May 2020 to May 2023,all patients received root canal therapy and were divided into a successful group and a failed group based on the success or failure of the treatment.Collect general information such as dental arch,crown restoration after root canal therapy situation,pulp vitality,apical lesions and presence of hidden fissures from two groups of patients.Use univariate and multivariate analysis to identify the influencing factors of root canal therapy failure in patients with pulpitis.Results After 1-year follow-up,there were 82 patients with a total of 93 affected teeth,of which 81 were successfully treated with root canal therapy and 12 failed,the success rate of root canal therapy was 87.10%(81/93).The results of univariate analysis showed that the two groups were compared in terms of dental arch,C-type root canal usage situation and root canal filling density,there were no statistically significant differences between groups(P>0.05);comparison of crown restoration after root canal therapy situation,pulp vitality,apical lesions,and presence of hidden fissures between two groups,the differences between the groups were statistically significant(P<0.05).The results of multivariate analysis showed that failure to perform crown restoration after root canal therapy,dead pulp,apical lesions,and hidden fissures were independent risk factors for the failure of root canal therapy for pulpitis(P<0.05).Conclusion The failure of root canal therapy in patients with pulpitis is related to failure to perform crown restoration after root canal therapy,dead pulp,apical lesions,and hidden fissures,clinical attention should be paid to this issue and effective intervention measures should be taken.

关 键 词：牙髓炎 根管治疗 冠修复 影响因素 

分 类 号：R[医药卫生]