热牙胶垂直加压法 冷侧压法配合根管充填治疗牙体牙髓疾病的随机对照研究  

Randomized controlled study of hot gutta-percha vertical compression,cold lateral pressure combined with root canal filling in the treatment of dental pulp disease

作　　者：姜新亚 Jiang Xinya(Department of Dentistry and Endodontics,First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院牙体牙髓科,郑州450000

出　　处：《实用医技杂志》2025年第4期298-301,共4页Journal of Practical Medical Techniques

摘　　要：目的探讨热牙胶垂直加压法、冷侧压法配合根管充填治疗牙体牙髓疾病的效果,为临床治疗牙体牙髓病提供参考和依据。方法本次研究为前瞻性研究,选取本院2021年9月到2023年9月收治的120例牙体牙髓疾病患者为研究对象,依据随机数字表法将其分为2组,均进行根管治疗,其中A组(60例,冷侧压法填充)、B组(60例,热牙胶垂直加压法填充),2组均随访3个月。比较2组治疗后的临床疗效、填充效果,治疗前后牙龈指数、出血指数、菌斑指数、牙周袋深度及随访期间不良反应。结果治疗后3个月,A组总有效率81.7%、B组总有效率95.0%,B组高于A组,差异有统计学意义(P<0.05);A组恰填率83.3%、B组恰填率96.7%,B组高于A组,差异有统计学意义(P<0.05);A组欠填率13.3%、B组欠填率3.3%,B组低于A组,差异有统计学意义(P<0.05);治疗后3个月B组牙龈指数、出血指数、菌斑指数、牙周袋深度分别为[(0.80±0.13)、(0.81±0.15)、(0.69±0.12)、(2.12±0.10)mm]均低于A组的[(1.20±0.15)、(1.25±0.20)、(1.10±0.13)、(2.92±0.15)mm],差异有统计学意义(P<0.05);随访期间,A组、B组不良反应总发生率进行比较,B组低于A组,差异有统计学意义(P<0.05)。结论牙体牙髓疾病患者应用热牙胶垂直加压法根管充填效果较好,可提高临床疗效,改善牙周指标,同时安全性良好。Objective To investigate the effect of hot gutta-percha vertical compression and cold lateral pressure combined with root canal filling in the treatment of dental pulp disease,and to provide reference and basis for clinical treatment of dental pulp disease.Methods This study was a prospective study.120 patients with dental pulp disease admitted to our hospital from September 2021 to September 2023 were selected as the research objects.They were divided into two groups by the random number table method.All of them were treated with root canal therapy,including the group A(60 cases,cold lateral pressure)and the group B(60 cases,hot gutta-percha vertical compr-ession).Both groups were followed up for 3 months.The clinical efficacy,filling effect after treatment,gingival index,bleeding index,plaque index,periodontal pocket depth before and after treatment and adverse reactions during follow-up were compared between the two groups.Results 3 months after treatment,the total effective rate of the group A was 81.7%,and that of the group B was 95.0%.The total effective rate of the group B was higher than that of the group A,and the difference was statistically significant(P<0.05).The filling rate of the group A was 83.3%,and the filling rate of the group B was 96.7%.The filling rate of the group B was higher than that of the group A,and the difference was statistically significant(P<0.05).The underfilling rate of the group A was 13.3%,and that of the group B was 3.3%.The underfilling rate of the group B was lower than that of the group A,and the difference was statistically significant(P<0.05).3 months after treatment,the gingival index,bleeding index,plaque index and periodontal pocket depth of the group B[(0.80±0.13),(0.81±0.15),(0.69±0.12),(2.12±0.10)mm]were lower than those of the group A[(1.20±0.15)points,(1.25±0.20),(1.10±0.13),(2.92±0.15)mm],the differences were statistically significant(P<0.05).During the follow-up period,the total incidence of adverse reactions of the group A and the group B were compared

关 键 词：牙髓疾病 根管充填 牙科树脂自凝 

分 类 号：R781.3[医药卫生—口腔医学]