口腔根管治疗急性牙髓炎合并牙髓根尖周病的临床效果及对牙周健康的影响  

Clinical Effect of Oral Root Canal Therapy on Acute Pulpitis Complicated with Periapical Pulp Disease and its Effect on Periodontal Health

作　　者：余婷婷 YU Tingting(Department of Stomatology,Jiangxi Ganbei Hospital,Gongqingcheng 332020,Jiangxi,China)

机构地区：[1]赣北医院口腔科,江西共青城332020

出　　处：《医学信息》2025年第9期145-148,共4页Journal of Medical Information

摘　　要：目的探讨口腔根管治疗急性牙髓炎合并牙髓根尖周病的临床效果及对牙周健康的影响。方法以江西赣北医院2020年11月-2023年11月收治的急性牙髓炎并发牙髓根尖周病患者72例作为研究对象,以随机数字表法进行分组,对照组(n=36)给予常规治疗,研究组(n=36)行口腔根管治疗。比较两组治疗效果、牙周袋深度(PD)、牙周指数[龈沟出血指数(BI)、菌斑指数(PLI)和牙龈指数(GI)]、炎症指标[白介素-6(IL-6)、IL-8、肿瘤坏死因子-α(TNF-α)]水平、疼痛度。结果研究组治疗总有效率高于对照组(P<0.05)。研究组治疗后牙周袋深度低于对照组(P<0.05)。研究组牙周指数(BI、PLI、GI)及炎症指标水平(IL-6、IL-8、TNF-α)均低于对照组(P<0.05)。研究组疼痛程度低于对照组(P<0.05)。结论口腔根管治疗急性牙髓炎合并牙髓根尖周病的临床效果确切,可以降低患者牙周袋深度和牙周指数,减轻患者炎症反应和疼痛度,值得临床应用。Objective To investigate the clinical effect of oral root canal therapy on acute pulpitis complicated with periapical pulp disease and its effect on periodontal health.Methods A total of 72 patients with acute pulpitis complicated with periapical pulp disease admitted to Jiangxi Ganbei Hospital from November 2020 to November 2023 were randomly divided into two groups.The control group(n=36)was given routine treatment,and the study group(n=36)was given oral root canal therapy.The treatment effect,periodontal pocket depth(PD),periodontal index[sulcus bleeding index(BI),plaque index(PLI)and gingival index(GI)],inflammatory index[interleukin-6(IL-6),IL-8,tumor necrosis factor-α(TNF-α)]and pain degree were compared between the two groups.Results The total effective rate of treatment in the study group was higher than that in the control group(P<0.05).After treatment,the periodontal pocket depth of the study group was lower than that of the control group(P<0.05).The periodontal index(BI,PLI,GI)and inflammatory index levels(IL-6,IL-8,TNF-α)in the study group were lower than those in the control group(P<0.05).The degree of pain in the study group was lower than that in the control group(P<0.05).Conclusion Oral root canal therapy has a definite clinical effect in the treatment of acute pulpitis complicated with periapical pulp disease,which can reduce the depth of periodontal pocket and periodontal index,and reduce the inflammatory response and pain degree of patients.It is worthy of clinical application.

关 键 词：口腔根管 急性牙髓炎 牙髓根尖周病 牙周健康 

分 类 号：R781.31[医药卫生—口腔医学] R781.34[医药卫生—临床医学]