根管治疗期间急症发生的相关因素及微波消毒根管的防治效果分析  

Risk factors of endodontic interappointment emergencies and the intervention analysis of microwave endodontic sterilization

作　　者：谢培豪[1] 倪少凯[2] 兰青[1] 

机构地区：[1]湛江广东医学院口腔教研室,524001 [2]广东医学院预防医学教研室

出　　处：《实用口腔医学杂志》2004年第2期207-210,共4页Journal of Practical Stomatology

摘　　要：目的 :分析根管治疗期间急症 (endodonticinterappointmentemergencies ,EIAE)发生的相关因素及微波消毒根管的防治效果。方法 :选择非急性炎症的患者 163例 ( 163颗 ) ,随机分成微波组 (n =80 )和对照组 (n =83 ) ,微波组用微波消毒根管后一次性完成根管治疗 ,对照组直接行一次性根管治疗 ;并对产生EIAE的相关因素进行问卷调查后用logistic回归作分析。结果 :EIAE的发生与年龄、性别、牙位、窦道、充填情况及是否用微波消毒根管有关 ,依其相对危险度大小依次为超充、下后牙、>45岁人群及女性。EIAE的发生率微波组为 7.93 % ,治疗组为 3 7.10 % ,2组比较差异有非常显著性 (Hc =19.15 ,P <0 .0 1)。结论 :用微波消毒根管及有窦道是降低EIAE发生的保护因素 ,超充、下后牙、>45岁人群及女性是EIAE发生的危险因素。运用微波消毒根管能有效地预防和降低EIAE的发生。Objective: To analyze the correlated risk factors of endodontic interappointment emergencies(EIAE) and the intervention effect of microwave endodontic sterilization. Methods: 163 patients with chronic periodontitis, pulpitis or dental pulp necrosis (without acute inflammation) were involved in the study. All the patients were distributed into microwave group (n=80) and control group (n=83) randomly. Unitarily finished endodontic therapy was conduced in microwave group after the microwave endodontic sterilization. Same endodontic therapy was applied in control group but without microwave endodontic sterilization. Risk factors of EIAE were investigated by releasing questionnaire. Logistic regression analysis was used to analyze the data. Results: Incidences of EIAE were related to age, gender, the position of the tooth, with or without fistula, filling condition and with or without microwave endodontic sterilization. The risk factors of EIAE of ultra-filling, posterior inferior tooth,the age older than 45 years and the female was 3.32,3.49, 5.87 and 3.71 respectively (P<0.05). The rate of EIAE was 7.93% in microwave group and 37.10% in control group (Hc=19.15, P<0.01). Conclusion: Ultra-filling, posterior inferior tooth, old age and the female are the risk factors to EIAE. Microwave endodontic sterilization can effectively prevent the onset of EIAE and decrease EIAE.

关 键 词：根管治疗 急症 相关因素 微波消毒根管 防治效果 

分 类 号：R781.05[医药卫生—口腔医学]