【摘 要】目的 分析对牙周牙髓联合病变患者采用热牙胶垂直加压充填根管治疗的效果及安全性。方法选择2022年1月-12月北京市昌平区医院口腔科收治的80例牙周牙髓联合病变患者为研究对象，随机分为观察组和对照组，每组40例。对照组行冷牙胶侧方加压充填根管治疗，观察组行热牙胶垂直加压充填根管治疗，比较两组临床疗效、充填效果、牙周指数及不良反应发生情况。结果 观察组治疗总有效率为95.00%，高于对照组的77.50%(P<0.05)；观察组充填优良率为97.50%，高于对照组的80.00%(P<0.05)；两组治疗后牙周指数水平低于治疗前，且观察组低于对照组(P<0.05)；观察组不良反应发生率为5.00%，低于对照组的22.50%(P<0.05)。结论 相比于冷牙胶侧方加压充填根管治疗，采用热牙胶垂直加压充填根管治疗牙周牙髓联合病变患者的效果更佳，可进一步提高充填效果，有利于改善患者的牙周健康水平，且治疗后不良反应发生风险较低，安全性较高。

    【关键词】热牙胶垂直加压充填根管；牙周牙髓联合病变；充填效果；牙周指数

    中图分类号：R781.3 文献标识码：A 文章编号：1004-4949(2023)22-0086-04

    Application effect of Root Canal Therapy Filling with Warm Vertical Compaction Technique in Patients with Combined Periodontal-endodontic Lesions

    FU Zhi-lian

    (Department of Stomatology， Changping District Hospital， Beijing 102202， China)

    【Abstract】Objective To analyze the effect and safety of root canal therapy with warm vertical compaction technique in patients with combined periodontal-endodontic lesions. Methods A total of 80 patients with combined periodontal-endodontic lesions admitted to the Department of Stomatology， Changping District Hospital of Beijing from January to December 2022 were randomly divided into observation group and control group ......