两种根充方法在治疗牙髓病、根尖周病的临床效果比较研究(1)
[摘要] 目的 采用不同的根充填充方法对牙髓病、根尖周病患者进行治疗,比较两组患者的治疗效果。 方法 方便选取菏泽医专附属医院在2017年9月—2018年9月收治的牙髓病、根尖周病患者共计84例作为研究对象,采取随机分组方法分为研究组与对照组,两组人数相等。对照组患者采用冷牙胶侧方加压法充填根管,研究组采用热牙胶垂直加压方法,观察两组患者根充后临床表现,比较两组患者的总有效率。 结果 两组患者采用不同根充方法治疗后,研究组治疗的总有效率为97.63%,显著高于对照组,差异有统计学意义(χ2=8.956,P<0.05)。研究组患者根充反应率为4.76%,情况明显好于对照组,两组结果差异有统计学意义(χ2=7.014,P<0.05)。结论 采用热牙胶垂直加压的根充方法可以获得更好的治疗效果,可以减轻患者的疼痛感,值得应用与推广。
[关键词] 牙髓病;根尖周病;根充方法;临床效果
[中图分类号] R473.78 [文献标识码] A [文章编号] 1674-0742(2019)03(b)-0093-03
[Abstract] Objective To treat patients with pulpal disease and periapical periodontitis with different root filling methods, and compare the therapeutic effects of the two groups. Methods A total of 84 patients with endodontic diseases and periapical periodontitis admitted to the hospital from Heze Medical College from September 2017 to September 2018 were selected as subjects. They were randomly divided into study group and control group. In the control group, the root canal was filled by cold gutta-percha pressure method. The study group used the hot gutta-percha pressure method to observe the clinical manifestations of the two groups after root filling. The total effective rate of the two groups was compared. Results After treatment with different root filling methods, the total effective rate of the study group was 97.63%, which was significantly higher than that of the control group, which was statistically significant(χ2=8.956, P<0.05). The response rate of root filling in the study group was 4.76%, which was significantly better than that of the control group. The difference between the two groups was significant, which was statistically significant(χ2=7.014, P<0.05). Conclusion The root filling method using vertical pressure of hot tooth gel can obtain better therapeutic effect, can reduce the pain of patients, and is worthy of application and promotion.
[Key words] Endodontic disease; Periapical periodontitis; Root filling method; Clinical effect
牙髓病、根尖周病是常见的口腔疾病,细菌通过牙体缺损处、牙周侵入牙髓,发生感染,或者是通过物理渠道侵入引发感染,造成牙髓出血、疼痛,甚至坏死。在治療牙髓病、根尖周病时,根管治疗术是临床首先方法,主要是因为其能够对坏死组织、细菌完全清除,并且充填根管的严密性较好,对牙髓病、根尖周病的预后十分有利[1]。在根管治疗中,根管充填是整个治疗过程的重点,其直接影响根管治疗的结果。现阶段,冷牙胶侧压充填法在根管填充中更为常见,然而由于其在治疗过程中存在一定的局限,越来越多专家开始对热牙胶垂直加压充填法进行研究,并将其应用于临床治疗中,取得了良好的效果。为了比较两种根充方法在治疗牙髓病、根尖周病的临床效果,该文2017年9月—2018年9月方便选取84例牙髓病、根尖周病患者作为研究对象进行研究。
1 资料与方法
1.1 一般资料
方便选取菏泽医专附属医院收治的牙髓病、根尖周病患者共计84例作为研究对象,采取随机分组方法分为研究组与对照组,两组人数相等。研究组男性患者24例,女性患者18例;患者的最小年龄为23岁,最大年龄为67岁,患者的平均年龄为(48.24±2.01)岁;患者的病程为5个月~4年,平均病程为(1.27±2.35)年。对照组中,男性患者23例,女性患者19例;患者的最小年龄为25岁,最大年龄为65岁,患者的平均年龄为(48.33±2.06)岁;患者的病程为5个月~4年,平均病程为(1.21±2.32)年。所有患者在该院经过检查均被确诊为牙髓病、根尖周病,所有患者均本人签署知情书。 84例患者中并未发现有严重精神疾病、血液疾病、心血管疾病以及肝肾不全者。两组患者的性别、年龄、病程差异无统计学意义(P>0.05),具有可比性。, http://www.100md.com(郭方兴)
[关键词] 牙髓病;根尖周病;根充方法;临床效果
[中图分类号] R473.78 [文献标识码] A [文章编号] 1674-0742(2019)03(b)-0093-03
[Abstract] Objective To treat patients with pulpal disease and periapical periodontitis with different root filling methods, and compare the therapeutic effects of the two groups. Methods A total of 84 patients with endodontic diseases and periapical periodontitis admitted to the hospital from Heze Medical College from September 2017 to September 2018 were selected as subjects. They were randomly divided into study group and control group. In the control group, the root canal was filled by cold gutta-percha pressure method. The study group used the hot gutta-percha pressure method to observe the clinical manifestations of the two groups after root filling. The total effective rate of the two groups was compared. Results After treatment with different root filling methods, the total effective rate of the study group was 97.63%, which was significantly higher than that of the control group, which was statistically significant(χ2=8.956, P<0.05). The response rate of root filling in the study group was 4.76%, which was significantly better than that of the control group. The difference between the two groups was significant, which was statistically significant(χ2=7.014, P<0.05). Conclusion The root filling method using vertical pressure of hot tooth gel can obtain better therapeutic effect, can reduce the pain of patients, and is worthy of application and promotion.
[Key words] Endodontic disease; Periapical periodontitis; Root filling method; Clinical effect
牙髓病、根尖周病是常见的口腔疾病,细菌通过牙体缺损处、牙周侵入牙髓,发生感染,或者是通过物理渠道侵入引发感染,造成牙髓出血、疼痛,甚至坏死。在治療牙髓病、根尖周病时,根管治疗术是临床首先方法,主要是因为其能够对坏死组织、细菌完全清除,并且充填根管的严密性较好,对牙髓病、根尖周病的预后十分有利[1]。在根管治疗中,根管充填是整个治疗过程的重点,其直接影响根管治疗的结果。现阶段,冷牙胶侧压充填法在根管填充中更为常见,然而由于其在治疗过程中存在一定的局限,越来越多专家开始对热牙胶垂直加压充填法进行研究,并将其应用于临床治疗中,取得了良好的效果。为了比较两种根充方法在治疗牙髓病、根尖周病的临床效果,该文2017年9月—2018年9月方便选取84例牙髓病、根尖周病患者作为研究对象进行研究。
1 资料与方法
1.1 一般资料
方便选取菏泽医专附属医院收治的牙髓病、根尖周病患者共计84例作为研究对象,采取随机分组方法分为研究组与对照组,两组人数相等。研究组男性患者24例,女性患者18例;患者的最小年龄为23岁,最大年龄为67岁,患者的平均年龄为(48.24±2.01)岁;患者的病程为5个月~4年,平均病程为(1.27±2.35)年。对照组中,男性患者23例,女性患者19例;患者的最小年龄为25岁,最大年龄为65岁,患者的平均年龄为(48.33±2.06)岁;患者的病程为5个月~4年,平均病程为(1.21±2.32)年。所有患者在该院经过检查均被确诊为牙髓病、根尖周病,所有患者均本人签署知情书。 84例患者中并未发现有严重精神疾病、血液疾病、心血管疾病以及肝肾不全者。两组患者的性别、年龄、病程差异无统计学意义(P>0.05),具有可比性。, http://www.100md.com(郭方兴)