摘要
目的观察奥硝唑碘仿糊剂治疗儿童乳磨牙感染根管、根尖周炎的临床疗效。方法将门诊200例确诊为慢性根尖周炎患者的246颗乳磨牙随机分成2组：治疗组106例，132颗乳磨牙，采用奥硝唑碘仿糊剂充填根管；对照组94例，114颗乳磨牙，采用碘仿氢氧化钙糊剂充填根管。充填半年～2年后对2组进行f临床疗效评定。结果治疗组有效率为97．7％，对照组有效率为89．5％，2组疗效差异有显著性（x^2=19．92，P〈0．01），治疗组优于对照组。结论奥硝唑碘仿糊剂用于乳磨牙根尖周炎的根管充填，能很有效持久地杀灭存留在乳牙根部牙本质深层及根尖周的厌氧菌．防止再感染，对恒牙胚无损害。本法操作简便，疗程短，易充填，符合儿童心理和乳磨牙牙髓解剖生理特征。
Objective To observe the clinical effects of the ornidazole-iodoform pastes against the infected root canals or chronic peripical periodontitis of deciduous molar through root canal therapy. Methods A total of 246 deciduous molars from 200 children who suffered from chronic periapical periodontitis were randomly allocated to treatment group （132 teeth, 106 children） and control group （114 teeth,94 children）. The treatment group were obturated with the ornidazole-iodoform paste in comparison with the control group by giving calcium hydroxide-iodoform paste for clinical results after half a year or 2 years. Results The follow-up after half a year or 2 years revealed that 97.7% cases were cured, but that was 89.5% in control group, after statistical processing and display, there was significant difference between two groups （X^2= 19.92, P〈0.01）, the treatment group perior to the control group. Conclusion Ornidazoleqodoform paste can be effective in treating chronic periapical periodontitis of deciduous molars tooth. It can be very effective in killing persistent remain in the root dentin of deciduous molars teeth and periapical the anaerobic bacteria deep to prevent re-infection, no damage to the permanent tooth germ. The method is simple, short course of treatment, easy filling, consistent with children＇s psychological and physiological characteristics of deciduous molars teeth pulp anatomy.
出处
《实用临床医学（江西）》
CAS
2009年第10期90-92,共3页
Practical Clinical Medicine
关键词
奥硝唑
氢氧化钙
碘仿
乳磨牙
根尖周炎
根管治疗
ornidazole
calcium hydroxide
iodoform
deciduous molar tooth
periapical periodontitis
root canal therapy
