摘要
目的比较三联抗生素糊剂与氢氧化钙糊剂对年轻恒牙牙髓炎患者牙髓血运重建术疗效的影响。方法选取2015年1月至2017年12月在汉中市口腔医院行牙髓血运重建术的年轻恒牙牙髓炎患者64例(患牙64颗),采用简单数表法随机分为观察组和对照组,每组32例(患牙32颗);观察组应用三联抗生素糊剂根管封药,对照组采用氢氧化钙糊剂根管封药。术后12个月比较两组患者的疗效,术后3个月、6个月、12个月,比较两组患者VAS评分及并发症发生情况。结果术后12个月,观察组患者的治疗有效率为96.88%,与对照组的93.75%比较差异无统计学意义(P>0.05);观察组和对照组患者术前VAS评分、术后3个月、6个月和12个月VAS评分比较差异均无统计学意义(P>0.05);观察组术后并发症发生率为15.63%,与对照组的12.50%比较差异无统计学意义(P>0.05)。结论三联抗生素糊剂与氢氧化钙糊剂对年轻恒牙牙髓炎患者牙髓血运重建术均有较好的疗效,能有效缓解患者的疼痛不适,均是较好的根管消毒和封管制剂。
Objective To compared influences of triple antibiotic paste and calcium hydroxide paste on curative effect of dental pulp revascularization for young patients with permanent teeth pulpitis.Methods Sixty-four young patients(64 affected teeth)with permanent teeth pulpitis who underwent dental pulp revascularization in Hanzhong Stomatological Hospital from January 2015 to December 2017 were enrolled.They were randomly divided into observation group and control group by random number table,with 32 patients(32 affected teeth)in each group.The observation group was given triple antibiotic paste for intracranial medication,while the control group was given calcium hydroxide paste for intracranial medication.The curative effect at 12 months after surgery,VAS score at 3 months,6 months and 12 months after surgery,and occurrence of complications were compared between the two groups.Results At 12 months after surgery,there was no significant difference in response rate of treatment between observation group and control group(96.88%vs 93.75%,P>0.05).There was no significant difference in VAS score before surgery,at 3 months,6 months and 12 months after surgery between observation group and control group(P>0.0.05).There was no significant difference in the incidence of postoperative complications between observation group and control group(15.63%vs 12.50%,P>0.05).Conclusion Both triple antibiotic paste and calcium hydroxide paste has good curative effect on young patients with permanent teeth pulpitis undergoing dental pulp revascularization,which can effectively relieve pain and discomfort of patients and are relatively good root canal disinfection and sealing preparations.
作者
高郦卿
张弘
李华
王璇
GAO Li-qing;ZHANG Hong;LI Hua;WANG Xuan(Department of Dental Pulp,Hanzhong Stomatological Hospital,Hanzhong 723000,Shaanxi,CHINA;Department of Children's Dental Disease and Oral Health,Hanzhong Stomatological Hospital,Hanzhong 723000,Shaanxi,CHINA;Department of Prosthodontics,Hanzhong Stomatological Hospital,Hanzhong 723000,Shaanxi,CHINA;Department of Orthodontics,Hanzhong Stomatological Hospital,Hanzhong 723000,Shaanxi,CHINA)
出处
《海南医学》
CAS
2019年第22期2941-2943,共3页
Hainan Medical Journal
关键词
三联抗生素糊剂
氢氧化钙糊剂
恒牙
牙髓血运重建
疗效
Triple antibiotic paste
Calcium hydroxide paste
Permanent tooth
Dental pulp revascularization
Curative effect
