摘要
背景彻底消除感染源是根管治疗成功的关键,激光因有效的杀菌消炎作用被广泛应用。目的探究针对老年患者牙髓病和根尖周病的根管治疗术一次法中,应用掺铒钇铝石榴石激光(erbium-doped yttrium aluminum garnet laser,Er:YAG)联合掺钕钇铝石榴石激光(neodymium-doped yttrium aluminium garnet laser,Nd:YAG)产生的临床疗效差异。方法选取2017年1月-2018年1月就诊于火箭军特色医学中心的160例(有效例数)牙髓病及根尖周病老年患者,随机分为两组,一组在根管扩大成形后联合使用Er:YAG激光和Nd:YAG激光,另一组作为对照组不使用激光,观察两组患者治疗后1 d、3 d、7 d反应情况及术后1年临床疗效。结果术后1 d、3 d激光组无反应率均高于常规对照组(1 d:60.00%vs41.25%;3 d:82.50%vs 60.00%),差异有统计学意义(P<0.05);术后7 d两组疼痛分级情况无统计学差异。术后1年两组治疗成功率分别为97.5%和98.75%,差异无统计学意义(P>0.05)。结论在老年患者根管治疗一次法治疗牙髓病及根尖周病过程中,无论是否应用激光,其远期疗效相同,而使用激光可以明显减轻近期术后疼痛反应。
Background Eliminating the source of infection is the key to the success of root canal therapy,while laser is widely used for its effective bactericidal and anti-inflammatory effects.Objective To investigate the clinical curative effect of single-visit root canal therapy with Erbium-doped yttrium aluminum garnet(Er:YAG) laser and Neodymium-doped yttrium aluminium garnet(Nd:YAG) laser on pulpitis and apical periodontitis for the elderly.Methods From January 2017 to January 2018,160(effective number of cases) cases of pulpitis and apical periodontitis admitted to Rocket Army Featured Medical Center were randomly divided into LA group(single-visit root canal therapy+laser) and NC group(single-visit root canal therapy).The response of patients at1 day,3 days and 7 days after treatment were observed and the satisfaction and clinical efficacy at 1 year after treatment were evaluated.Results At 1 d and 3 d after surgery,the non-response rates of LA group were 60.00% and 82.50%,respectively,while the non-response rates of NC group were 41.25% and 60.00%,respectively,showing statistical difference(P<0.05).There was no significant difference in pain at 7 days after treatment.The success rate of the two groups was 97.5% and 98.75% respectively in the first year after treatment,and the difference was not statistically significant(P>0.05).Conclusion In the treatment of endodontic pulp disease and periapical disease in elderly patients,the long-term outcomes are the same regardless of whether laser is used,while the use of laser can significantly reduce the immediate postoperative pain response.
作者
刘学
蔡兴伟
郑颖
LIU Xue;CAI Xingwei;ZHENG Ying(Department of Stomatology,Rocket Army Featured Medical Center,Beijing 100088,China;Chinese PLA Medical School,Department of Stomatology,the First Medical Center,Chinese PLA General Hospital,Beijing 100853,China)
出处
《解放军医学院学报》
CAS
北大核心
2021年第10期1045-1048,共4页
Academic Journal of Chinese PLA Medical School
关键词
激光
老年人
根管治疗一次法
牙髓病
根尖周病
laser
the elderly
single-visit root canal therapy
pulposis
periapical disease
