摘要
目的:探讨根管充填材料(iRoot SP)冷侧压法在恒牙根尖周炎根管填充中的应用效果及对牙周指标的影响。方法:选取2019年10月-2022年5月济宁市中医院收治的302例恒牙根尖周炎患者,应用随机数字表法将其分为观察组(n=151)和对照组(n=151)。对照组接受热牙胶垂直加压法进行根管填充治疗,观察组接受iRoot SP冷侧压法进行根管填充治疗。对比两组填充效果、临床效果、治疗前后疼痛程度、牙周指数、复发率。结果:两组填充效果比较,差异无统计学意义(P>0.05);观察组治疗总有效率(96.69%)高于对照组(89.40%)(P<0.05)。治疗前,两组视觉模拟评分法(visual analogue scale,VAS)评分比较,差异无统计学意义(P>0.05);治疗后,两组VAS评分均下降,观察组低于对照组(P<0.05)。治疗前,两组牙龈指数、菌斑指数、出血指数、牙周袋深度比较,差异均无统计学意义(P>0.05);治疗后,两组各项指数均降低,观察组均低于对照组(P<0.05)。对照组复发率(7.62%)高于观察组(1.80%)(P<0.05)。结论:iRoot SP冷侧压法在恒牙根尖周炎根管填充中效果显著,可降低术后疼痛及患牙松动程度,改善牙周指标,降低复发率,预后较佳。
Objective:To investigate the effect of iRoot SP cold lateral condensation in root canal filling for periapical periodontitis in permanent teeth and the effect on periodontal indexes.Method:A total of 302 patients with periapical periodontitis of permanent teeth admitted to Jining Hospital of TCM from October 2019 to May 2022 were selected and divided into observation group(n=151)and control group(n=151)by the random number table method.The control group received root canal filling treatment by hot melt adhesive vertical pressure method and the observation group received root canal filling treatment by iRoot SP cold lateral condensation.The filling effect,clinical effect,pain level before and after treatment,periodontal index,and recurrence rate were compared between the two groups.Result:There was no significant difference in the filling effect between the two groups(P>0.05).The total effective rate of the observation group(96.69%)was higher than that of the control group(89.40%)(P<0.05).Before treatment,there was no significant difference in visual analogue scale(VAS)scores between the two groups(P>0.05);after treatment,VAS scores decreased in both groups and the observation group was lower than that of the control group(P<0.05).Before treatment,there were no significant differences in gingival index,plaque index,bleeding index,and periodontal pocket depth between the two groups(P>0.05);after treatment all indexes decreased in both groups and the observation group were lower than those of the control group(P<0.05).The recurrence rate in the control group(7.62%)was higher than that in the observation group(1.80%)(P<0.05).Conclusion:iRoot SP cold lateral condensation is effective in filling the root canals of permanent teeth with periapical periodontitis,reducing postoperative pain and the degree of loosening of the affected teeth,improving periodontal indexes,reducing the recurrence rate,and having a better prognosis.
作者
苏红亮
张亚平
张平
苏张旸
祝兰英
SU Hongliang;ZHANG Yaping;ZHANG Ping;SU Zhangyang;ZHU Lanying(Jining Hospital of TCM,Shandong Province,Jining 272100,China)
出处
《中国医学创新》
CAS
2023年第11期1-5,共5页
Medical Innovation of China
关键词
iRoot
SP冷侧压法
热牙胶垂直加压法
恒牙根尖周炎
根管填充
牙周指标
iRoot SP cold lateral condensation
Hot melt adhesive vertical pressure method
Periapical periodontitis of permanent teeth
Root canal filling
Periodontal index
