摘要
目的:探讨根管充填及修复材料(iRoot BP plus)和三氧化物凝聚体(MTA)根管修复材料用于牙髓血运重建术治疗年轻恒牙根尖感染的临床疗效。方法:选取医院口腔科收治的40例年轻恒牙根尖感染患者,按照随机数表法将其分为观察组和对照组,每组20例。所有患者均运用牙髓血运重建术进行治疗,其中观察组选用iRoot BP plus材料封闭根管上端,对照组选用MTA材料进行根管上端的封闭。比较两组患者的临床疗效、治疗周期、就诊次数、咀嚼恢复时间及根尖感染痊愈时间,比较两组患者的根管壁厚度、牙根长度以及患者对治疗的满意度。结果:牙髓血运重建术后,观察组治疗总有效率为95%,显著高于对照组的60%,差异有统计学意义(χ^(2)=8.326,P<0.05)。观察组与对照组相比,治疗周期、就诊次数、咀嚼恢复时间和根尖痊愈时间均显著缩短,差异具有统计学意义(t=12.492,t=10.424,t=6.524,t=11.907;P<0.05)。治疗后观察组患者的牙冠根长度显著长于对照组,根管壁厚度优于对照组,差异有统计学意义(t=8.742,t=7.048;P<0.05)。观察组患者咬合度、牙齿色泽、咀嚼能力及整体美观度4项满意度评分均显著高于对照组,差异有统计学意义(t=5.437,t=5.093,t=7.591,t=6.852;P<0.05)。结论:在运用牙髓血运重建术治疗年轻恒牙根尖感染时,iRoot BP plus材料较MTA材料更具有优势,可更有效提高患者的临床疗效和治疗满意度。
Objective:To explore the clinical efficacies of root canal filling and repair material(iRoot BP plus)and trioxide condensate(MTA)of root canal repair material,which were used in endodontic revascularization of dental pulp,in treating the apical infection of young permanent teeth.Methods:A total of 40 young patients with apical infection of permanent teeth admitted to the dental department of hospital were selected,and they were divided into an observation group and a control group according to the random number table method,with 20 cases in each group.All patients adopted endodontic revascularization of dental pulp to conduct treatment.The observation group used iRoot BP plus to seal the upper end of the root canal,and the control group used MTA to seal the upper end of the root canal.The clinical efficacy,treatment cycle,frequency of visits,recovery time of chewing and recovery time of apical infection of the two groups of patients were compared.At the same time,the thickness of root canal wall and the root length,as well as the satisfaction of patients for treatment,of the two groups were compared.Results:After endodontic revascularization of dental pulp,the total effective rate of treatment in the observation group was 95%,which was significantly higher than 60%in the control group,and the difference was statistically significant(χ^(2)=8.326,P>0.05).Compared with the control group,the treatment cycle,frequency of visits,recovery time of chewing and recovery time of apical infection of the observation group were significantly shortened,and the differences were statistically significant(t=12.492,t=10.424,t=6.524,t=11.907,P<0.05),respectively.After treatment,the length of the root of dental crown and the thickness of root canal wall of the patients in the observation group were respectively longer and better than those in the control group,the differences were statistically significant(t=8.742,t=7.048,P<0.05).The four satisfaction scores of patients in the observation group,which included bite,tooth color,chewing ability and overall aesthetics,were respectively higher than those in the control group,and the differences were statistically significant(t=5.437,t=5.093,t=7.591,t=6.852,P<0.05).Conclusion:iRoot BP plus has more advantages than MTA when the endodontic revascularization of dental pulp is used to treat the apical infection of young permanent teeth,which can more effectively improve the clinical efficacy and treatment satisfaction of patients.
作者
石力吉
袁煜松
李丽洁
SHI Li-ji;YUAN Yu-song;LI Li-jie(Department of Stomatology,Traditional Chinese Medicine Hospital of Haibowan District of Wuhai City,Wuhai 016000,China;不详)
出处
《中国医学装备》
2023年第12期130-133,共4页
China Medical Equipment
基金
2022年度内蒙古自治区卫生健康科技计划(202202170)“iRoot BP plus和MTA用于牙髓血运重建术在治疗年轻恒牙根尖感染的临床疗效对比”。
