摘要
目的比较热牙胶垂直加压法与爱汝特根管封闭糊剂(IROOT SP)单尖法在椭圆形根管充填治疗中的应用效果。方法选取2022年7月至2023年7月在嘉兴市妇幼保健院进行椭圆形根管充填治疗的牙髓病患者100例(患牙100颗)为研究对象,采用随机对照临床研究方法,根据随机数字表法将其分为观察组(n=50)和对照组(n=50)。对照组使用热牙胶垂直加压法根管充填,观察组使用IROOT SP单尖法根管充填。比较两组的临床疗效、临床指标、生活质量、不良反应发生率。结果观察组的恰填率为90.00%(45/50),高于对照组的64.00%(32/50),观察组的超填率为2.00%(1/50),低于对照组的16.00(8/50),差异均有统计学意义(χ^(2)=9.54、4.40,均P<0.05)。观察组的充填物残留(颊舌侧、近远中侧)量百分比、操作时间分别为(0.23±0.12)%、(0.37±0.12)%、(236.52±27.12)s,均低于、短于对照组的(0.28±0.12)%、(0.45±0.16)%、(284.56±28.15)s(t=2.08、2.83、8.69,均P<0.05)。治疗后3个月,观察组的口腔健康相关生活质量(OHRQOL)评分、数字分级评分法(NRS)评分分别为(9.96±0.23)分、(1.23±0.05)分,均低于对照组的(25.65±4.52)分、(4.56±1.01)分(t=24.51、23.29,均P<0.001)。观察组不良反应发生率为2.00%(1/50),显著低于对照组的30.00%(15/50)(χ^(2)=14.58,P<0.001)。结论IROOT SP单尖法根管充填具有更好的临床疗效,缓解临床指标,提高患者生活质量,减少不良反应的发生。
Objective To investigate the clinical effects of vertical compression with hot dental cement versus IROOT SP single-cone technique for filling oval root canals.Methods One hundred endodontic patients(100 affected teeth)who underwent oval root canal filling treatment at Jiaxing Maternity and Child Health Care Hospital between July 2022 and July 2023 were included in this study.A randomized controlled clinical research method was used.These patients were divided into an observation group(n=50)and a control group(n=50)using the random number table method.The control group underwent oval root canal filling using vertical compression with hot dental cement,while the observation group used the IROOT SP single-cone technique for their fillings.Clinical efficacy,clinical indicators,quality of life outcomes,and the incidence of adverse reactions were compared between the two groups.Results The rate of successful filling in the observation group was significantly higher than that in the control group[90.00%(45/50)vs.64.00%(32/50),χ^(2)=9.54,P<0.05].The rate of overfilling in the observation group was significantly lower than that in the control group[2.00%(1/50)vs.16.00%(8/50),χ^(2)=4.40,P<0.05].The percentage of residual filling material(buccal-lingual and mesial-distal)and the operation time in the observation group were(0.23±0.12)%,(0.37±0.12)%,and(236.52±27.12)seconds,respectively,all of which were significantly lower than those in the control group[(0.28±0.12)%,(0.45±0.16)%,and(284.56±28.15)seconds,t=2.08,2.83,8.69,all P<0.05].After 3 months of treatment,the Oral Health-Related Quality of Life score and the Numerical Rating Scale(NRS)score in the observation group were(9.96±0.23)points and(1.23±0.05)points,respectively,both of which were significantly lower than those in the control group[(25.65±4.52)points,(4.56±1.01)points,t=24.51,23.29,both P<0.001].The incidence of adverse reactions in the observation group was significantly lower than that in the control group[2.00%(1/50)vs.30.00%(15/50),χ^(2)=14.58,P<0.001].Conclusion The IROOT SP single-cone technique demonstrates better clinical efficacy,more effectively alleviates clinical indicators,improves patients'quality of life,and reduces the occurrence of adverse reactions compared with vertical compression with hot dental cement.
作者
俞凌燕
王惠娟
Yu Lingyan;Wang Huijuan(Department of Stomatology,Jiaxing Maternity and Child Health Care Hospital,Jiaxing 314000,Zhejiang Province,China)
出处
《中国基层医药》
CAS
2024年第10期1441-1445,共5页
Chinese Journal of Primary Medicine and Pharmacy
关键词
牙髓疾病
根管充填
根管充填材料
生活质量
疗效比较研究
Dental pulp diseases
Root canal obturation
Root canal filling materials
Quality of life
Comparative effectiveness research
