iRoot SP一次性根管治疗前牙窦道型慢性根尖周炎疗效观察

发布时间：2019-01-03 19:03

【摘要】：目的:观察iRoot SP一次性根管治疗前牙窦道型慢性根尖周炎的临床疗效。方法:纳入240例前牙窦道型慢性根尖周炎患者,随机分成2组(n=120),在Nd:YAG激光消毒下,进行一次性根管充填:观察组采用iRoot SP以热牙胶连续波垂直加压技术充填根管,对照组采用AH-plus糊剂以热牙胶连续波垂直加压技术充填根管,观察术后48 h疼痛发生情况、术后10 d窦道愈合情况及1年后的疗效。结果:术后48 h观察组和对照组疼痛发生率分别为7.14%和15.0%(P=0.038);术后10 d,观察组和对照组窦道愈合情况有效率分别为95.8%和88.3%(P=0.031);术后1年复诊,2组疗效成功率分别为98.3%和94.8%(P0.05)。结论:iRoot SP和AH-plus糊剂在一次性根管治疗前牙窦道型慢性根尖周炎中均取得良好疗效,但iRoot SP术后反应发生率低,窦道愈合快。
[Abstract]:Objective: to observe the clinical effect of iRoot SP in the treatment of chronic apical periapical periodontitis. Methods: 240 patients with chronic apical periapical periodontitis were randomly divided into 2 groups (n = 120). Root canal filling was performed with Nd:YAG laser disinfection. In the observation group, the root canal was filled with iRoot SP with hot gum continuous wave vertical compression technique. In the control group, the root canal was filled with AH-plus paste with hot gum continuous wave vertical compression technique. The incidence of pain at 48 hours after operation, the healing of sinuses 10 days after operation and the curative effect after 1 year were observed. Results: the incidence of pain was 7.14% in observation group and 15.0% in control group at 48 h after operation, and the effective rate of sinus healing in observation group and control group was 95.8% and 88.3% (P0.031) 10 days after operation. One year after operation, the success rate of the two groups was 98.3% and 94.8% respectively (P0.05). Conclusion both: iRoot SP and AH-plus paste are effective in the treatment of chronic apical periapical periodontitis, but the incidence of iRoot SP postoperative reaction is low and the sinus healing is fast.
【作者单位】：锦州医科大学中国人民解放军火箭军总医院培养基地;中国人民解放军火箭军总医院口腔科;
【分类号】：R781.341

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