一次性根充法对牙髓炎的治疗分析
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摘要
目的分析一次性根充法对牙髓炎的治疗效果。方法选取2013年3月~2015年2月我院收治的136例牙髓炎患者按随机数字表法分成观察组和对照组各68例。对照组行常规多次填充治疗,观察组采用一次性根充法进行治疗。对比两组患者的治疗效果、临床症状消失时间、牙齿功能恢复时间、治疗费用、不良反应发生率。结果观察组治疗的总有效率为97.06%,明显高于对照组的85.29%,差异有统计学意义(P<0.05);观察组临床症状消失时间为(10.52±3.69)d,明显短于对照组的(12.69±4.28)d,差异有统计学意义(P<0.05);观察组牙齿功能恢复时间为(12.87±4.67)d,明显短于对照组的(15.55±5.68)d,差异有统计学意义(P<0.05);观察组治疗费用为(152.89±25.78)元,明显低于对照组的(172.37±38.46)元,差异有统计学意义(P<0.05);观察组不良反应总发生率为1.47%,明显低于对照组的11.76%,差异有统计学意义(P<0.05)。结论一次性根充法能有效的提高牙髓炎的治疗效果,并缩短恢复时间,降低治疗费用,且不良反应发生率低,是安全而理想的治疗方式。
Objective To study the effect of one-time root-filling method on pulpitis.Methods 136 pulpitis patients cured in our hospital from March 2013 to February 2015 were selected.According to the random number table,they were divided into observation group and control group with 68 cases in each.Patients in control group were treated with routine multiple filling,and patients in observation group were treated with one-time root-filling method.The therapeutic effect,clinical symptom disappearance time,recovery time of dental function,treatment cost and adverse reaction rate of the two groups were compared.Results The total effective rate of observation group was 97.06%,which was significantly higher than that of control group(85.29%,P < 0.05).The time of disappearance of clinical symptoms of observation group was(10.52±3.69)d,which was significantly shorter than that of control group(12.69±4.28)d,(P < 0.05).The treatment time of observation group was(12.87±4.67)d,which was significantly shorter than that of control group(15.55±5.68)d,(P < 0.05).The cost of observation group was(152.89±25.78),which was significantly lower than that of control group(172.37±38.46),(P < 0.05).The total incidence of adverse reactions of observation group was 1.47%,which was significantly lower than that of control group(11.76%,P < 0.05).Conclusion One-time root-filling method can effectively improve the therapeutic effect of pulpitis,decrease the recovery time,and reduce the cost of treatment.The incidence of adverse reactions is low.It is a safe and ideal treatment.
Objective To study the effect of one-time root-filling method on pulpitis.Methods 136 pulpitis patients cured in our hospital from March 2013 to February 2015 were selected.According to the random number table,they were divided into observation group and control group with 68 cases in each.Patients in control group were treated with routine multiple filling,and patients in observation group were treated with one-time root-filling method.The therapeutic effect,clinical symptom disappearance time,recovery time of dental function,treatment cost and adverse reaction rate of the two groups were compared.Results The total effective rate of observation group was 97.06%,which was significantly higher than that of control group(85.29%,P < 0.05).The time of disappearance of clinical symptoms of observation group was(10.52±3.69)d,which was significantly shorter than that of control group(12.69±4.28)d,(P < 0.05).The treatment time of observation group was(12.87±4.67)d,which was significantly shorter than that of control group(15.55±5.68)d,(P < 0.05).The cost of observation group was(152.89±25.78),which was significantly lower than that of control group(172.37±38.46),(P < 0.05).The total incidence of adverse reactions of observation group was 1.47%,which was significantly lower than that of control group(11.76%,P < 0.05).Conclusion One-time root-filling method can effectively improve the therapeutic effect of pulpitis,decrease the recovery time,and reduce the cost of treatment.The incidence of adverse reactions is low.It is a safe and ideal treatment.
引文
[1]邓雪莲,于春梅,刘立访,等.牙髓炎患者采用一次性根充法的临床疗效探析[J].现代诊断与治疗,2015,26(17):3987-3988.
[2]张丽辉,付润英,韦伟,等.一次性根充法与分次根充法在急性牙髓炎治疗中的长期疗效[J].贵阳中医学院学报,2013,35(4):179-180.
[3]赵军.一次性与常规根管治疗术治疗急性牙髓炎的效果比较[J].中国医药导报,2014,11(1):162-164.
[4]王娉婷,佟雪璐,陈新梅,等.IL-1β对人牙髓成纤维细胞中MMP-9影响的体外研究[J].天津医药,2012,40(2):142-144.
[5]Paredes-Vieyra J,Enriquez FJJ.Success rate of singleversus two-visit root canal treatment of teeth with apical periodontitis:a randomized controlled trial[J].Journal of Endodontics,2012,38(9):1164-1169.
[6]文振玲.一次性根充法治疗急性牙髓炎临床疗效观察[J].中国临床实用医学,2010,4(6):213-214.
[7]张雪松,朱春因,傅彦平,等.一次性根充法治疗牙髓炎的临床观察[J].按摩与康复医学(中旬刊),2012,3(12):393-394.
[8]石巧云,镇荣军,杜霞,等.Gutta Flow流动牙胶根管充填与侧方加压充填的临床比较[J].临床口腔医学杂志,2010,26(6):368-369.
[9]张艽,李纲.热牙胶垂直加压与冷侧方加压法治疗慢性牙髓炎、根尖周炎的疗效比较[J].实用医院临床杂志,2015,12(1):136-137.
[10]黄建,顾远平.两种锥度牙胶尖充填上颌第二磨牙临床效果分析[J].实用医学杂志,2013,29(14):2416-2417.
[11]王忠涛.一次性根充法与分次根充法在治疗急性牙髓炎的疗效观察[J].内蒙古中医药,2014,33(27):33.
[12]Goldberg F,Artaza LP,Garcia G,et al.Obturation frequency of simulated lateral canals during primary treatment and following retreat-ment[J].ENDO(Lond ENGL),2011,5(2):139-144.
[13]Parirokh M,Sadr S,Nakhaee N,et al.Comparison between Prescription of Regular or On-demand Ibuprofen on Postoperative Pain after Single-visit Root Canal Treatment of Teeth with Irreversible Pulpitis[J].Journal of endodontics,2014,40(2):151-154.
[14]吕晓君,张敬雷,郭灿亮,等.小散远单位官兵牙髓炎一次性根充疗效评价[J].东南国防医药,2015,17(5):529-530.
[15]European Society of Endodontology.Quality guidelines for endodontic treatment:consensus report of the European Society of Endodontology[J].Int Endod J,2006,39(2):921-930.
[16]Khan AA,Owatz CB,Schindler WG.Measuremnet of mechanical allodynia and local anesthetic efficacy in patients with irreversible pulpitis and acute periradicular periodontitis[J].Journal of Endodontics,2007,33(2):153-157.
[2]张丽辉,付润英,韦伟,等.一次性根充法与分次根充法在急性牙髓炎治疗中的长期疗效[J].贵阳中医学院学报,2013,35(4):179-180.
[3]赵军.一次性与常规根管治疗术治疗急性牙髓炎的效果比较[J].中国医药导报,2014,11(1):162-164.
[4]王娉婷,佟雪璐,陈新梅,等.IL-1β对人牙髓成纤维细胞中MMP-9影响的体外研究[J].天津医药,2012,40(2):142-144.
[5]Paredes-Vieyra J,Enriquez FJJ.Success rate of singleversus two-visit root canal treatment of teeth with apical periodontitis:a randomized controlled trial[J].Journal of Endodontics,2012,38(9):1164-1169.
[6]文振玲.一次性根充法治疗急性牙髓炎临床疗效观察[J].中国临床实用医学,2010,4(6):213-214.
[7]张雪松,朱春因,傅彦平,等.一次性根充法治疗牙髓炎的临床观察[J].按摩与康复医学(中旬刊),2012,3(12):393-394.
[8]石巧云,镇荣军,杜霞,等.Gutta Flow流动牙胶根管充填与侧方加压充填的临床比较[J].临床口腔医学杂志,2010,26(6):368-369.
[9]张艽,李纲.热牙胶垂直加压与冷侧方加压法治疗慢性牙髓炎、根尖周炎的疗效比较[J].实用医院临床杂志,2015,12(1):136-137.
[10]黄建,顾远平.两种锥度牙胶尖充填上颌第二磨牙临床效果分析[J].实用医学杂志,2013,29(14):2416-2417.
[11]王忠涛.一次性根充法与分次根充法在治疗急性牙髓炎的疗效观察[J].内蒙古中医药,2014,33(27):33.
[12]Goldberg F,Artaza LP,Garcia G,et al.Obturation frequency of simulated lateral canals during primary treatment and following retreat-ment[J].ENDO(Lond ENGL),2011,5(2):139-144.
[13]Parirokh M,Sadr S,Nakhaee N,et al.Comparison between Prescription of Regular or On-demand Ibuprofen on Postoperative Pain after Single-visit Root Canal Treatment of Teeth with Irreversible Pulpitis[J].Journal of endodontics,2014,40(2):151-154.
[14]吕晓君,张敬雷,郭灿亮,等.小散远单位官兵牙髓炎一次性根充疗效评价[J].东南国防医药,2015,17(5):529-530.
[15]European Society of Endodontology.Quality guidelines for endodontic treatment:consensus report of the European Society of Endodontology[J].Int Endod J,2006,39(2):921-930.
[16]Khan AA,Owatz CB,Schindler WG.Measuremnet of mechanical allodynia and local anesthetic efficacy in patients with irreversible pulpitis and acute periradicular periodontitis[J].Journal of Endodontics,2007,33(2):153-157.