一次性根管及多次根管治疗隐裂性牙髓炎的效果比较
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摘要
目的:分析一次性根管和多次根管治疗隐裂性牙髓炎患者的疗效。方法:110例隐裂性牙髓炎患者,按抽签法分为观察组和对照组。观察组55例,采用一次性根管治疗;对照组55例,采用多次根管治疗。比较两组治疗效果、疼痛程度。结果:术后1周,观察组疼痛发生率5.5%,低于对照组18.2%。随访6个月,观察组总有效率96.4%,高于对照组89.1%,差异均具有统计学意义(P<0.05)。结论:与多次根管治疗比较,一次性根管治疗隐裂性牙髓炎可提升临床疗效,降低术后疼痛发生率。
Objective: To analyze the curative effect of one-time root canal and multiple root canals in the treatment of cracked pulpitis. Methods: 110 patients with cleft pulpitis were divided into observation group and control group by drawing lots. The observation group(55 cases)received one-time root canal therapy, while the control group(55 cases)received multiple root canal therapy. The therapeutic effect and pain degree of the two groups were compared. Results: One week after operation, the incidence of pain in the observation group was 5.5%, lower than 18.2% in the control group. After 6 months of follow-up, the total effective rate of the observation group was 96.4%, which was higher than 89.1% of the control group, the differences were statistically significant(P<0.05). Conclusion: Compared with multiple root canal therapy, one-time root canal therapy for cracked pulpitis can improve the clinical efficacy and reduce the incidence of postoperative pain.
Objective: To analyze the curative effect of one-time root canal and multiple root canals in the treatment of cracked pulpitis. Methods: 110 patients with cleft pulpitis were divided into observation group and control group by drawing lots. The observation group(55 cases)received one-time root canal therapy, while the control group(55 cases)received multiple root canal therapy. The therapeutic effect and pain degree of the two groups were compared. Results: One week after operation, the incidence of pain in the observation group was 5.5%, lower than 18.2% in the control group. After 6 months of follow-up, the total effective rate of the observation group was 96.4%, which was higher than 89.1% of the control group, the differences were statistically significant(P<0.05). Conclusion: Compared with multiple root canal therapy, one-time root canal therapy for cracked pulpitis can improve the clinical efficacy and reduce the incidence of postoperative pain.
引文
[1] 曹伟靖,张文娟,王原明,等.一次性根管治疗对隐裂性牙髓炎患者术后疼痛及生活质量的影响[J].实用临床医药杂志,2016,20(15):116-117.
[2] 高珺,王芳,尤兴兰.隐裂性牙髓炎一次性根管治疗的临床效果观察[J].山西医药杂志,2016,45(7):820-822.
[3] 王雯,王鹏来,谢妮娜,等.一次法与多次法根管治疗术治疗隐裂牙伴牙髓炎的疗效:meta分析[J].上海口腔医学,2017,26(6):672-679.
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[6] 孙凯莹,卜寿山,王峰,等.一次性根管充填治疗隐裂牙伴牙髓炎的疗效[J].江苏医药,2016,42(22):2505-2506.
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[8] 赵宏宠,刘婷,刘文曙.急性牙髓炎一次性根管与多次根管治疗的效果比较[J].中国医刊,2015,50(2):102-104.
[9] 任敏.两种根管治疗法治疗隐裂性牙髓炎的疗效观察[J].中国药物与临床,2017,17(5):743-744.
[10] 张浩丽,李文利,李金平,等.一次性根管治疗急性牙髓炎150例效果分析[J].海南医学,2015,26(8):1206-1208.
[11] WANG W,WANG P L,XIE N N,et al.Outcome of one-visit and multiple-visit root canal treatment for cracked tooth with pulpitis:a meta analysis[J].Shanghai journal of stomatology,2017,26(6):672-679.
[12] 齐乃申.一次性与多次根管填充术治疗牙髓炎临床对照研究[J].临床军医杂志,2016,44(9):947-948.
[13] 龚闽.一次性根管疗法对急性牙髓炎患者的疗效及安全性探讨[J].中国医药导刊,2017,19(2):114-115.
[2] 高珺,王芳,尤兴兰.隐裂性牙髓炎一次性根管治疗的临床效果观察[J].山西医药杂志,2016,45(7):820-822.
[3] 王雯,王鹏来,谢妮娜,等.一次法与多次法根管治疗术治疗隐裂牙伴牙髓炎的疗效:meta分析[J].上海口腔医学,2017,26(6):672-679.
[4] FUJII R,SUEHARA M,SEKIYA S,et al.CBCT-based diagnosis of periapical lesion of maxillary first premolar mimicking that of second premolar[J].The Bulletin of Tokyo Dental College,2016,57(4):291-297.
[5] 张军华.一次性与多次根管治疗急性牙髓炎疗效观察[J].中华实用诊断与治疗杂志,2015,29(9):906-907.
[6] 孙凯莹,卜寿山,王峰,等.一次性根管充填治疗隐裂牙伴牙髓炎的疗效[J].江苏医药,2016,42(22):2505-2506.
[7] SINHA D J,SINHA A A,PRAKASH P,et al.Endodontic management of maxillary first molar with five root canals,including two distobuccal root canals:a case report[J].The Bulletin of Tokyo Dental College,2016,57(1):37-41.
[8] 赵宏宠,刘婷,刘文曙.急性牙髓炎一次性根管与多次根管治疗的效果比较[J].中国医刊,2015,50(2):102-104.
[9] 任敏.两种根管治疗法治疗隐裂性牙髓炎的疗效观察[J].中国药物与临床,2017,17(5):743-744.
[10] 张浩丽,李文利,李金平,等.一次性根管治疗急性牙髓炎150例效果分析[J].海南医学,2015,26(8):1206-1208.
[11] WANG W,WANG P L,XIE N N,et al.Outcome of one-visit and multiple-visit root canal treatment for cracked tooth with pulpitis:a meta analysis[J].Shanghai journal of stomatology,2017,26(6):672-679.
[12] 齐乃申.一次性与多次根管填充术治疗牙髓炎临床对照研究[J].临床军医杂志,2016,44(9):947-948.
[13] 龚闽.一次性根管疗法对急性牙髓炎患者的疗效及安全性探讨[J].中国医药导刊,2017,19(2):114-115.