摘要
目的:探讨GuttaFlow常温流动牙胶一次性根管充填的临床疗效。方法:选择126个单根管恒牙,随机分为实验组和对照组进行一次性根管充填。实验组:以GuttaFlow常温流动牙胶+04锥度单根牙胶尖充填根管;对照组:以Endomethasone ivory糊剂+牙胶尖冷侧压充填根管。比较两种充填方法操作时间、术后疼痛率、根管充填质量。结果:实验组充填操作时间为53~78 s,对照组为173~206 s。实验组充填时间明显少于对照组(P<0.05)。术后疼痛率实验组为11.2%,对照组为33.3%,两组差异有统计学意义(P<0.05)。根管充填质量实验组恰充率为92.1%,对照组为87.3%,两组比较差异无统计学意义(P>0.05)。结论:GuttaFlow常温流动牙胶根管充填操作简便,临床疗效优于冷牙胶侧方加压根管充填,值得在临床上推广使用。
引文
[1]Hammad M,Qualtrough A,Silikas N.Extended settingshrink age behavior of endodontic sealers[J].J Endod,2008,34(1):90-93.
[2]Donnelly A,Sword J,Nishitani Y,et al.Water sorption andsolubility of methacrylate resin-based root canal sealers[J].J Endod,2007,33(8):990-994.
[3]Zielinski TM,Baumgartner JC,Marshall JG.An evaluationof Guttaflow and gutta-percha in the filling of lateralgrooves and depressions[J].J Endod,2008,34(3):295-298.
[4]ElAyouti A,Achleithner C,L觟st C,et al.Homogeneity andadaptation of a new gutta-percha paste to root canal walls[J].J Endod,2005,31(9):687-690.
[5]张光诚.坏死牙髓根管治疗术并发的急性炎症[J].中华口腔医学杂志,1992,27(2):99-101.
[6]Eldeniz AU,Mustafa K,覫rstavik D,et al.Cytotoxicity ofnew resin,calcium hydroxide-and silicone-based rootcanal sealers on fibroblasts derived from human gingivaland L929 cell lines[J].Int Endod J,2007,40(5):329-337.
[7]Bouillaguet S,Wataha JC,Tay FR,et al.Initial in vitro bio-logical response to contemporary endodontic sealers[J].J En-dod,2006,32(10):989-992.
[8]方秋萍,蒋金峰,王维倩,等.死髓牙经不同方法根管充填后近期疼痛分析[J].口腔医学,2005,25(5):317-318.
[9]Monticelli F,Sword J,Martin RL,et al.Sealing propertiesof two contemporary single-cone obturation systems[J].IntEndod J,2007,40(5):374-385.