下颌前磨牙多根管的治疗中应用CBCT及显微镜的疗效观察
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摘要
目的观察分析下颌前磨牙多根管的治疗中应用CBCT及显微镜的疗效。方法将本院于2016年6月至2017年7月期间收治的86例下颌前磨牙多根管患者作为本次研究对象,所有纳入患者均需进行根管治疗。根据单双号分组法,将所有患者分为对照组与实验组两组,对照组43例患者均采用常规锥形束检查和治疗,实验组43例患者采用锥形束CT(CBCT)及显微镜进行检查和治疗。对比两组患者的治疗总有效率、根管检出率、疏通率,并观察两组患者的满意度评分情况。结果经治疗后,两组治疗效果对比差异较大,实验组治疗总有效率为97.67%,明显高于对照组,组间差异具有统计学意义(P<0.05);两组的根管检出以及疏通情况对比差异显著,实验组根管检出率为100.00%、疏通率为95.35%,均明显高于对照组,组间数据差异具有统计学意义(P<0.05);两组患者的满意度对比较大差异,实验组满意度评分为(88.56±5.47)分,高于对照组,差异具有统计学意义(P<0.05)。结论在下颌前磨牙多根管患者的治疗中,采用CBCT及显微镜进行检查和治疗,可提高检出率,获得较为显著的效果,值得在今后推广应用。
Objective To observe the curative effect of CBCT and microscopy in the treatment of mandibular premolars with multiple root canals. Methods Eighty-six patients with mandibular premolars who underwent surgery from June 2016 to July 2017 were enrolled in this study. All patients included root canal therapy. According to the single and double grouping method, all patients were divided into two groups: the control group and the experimental group. The control group of 43 patients were treated with conventional cone beam examination and treatment. The experimental group of 43 patients used cone beam CT(CBCT) and microscope. Check and treat. The total effective rate of treatment, root canal detection rate, and dredge rate were compared between the two groups, and the satisfaction scores of the two groups were observed. Results After treatment, the therapeutic effects of the two groups were quite different. The total effective rate of the experimental group was 97.67%, which was significantly higher than that of the control group. The difference between the two groups was statistically significant(P<0.05). The root canal was detected in both groups. There was significant difference in the comparison of dredges. The detection rate of root canal was 100.00% and the dredge rate was 95.35%,which was significantly higher than that of the control group. The difference between the two groups was statistically significant(P<0.05). The degree of satisfaction of the experimental group was(88.56±5.47), which was higher than that of the control group, and the difference was statistically significant(P<0.05). Conclusion In the treatment of patients with mandibular premolars with multiple root canals, CBCT and microscopy are used for examination and treatment, which can improve the detection rate and obtain more significant effects. It is worthy of popularization and application in the future.
Objective To observe the curative effect of CBCT and microscopy in the treatment of mandibular premolars with multiple root canals. Methods Eighty-six patients with mandibular premolars who underwent surgery from June 2016 to July 2017 were enrolled in this study. All patients included root canal therapy. According to the single and double grouping method, all patients were divided into two groups: the control group and the experimental group. The control group of 43 patients were treated with conventional cone beam examination and treatment. The experimental group of 43 patients used cone beam CT(CBCT) and microscope. Check and treat. The total effective rate of treatment, root canal detection rate, and dredge rate were compared between the two groups, and the satisfaction scores of the two groups were observed. Results After treatment, the therapeutic effects of the two groups were quite different. The total effective rate of the experimental group was 97.67%, which was significantly higher than that of the control group. The difference between the two groups was statistically significant(P<0.05). The root canal was detected in both groups. There was significant difference in the comparison of dredges. The detection rate of root canal was 100.00% and the dredge rate was 95.35%,which was significantly higher than that of the control group. The difference between the two groups was statistically significant(P<0.05). The degree of satisfaction of the experimental group was(88.56±5.47), which was higher than that of the control group, and the difference was statistically significant(P<0.05). Conclusion In the treatment of patients with mandibular premolars with multiple root canals, CBCT and microscopy are used for examination and treatment, which can improve the detection rate and obtain more significant effects. It is worthy of popularization and application in the future.
引文
[1]李英良,李方舟.下颌前磨牙多根管的治疗中应用CBCT及显微镜的疗效分析[J].中国医学创新,2017,14(24):124-126.
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[6]刘亚丽,李霞.锥形束CT在下颌第二磨牙C形根管治疗前中后的应用[J].国际口腔医学杂志,2015,42(2):181-183.
[7]曹聪,冯超,汪洋,等.CBCT辅助诊断上颌第一磨牙双腭根伴副根管1例[J].实用口腔医学杂志,2017,33(1):126-128.
[8]Park YS,Jung MH,Shon WJ,et al.Autotransplantion of a displaced mandibular second premolar to its normal position[J].American Journal of Orthodontics and Dentofacial Orthopedics,2013,143(2):274-280.
[9]赵小娥,杨玉琪,张昀,等.显微超声技术联合CBCT检查对上颌第一磨牙MB2根管再治疗的临床效果[J].全科口腔医学电子杂志,2016,3(4):123-125.
[10]戴德华,代婧,陈胡杰,等.1 684个上颌第二磨牙根管构型的CBCT研究[J].牙体牙髓牙周病学杂志,2017,27(7):396-400.
[11]林慧平,李娟.CBCT应用于上颌第一磨牙近中颊根第二根管检出率及定位研究[J].继续医学教育,2016,30(3):129-131.
[2]张倩妮,辛秉昌,孙德刚,等.下颌第一前磨牙双根双根管1例[J].牙体牙髓牙周病学杂志,2017,27(4):243-244.
[3]戴德华,陈军霞,魏薇,等.下颌前磨牙根管形态的锥形束CT研究[J].牙体牙髓牙周病学杂志,2016,26(5):301-305.
[4]王家柱,王照五,许来青,等.下颌第一前磨牙牙根形态和根管系统的锥形束CT研究[J].中华老年口腔医学杂志,2016,14(1):36-40.
[5]刘立访,谭家莉,于春梅,等.口腔科手术显微镜下定位上颌第一磨牙近中颊根第二根管的研究[J].口腔疾病防治,2015,23(8):417-420.
[6]刘亚丽,李霞.锥形束CT在下颌第二磨牙C形根管治疗前中后的应用[J].国际口腔医学杂志,2015,42(2):181-183.
[7]曹聪,冯超,汪洋,等.CBCT辅助诊断上颌第一磨牙双腭根伴副根管1例[J].实用口腔医学杂志,2017,33(1):126-128.
[8]Park YS,Jung MH,Shon WJ,et al.Autotransplantion of a displaced mandibular second premolar to its normal position[J].American Journal of Orthodontics and Dentofacial Orthopedics,2013,143(2):274-280.
[9]赵小娥,杨玉琪,张昀,等.显微超声技术联合CBCT检查对上颌第一磨牙MB2根管再治疗的临床效果[J].全科口腔医学电子杂志,2016,3(4):123-125.
[10]戴德华,代婧,陈胡杰,等.1 684个上颌第二磨牙根管构型的CBCT研究[J].牙体牙髓牙周病学杂志,2017,27(7):396-400.
[11]林慧平,李娟.CBCT应用于上颌第一磨牙近中颊根第二根管检出率及定位研究[J].继续医学教育,2016,30(3):129-131.