牙髓血运重建术在年轻恒牙牙髓治疗的效果探析
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摘要
目的探究牙髓血运重建术在年轻恒牙牙髓治疗的效果。方法选取于我院接受年轻恒压牙髓治疗的136例患儿为受试对象,随机数表法分为观察组与对照组各68例。对照组患儿实施根尖诱导成形术治疗,观察组则行牙髓血运重建术治疗。比较术前、术后2年时,两组患儿患牙结构(冠根比、根管壁厚度)、整体咬合功能(咬合力、咬合时间)变化,分析两组患儿术后2年时治疗效果及术后6个月内并发症发生情况差异。结果术后2年时,观察组患儿治疗有效率明显高于对照组(P<0.05);两组患儿患牙冠根比水平均较术前有显著提升,且观察组明显低于同期对照组(P均<0.05);两组患儿根管壁厚度、咬合力水平均较术前有显著提升,且观察组明显高于同期对照组(P均<0.05);两组患儿咬合时间水平均较术前有显著下降,且观察组明显低于同期对照组(P均<0.05)。术后6个月内,两组患儿各项并发症发生率比较均无统计学意义(P均>0.05)。结论牙髓血运重建术可安全有效的治疗年轻恒牙牙髓疾病,有利于改善患儿预后效果。
Objective To explore the effects of dental pulp revascularization on endodontic treatment of young permanent teeth.Methods A total of 136 children patients who received endodontic treatment of young permanent teeth in our hospital were selected as the study object and divided into observation group(n = 68) and control group(n = 68) according to the random number table. The control group was treated with apexification,while the observation group was given dental pulp revascularization. The teeth structure(top root ratio,root canal wall thickness) and overall occlusal function(occlusal force,occlusal time) were compared between the two groups before operation and two years after operation. And the two-year postoperative treatment effects and the occurrence of complications within 6 months after operation in the two groups were analyzed. Results 2 years after operation,the effective rate in observation group was significantly higher than that in control group(P<0. 05),the top root ratio in the two groups was significantly higher than that before operation,and the ratio in observation group was significantly lower than that in control group(all P<0. 05),the root canal wall thickness and occlusal force in the two groups were significantly higher than those before operation,and the two indexes in observation group were significantly higher than those in control group(all P<0. 05),the occlusion time in the two groups was significantly lower than that before operation,and the index in observation group was significantly lower than that in control group(all P<0. 05). Within 6 months after operation,there was no statistically difference in the incidence rate of complications between the two groups(all P>0. 05). Conclusion Dental pulp revascularization can safely and effectively treat dental pulp diseases of young permanent teeth,which is beneficial to the improvement of the prognosis of children patients.
Objective To explore the effects of dental pulp revascularization on endodontic treatment of young permanent teeth.Methods A total of 136 children patients who received endodontic treatment of young permanent teeth in our hospital were selected as the study object and divided into observation group(n = 68) and control group(n = 68) according to the random number table. The control group was treated with apexification,while the observation group was given dental pulp revascularization. The teeth structure(top root ratio,root canal wall thickness) and overall occlusal function(occlusal force,occlusal time) were compared between the two groups before operation and two years after operation. And the two-year postoperative treatment effects and the occurrence of complications within 6 months after operation in the two groups were analyzed. Results 2 years after operation,the effective rate in observation group was significantly higher than that in control group(P<0. 05),the top root ratio in the two groups was significantly higher than that before operation,and the ratio in observation group was significantly lower than that in control group(all P<0. 05),the root canal wall thickness and occlusal force in the two groups were significantly higher than those before operation,and the two indexes in observation group were significantly higher than those in control group(all P<0. 05),the occlusion time in the two groups was significantly lower than that before operation,and the index in observation group was significantly lower than that in control group(all P<0. 05). Within 6 months after operation,there was no statistically difference in the incidence rate of complications between the two groups(all P>0. 05). Conclusion Dental pulp revascularization can safely and effectively treat dental pulp diseases of young permanent teeth,which is beneficial to the improvement of the prognosis of children patients.
引文
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[6]肖青锋,雷志敏,杨磊,等.牙髓血运重建术中应用BPRRM治疗年轻恒牙牙髓坏死的临床效果[J].广西医学,2017,39(9):1292-1294.
[7]贾瑞芝,尚佳健,祁森荣.牙髓血运重建治疗年轻恒牙根尖周病变的临床观察[J].北京口腔医学,2017,25(4):202-206.
[2]程琳,刘青梅,王俊,等.牙髓血运重建术在外伤致年轻恒牙牙髓坏死中的临床应用[J].中国药物与临床,2016,16(9):1345-1347.
[3]石四箴.儿童口腔病学[M].北京:人民卫生出版社,2000:64-68.
[4]杨计亮.三氧化矿物凝聚体、氢氧化钙制剂在死髓牙根尖诱导中的应用[J].山西职工医学院学报,2016,26(3):25-27.
[5]张明,冯岩.牙髓血运重建术用于根尖孔宽大的年轻恒牙临床疗效分析[J].口腔医学研究,2017,33(2):175-178.
[6]肖青锋,雷志敏,杨磊,等.牙髓血运重建术中应用BPRRM治疗年轻恒牙牙髓坏死的临床效果[J].广西医学,2017,39(9):1292-1294.
[7]贾瑞芝,尚佳健,祁森荣.牙髓血运重建治疗年轻恒牙根尖周病变的临床观察[J].北京口腔医学,2017,25(4):202-206.