一次性根管与多次法根管治疗牙体牙髓病的效果比较

Effect comparison of one-time root canal therapy and multiple root canal therapy in the treatment of dental pulp disease

目的比较一次性根管与多次法根管治疗牙体牙髓病的效果。方法选取2016年10月~2018年2月我院收治的98例牙体牙髓病患者作为研究对象,根据随机数字表法将其分为对照组及观察组,每组各49例。对照组患者采用多次法根管治疗,观察组患者采用一次性根管治疗。比较两组患者的临床疗效、手术时间及并发症发生情况。结果观察组患者的治疗总有效率(93.88%)明显高于对照组(77.55%),差异有统计学意义(P<0.01)。观察组患者的手术时间明显短于对照组,差异有统计学意义(P<0.01)。观察组患者的并发症发生率(6.12%)明显低于对照组(20.41%),差异有统计学意义(P<0.01)。结论一次性根管与多次法根管治疗牙体牙髓病比较,其临床效果更明显,不仅可以缩短治疗时间,且安全性高,值得临床推广应用。

Objective To compare the effect of one-time root canal therapy and multiple root canal therapy in the treatment of dental pulp disease. Methods A total of 98 cases of patients with dental pulp disease treated in our hospital from October 2016 to February 2018 were selected as the subjects. According to the random number table method,they were divided into the control group and the observation group, 49 cases in each group. The control group was treated with multiple root canal therapy, and the observation group was treated with one-time root canal therapy. The clinical effect, operation time and complication were compared between two groups. Results The total effective rate of treatment in the observation group（93.88%） was significantly higher than that in the control group（77.55%）, and the difference was statistically significant（P〈0.01）. The operation time of the observation group was significantly shorter than that of the control group, and the difference was statistically significant（P〈0.01）. The incidence of complications in the observation group（6.12%） was significantly lower than that in the control group（20.41%）, and the difference was statistically significant（P〈0.01）. Conclusion Compared with the multiple root canal therapy, the clinical effect of onetime root canal therapy in the treatment of dental pulp disease is more significant, which can not only shorten the time of treatment, but also have high safety. It is worthy of clinical application.