一次性根管和多次法根管治疗牙体牙髓病的优劣差异

Differences between Primary and Secondary Root Canals and Multiple Root Canals in the Treatment of Dental Pulp Disease

目的对比分析一次性根管和多次法根管治疗牙体牙髓病的临床疗效。方法回顾性方便选取2016年2月—2018年3月期间该院收治并接受根管治疗的牙体牙髓疾病患者143例作为该次研究对象,按照接受不同的治疗方法分为对照组(多次法根管治疗)71例和研究组(一次性根管治疗)72例,对比观察两组患者的临床疗效及发生并发症情况。结果两组患者在接受治疗后,研究组总有效率(93.06%)高于对照组(80.28%)(χ^2=4.921,P<0.05);研究组患者在接受治疗后疼痛平均消失时间(1.98±0.29)d和短于对照组(2.19±0.20)d(t=3.017,P<0.05),研究组患者治疗平均时间(3.66±2.07)d短于对照组(10.24±3.97)d(t=7.833,P<0.05);研究组接受治疗后患者疼痛、牙龈肿胀、咬合问题等并发症的总发生率(5.56%)低于对照组(16.90%)(χ^2=4.631,P<0.05)。结论一次性根管治疗牙体牙髓病的临床疗效明显优于多次法根管治疗,能够减少治疗所需时间,且安全性良好,值得推广应用。

Objective To compare the clinical efficacy of one-time root canal and multiple root canal therapy in the treatment of dental pulp disease. Methods A retrospective study of 143 patients with dental pulp disease who underwent root canal treatment from February 2016 to March 2018 was convenient selected as the study group. Radiation tube therapy was performed in 71 patients and 72 cases in the study group (one-time root canal therapy). The clinical efficacy and complications of the two groups were compared. Results After treatment, the total effective rate of the study group (93.06%) was higher than that of the control group (80.28%)(χ^2=4.921, P<0.05). The average time of pain disappeared after treatment in the study group (1.98± 0.29) d and shorter than the control group (2.19±0.20) d (t=3.017, P<0.05), the average treatment time (3.66±2.07) d in the study group was shorter than the control group (10.24±3.97)d (t=7.833, P<0.05);The total incidence of complications such as pain, gum swelling, and occlusion in the study group was (5.56%) lower than in the control group(16.90%)(χ^2=4.631, P<0.05). Conclusion The clinical efficacy of one-time root canal treatment for dental pulp disease is better than that of multiple root canal treatment, which can reduce the time required for treatment and has good safety. It is worthy of popularization and application.