Cortisomol与Vitapex糊剂充填根管的疗效比较

The comparison of the effects of cortisomol sealer and vitapex sealer in root canal therapy

目的比较应用Cortisomol和Vitapex糊剂行根管充填治疗的近期反应及远期疗效。方法选择216颗患牙随机分成两组,其中109颗患牙以Cortisomol糊剂进行根管充填治疗,107颗患牙以Vitapex糊剂进行根管充填治疗。比较术后1、3d的疼痛反应和2年的成功率,进行疗效评价。结果术后1、3d疼痛发生率Cortisomol糊剂组与Vitapex糊剂组相近,差异无统计学意义(P>0.05),术后2年Cortisomol糊剂组成功率高于Vitapex糊剂组,差异有统计学意义(P<0.05)。结论 Cortisomol糊剂与Vitapex糊剂都可以显著减少术后近期疼痛反应。远期疗效Cortisomol糊剂优于Vitapex糊剂,值得在临床推广应用。

Objective To compare the recent treatment response and long-term effect between root canal therapy（RCT） with cortisomol sealer and with vitapex sealer.Methods The selected 216 teeth were randomly divided into 2 groups,among which 109 teeth were treated with cortisomol sealer in root canal filling and the other 107 teeth treat with vitapex sealer in root canal filling.The occurrence of pain in 1day and 3 days after treatment were recorded and the therapeutic effects were evaluated in the following 2 years.Results The occurrence rate of pain after RCT in 1day and 3 days using cortisomol sealer and vitapex sealer was similar.The difference has no statistical significance（P0.05）.The rate of success in treatment with cortisomol sealer in root canal filling after 2 years is higher than with vitapex sealer in root canal filling.The difference was statistically significant（P0.05）.Conclusion The treatment with cortisomol sealer in root canal filling and with vitapex sealer in root canal filling can significantly reduce the postoperative pain.cortisomol sealer shows better clinical treatment effects than vitapex sealer in the long run and the former is worth the widespread in clinical application.