老年慢性根尖周炎一次性根管治疗疗效分析

Analysis of the Effects on Chronic Apical Periodontitis with Single-visit Root Canal Treatment in the Aged

目的:探讨慢性根尖周炎老年患者采用一次性根管治疗疗效。方法:随机将142例慢性根尖周炎且年龄在60岁以上患者分为观察组70例、对照组72例。观察组给予一次性根管充填治疗,对照组则给予常规多次性根管治疗。结果:观察组根管治疗后1周疼痛发生率为10.0%(7/70),对照组疼痛发生率为11.1%(8/72),两组疼痛发生率比较无显著性差异(X2=0.05,P>0.05)。随访1年后观察组治疗总有效率为97.1%(68/70),对照组总有效率93.1%(67/72),两组总有效率比较无统计学差异(X2=1.27,P>0.05)。结论:一次性根管充填治疗老年慢性根尖周炎术后疼痛发生率、临床疗效与常规多次性根管治疗相当,是一种有效治疗方法。

Objective： To explore the effect of single-visist root canal treatment on teeth with chronic apical periodontitis using contemporary technique of canal cleaning,shaping and obturation in the aged. Method： 142 cases with chronic apical periodontitis of aged were randomly divided into two groups,the observation group（n=70） and the control group（n=72）.The observation group were given single-visist root canal treatment,and the control group were given multiple-visist root canal treatment. Result： The incidence of post-obturation pain was 10.0%（7/70）in single-visit group and 11.1%（8/72） in multiple-visit group after a week,there was no difference between two groups（X^2=0.05,P0.05）.The total success rate was 97.1%（68/70）in single-visit group and 93.1%（67/72） in multiple-visit group,there was no difference between two groups（X^2=1.27,P0.05）. Conclusion： The effect of single-visist root canal treatment on teeth with chronic apical periodontitis in the aged is obvisious,which is an effective treatment method.