热牙胶充填与冷牙胶侧方加压在根管充填中应用的临床效果比较

The Clinical Effect Comparison of Hot Gutta-Percha Filling and Cold Gutta-Percha Lateral Condensation in the Teeth Root Canal Filling

目的:比较热牙胶充填与冷牙胶侧方加压在根管充填中应用的临床效果。方法:选择62例急性牙髓炎和根尖周炎患者,均分后分别选择热牙胶充填与冷牙胶侧方加压的方法进行根管充填,比较两组患者根管充填时间、术后牙周疼痛病例和术后3个月后充填质量及临床疗效。结果:两组患者术后牙周疼痛病例比较,差异无统计学意义(P>0.05);其余各方面比较,差异均均有统计学意义(P>0.05),热牙胶组优于冷牙胶组。结论:临床进行根管充填治疗时,应首选热牙胶充填的方式,可显著提高临床疗效,且不增加患者术后牙周疼痛的发生。

Objective： To observe the clinical effect of hot gutta-percha filling and cold gutta-percha lateral condensation in the teeth root canal filling.Methods： Collect 62 patients with the acute pulpitis and apical periodontitis,they were divided into the hot gutta-percha group and the cold gutta-percha group,then compare the teeth root canal filling time,the postoperative patients with the periodontal pain,the filling quality and the clinical effect after 3 months.Results： There was no statistical significant（P0.05） in the postoperative patients with the periodontal pain,there was a statistical significant（P0.05） in the remaining aspects,the hot gutta-percha group＇s clinical effect were better than the cold gutta-percha group＇s.Conclusion： We should use hot gutta-percha filling in the teeth root canal filling first,it could significantly improve the clinical effect and did not increas the incidence of postoperative periodontal pain.