热牙胶根管充填与侧压充填根管治疗牙髓病和根尖周病疗效及安全性观察

Efficacy and Safety of Thermal Gutta-percha Root Canal Filling and Lateral Pressure Filling in the Treatment of Endodontic and Periapical Disease

目的:探讨分析热牙胶根管充填与侧压充填根管治疗牙髓病和根尖周病的临床疗效及安全性。方法:选取124例牙髓病和根尖周病患者并按照随机数字表法分为观察组和对照组,观察组患者给予热牙胶根管充填方法治疗,对照组患者给予侧压充填根管方法治疗,比较两组患者术后疼痛程度、术后综合疗效、术后填充效果及不良反应发生情况。结果:观察组患者的牙齿疼痛反应率为3.06%,明显低于对照组的10.78%,其中观察组66.33%的牙齿无痛,而对照组仅有25.53%的牙齿无痛,差异均有统计学意义(P<0.05)。观察组患者术后牙齿综合疗效的总有效率(98.98%)明显高于对照组(88.24%),观察组患者术后牙齿的治愈率为65.31%,而对照组仅为47.06%,观察组患者术后牙齿恰填率(91.84%)明显高于对照组(72.55%),观察组患者牙齿填充时间明显短于对照组,差异均有统计学意义(P<0.05)。观察组患者牙齿术后不良反应发生率为2.04%,对照组为3.92%,差异无统计学意义(P>0.05)。结论:热牙胶根管充填治疗牙髓病和根尖周病可显著降低术后患牙疼痛,提高综合疗效,提高填充效果,缩短治疗时间,且安全性较高,值得在临床上推广。

Objective： To analyze the clinical effect and safety of root canal filling with thermal gutta- pereha and lateral pressure filling in die treatment of endodontie and periapical disease.Method： A total of 124 patients with endodontic and periapical disease were selected and divided into the observation group and the control group according to the random number table method.The observation group was treated with thermal guttapereha filling root canal therapy, and the control group was treated with lateral pressure filling root canal therapy. Postoperative pain degree, postoperative comprehensive effect, postoperative filling effect and incidence of adverse reactions of two groups were compared.Result： The pain response rate of the observation group was 3.06%, which was significantly lower than 10.78% of the control group .In the observation group, 66.33% of teeth were painless, while only 25.53% of teeth in the control group were painless.The total effective rate of posterior teeth was 98.98%, which was significantly higher than 88.24% of the control group.The cure rate of the postoperative teeth was 65.31% in the observation group and 47.06% in the control group.The filling rate of the teeth in the observation group was significantly higher than that of the control group （ 91.84% vs 72.55%, P〈0.05 ） .The time of tooth filling in the observation group was significantly shorfer than that in the control group.The incidence of adverse reactions after tooth operation was 2.04% in the observation group and 3.92% in the control group, there was no significant differenee （ P〉0.05 ） .Conclusion： Gutta-percha root canal filling in the treatment of endodontic and periapical diseases can significantly reduce postoperative tooth pain, improve the comprehensive effect, improve the filling effect, shorten the treatment time, and the safety is higher, it is worthy of clinical popularization.