不同糊剂结合牙胶尖在根管治疗一次法充填疗效及并发症比较

Curative Effects and Complications of Different Pastes Combined with Gutta Percha Point in One-time Filling Root Canal Treatment

目的比较不同糊剂结合牙胶尖在根管治疗一次法充填中的疗效及并发症。方法选择2014年4月-2016年9月在我院接受根管治疗一次法填充的患者136例共159颗患牙,随机法分为甲组、乙组和丙组,每组患牙53颗,分别用Cortisomol糊剂、Vitapex糊剂、氧化锌丁香油糊剂加牙胶尖进行根管一次法填充治疗。比较三组患者术后1周疼痛程度并随访1年后治疗疗效。结果甲组、乙组无疼痛和轻度疼痛者与丙组比较显著较多,差异有统计学意义(P<0.05);甲组中度疼痛者与丙组比较显著较少,差异有统计学意义(P<0.05);甲组、乙组总有效率98.1%、96.2%与丙组84.9%比较明显较高,差异有统计学意义(P<0.05);随访甲组自发性疼痛3例与丙组11例比较,差异有统计学意义(P<0.05)。结论 Cortisomol糊剂、Vitapex糊剂、氧化锌丁香油糊剂加牙胶尖在根管治疗一次法中均具有较好的效果,其中Cortisomol糊剂加牙胶尖对患者疼痛症状缓解效果更好,远期疗效也更好。

Objective To compare the curative effects and complications of different pastes combined with gutta percha point in one-time filling root canal treatment. Methods From Apr. 2014 to Sep. 2016, a total of 136 patients （159 affected teeth） who accepted one-time filling root canal treatment in our hospital were taken as the clinical research objects. All the affected teeth were randomly divided into A group （53 cases） , B group （53 cases） and C group （53 cases）, and treated by one-time root canal filling with gutta percha point plus cortisomol paste （group A）, vitapex paste （group B） and zinc oxide eugenol paste （group C）. The pain degrees 1 week after operation and 1 year follow-up curative effects in the three groups were compared. Results Patients with no or mild pain in A and B group were obviously more than those in C group, and their differences were statistically significant（P〈0.05）, patients with moderate pain in A group were obviously less than those in C group, and their difference was statistically significant（P〈0.05）, the total effective rates in A and B groups were respectively 98.1% and 96.2% which were remarkably higher than that in C group 84.9%, and their differences were statistically significant（P〈0.05）. After 1 year follow-up, there were 3 cases of spontaneous pain in A group and 11 cases of spontaneous pain in C group, and the difference between the two groups was statistically significant（P〈0.05）. Conclusion Gutta percha point plus cortisomol paste, vitapex paste and zinc oxide eugenol paste in one-time filling root canal treatment all have good effects, espically cortisomol paste plus gutta percha whose pain relief effect and long-term effect is better.