热牙胶垂直加压法、冷侧方加压法两种手段治疗慢性牙髓炎与根尖周炎的效果对比观察

Comparison about the effects of Warm gutta-percha condensation method and cold lateral condensation method on curing chronic pulpitis and periapical periodontitis

目的观察比较热牙胶垂直加压法、冷侧方加压法两种手段治疗慢性牙髓炎与根尖周炎患者的临床效果。方法选择我院接收的192例慢性牙髓炎与根尖周炎患者作为研究对象,采用随机数字抽取表法将患者分为两组,每组各96例,采用热牙胶垂直加压法治疗为热牙胶组,采用冷侧方加压法治疗法为冷侧方组,比较两组患者的临床疗效,根管填充效果、牙周疼痛发生率和根尖疼痛发生率。结果热牙胶组治疗总有效率为95.83%,显著高于冷侧方组82.29%,比较差异具有显著性(P<0.05);热牙胶组根管填充效果显著由于冷侧方组,比较差异具有显著性(P<0.05);热牙胶组出血指数、牙龈指数、牙周袋深度均显著由于冷侧方组,比较差异具有显著性(P<0.05)。结论与冷侧方加压法治疗效果相比,热牙胶垂直加压法治疗慢性牙髓炎与根尖周炎的效果更加显著,能够改善患者牙周疼痛和根尖疼痛情况,具有重要的临床价值。

Objective To observe and compare the clinical effect of warm gutta-percha condensation method and cold lateral condensation on chronic pulpitis and periapical periodontitis. Methods 192 cases with chronic pulpitis and periapical periodontitis was chosen as the research object. They were randomly divided into two groups, 96 cases in each group. heat gutta percha vertical condensation technique was used for the treatment of warm gutta percha group, and cold lateral condensation method was used for treatment of cold side group, All cases were compared about the effects of root canal filling, the clinical efficacy, periodontal pain incidence and root pain incidence. Results In the warm gutta percha group, the total effective rate was 95.83%, which was significantly higher than that in the cold side group which was 82.29%, and the difference was statistically significant（P〈0.05）; In the warm gutta percha group, the effect of root canal filling was better than that in the cold side group, the difference was statistically significant（P〈0.05）; In the warm gutta percha group, bleeding index, gingival Index and periodontal pocket depth significantly were better than those in the cold side group, the difference was statistically significant（P〈0.05）. Conclusion Compared with cold lateral condensation method, the effect of heat gutta percha vertical condensation method in the treatment of chronic pulpitis and periapical periodontitis is more significant, and it can relieve periodontal pain and periapical pain of patients, so it has important clinical value.