Vitapex糊剂治疗乳牙窦道型慢性根尖周炎的临床效果研究

Clinical Effect of Vitapex Paste on Periapical Periodontitis of Deciduous Teeth

目的:观察Vitapex糊剂治疗乳牙窦道型慢性根尖周炎的临床效果。方法:选择在某科就诊的104例乳牙慢性窦道型根尖周炎患儿,患牙总计122颗。按随机数字表法将患儿随机分为观察组和对照组,每组52例。观察组患儿(患牙60颗)采用Vitapex糊剂进行根管填充,对照组患儿(患牙62颗)则采用氧化锌丁香油糊剂进行根管填充,观察两组患儿1周急性临床反应及1年后的临床疗效。结果:观察组中1周急性临床反应发生率显著低于对照组,术后1年的临床治愈率显著高于对照组(P<0.05)。结论:与传统的氧化锌丁香油糊剂相比,Vitapex糊剂治疗乳牙窦道型慢性根尖周炎的临床效果更好,是乳牙理想的根管填充材料。

Objective：To observe the clinical effect of Vitapex paste on periapical periodontitis of deciduous teeth.Methods：104 patients with periapical periodontitis of deciduous teeth（122 affected teeth）were randomly divided into observation group and control group according to random number table method,with52 patients in each group.The patients in the observation group（60 teeth）were given Vitapex paste in the process of root canal filling,while the patients in the control group（62 teeth）were treated with zinc oxide eugenol paste.The acute clinical response clinical of 1 weeks after operation and the clinical efficacy of 1 years after operation were observed.Results：The incidence of acute clinical reaction after one week in the observation group was significantly lower than that in the control group,and the clinical cure rate 1 year after operation was significantly higher than that in the control group（P〈0.05）.Conclusion：Compared with the traditional zinc oxide eugenol paste,Vitapex paste has a better clinical effect on chronic apical periodontitis of primary teeth and is an ideal root canal filling material for deciduous teeth.