多次法根管治疗与一次性根管治疗牙体牙髓病的临床对照

Clinical Comparison of Multiple Root Canal Therapy and Onetime Root Canal Therapy for Dental Pulp Disease

目的探究牙体牙髓病应用多次法根管治疗和一次性根管治疗的效果。方法选取我院在2015年6月—2017年6月收治的86例牙体牙髓病患者作为研究对象。采用随机软件,将患者分为实验组和对照组,每组各43例患者。实验组给予一次性根管治疗,对照组给予多次法根管治疗,对两组患者的治疗有效率、治疗时间以及并发症发生率进行对比分析。结果实验组中治疗总有效率为95.35%,对照组中治疗总有效率为97.67%,组间对比,差异不具有统计学意义(P> 0.05);实验组中并发症发生率为6.98%,对照组中并发症发生率为9.30%,组间对比,差异不具有统计学意义(P> 0.05);实验组治疗时间为(3.2±0.7)d,对照组的治疗时间为(11.3±2.5)d,组间对比,差异具有统计学意义(P <0.05)。结论在牙体牙髓病的治疗中,多次法根管治疗相比和一次性根管治疗效果差异不大,后者治疗时间明显更短,两种方法远期治疗效果有待进一步观察。

Objective To investigate the effect of multiple root canal therapy and one-time root canal therapy in dental pulp disease.Methods86cases of patients with dental pulp disease admitted to our hospital from June2015to June2017were enrolled as the study objects.The patients were divided into experimental group and control group by random software.There were43patients in each group.The experimental group was treated with one-time root canal treatment,and the control group was given multiple root canal treatments.The treatment efficiency,treatment time and complication rate of the two groups were compared and analyzed.Results The effective rate was95.35%in the experimental group and97.67%in the control group.The difference was not statistically significant(P>0.05).The complication rate in the experimental group was6.98%.The incidence rate was9.30%,and the difference was not statistically significant(P>0.05).The treatment time was(3.2±0.7)d in the experimental group and(11.3±2.5)d in the control group.The difference was statistically significant(P<0.05).Conclusion In the treatment of dental pulp disease,the effect of multiple root canal treatments compared with single root canal treatment is not much different,the latter treatment time is significantly shorter,and the long-term therapeutic effects of the two methods need further observation.