对比热牙胶垂直加压法与iRoot SP冷侧法行C形根管充填治疗牙体牙髓病的临床效果

Comparison of the clinical effect of warm vertical gutta-percha compaction and iRoot SP cold lateral condensation for C-shaped root canal filling in the treatment of endodontic disease

目的研究牙体牙髓病应用热牙胶垂直加压法和iRoot SP冷测法行C形根管充填的效果。方法86例牙体牙髓病患者,根据治疗方法不同分为参照组与实验组,每组43例。参照组采取热牙胶垂直加压法行C形根管充填,实验组采取iRoot SP冷测法行C形根管充填。对比两组患者充填效果、充填面积及不良反应发生情况。结果参照组填充有效率88.37%(38/43)高于实验组的86.05%(37/43),但差异无统计学意义(P>0.05)。实验组填充面积(95.63±2.53)%与参照组的(96.15±2.58)%比较,差异无统计学意义(P>0.05)。参照组不良反应发生率16.28%高于实验组的11.63%,但差异无统计学意义(P>0.05)。结论牙体牙髓病行C形根管充填时应用热牙胶垂直加压法和iRoot SP冷测法均可以得到理想的充填效果,值得推广和应用。

Objective To study the effect of warm vertical gutta-percha compaction and iRoot SP cold lateral condensation for C-shaped root canal filling in the treatment of endodontic disease.Methods A total of 86 patients with endodontic disease were divided into reference group and experimental group according to different treatment method,with 43 cases in each group.The reference group received warm vertical gutta-percha compaction for C-shaped root canal filling,and the experimental group received iRoot SP cold lateral condensation for C-shaped root canal filling.The filling effect,filling area,and the occurrence of adverse reactions were compared between the two groups.Results The filling efficiency 88.37%(38/43)in the reference group was higher than 86.05%(37/43)in the experimental group,but the difference was not statistically significant(P>0.05).The filling area in the experimental group was(95.63±2.53)%,which was not statistically significant compared with(96.15±2.58)%in the reference group(P>0.05).The incidence of adverse reactions 16.28%in the reference group was higher than 11.63%in the experimental group,but the difference was not statistically significant(P>0.05).Conclusion Both warm vertical gutta-percha compaction and iRoot SP cold lateral condensation for C-shaped root canal filling can achieve ideal filling effect,and it is worthy of promotion and application.