三联抗生素糊剂与氢氧化钙糊剂在年轻恒牙牙髓炎坏死牙髓血运重建治疗中的效果

Effect of triple antibiotic paste and calcium hydroxide paste on pulp revascularization of immature permanent teeth with pulp necrosis

目的探究三联抗生素糊剂与氢氧化钙糊剂在年轻恒牙牙髓炎坏死牙髓血运重建治疗中的效果。方法72例年轻恒牙牙髓炎坏死患儿,采用随机数字表法分为对照组和观察组,每组36例。对照组实施氢氧化钙糊剂根管封药,观察组实施三联抗生素糊剂根管封药。比较两组治疗效果、治疗前后视觉模拟评分法(VAS)评分及不良反应发生率。结果观察组治疗总有效率97.05%高于对照组的73.52%,差异有统计学意义(P<0.05)。治疗后,观察组VAS评分(2.02±0.35)分低于对照组的(3.87±0.96)分,差异有统计学意义(P<0.05)。观察组不良反应发生率为2.77%,低于对照组的30.55%,差异有统计学意义(P<0.05)。结论三联抗生素糊剂在治疗年轻恒牙牙髓炎坏死牙髓血运重建中效果较好,值得临床推荐。

Objective To investigate the effect of triple antibiotic paste and calcium hydroxide paste on pulp revascularization of immature permanent teeth with pulp necrosis.Methods A total of 72 children with pulp necrosis of immature permanent teeth were divided into control group and observation group by random numerical table,with 36 cases in each group.The control group received calcium hydroxide paste for root canal sealing,and the observation group received triple antibiotic paste for root canal sealing.Both groups were compared in terms of therapeutic effect,visual analogue scale(VAS)score before and after treatment,incidence of adverse reactions.Results The total effective rate of treatment in the observation group was 97.05%,which was higher than 73.52%in the control group,and the difference was statistically significant(P<0.05).After treatment,VAS score(2.02±0.35)points of the observation group was lower than(3.87±0.96)points of the control group,and the difference was statistically significant(P<0.05).The incidence of adverse reactions in the observation group was 2.77%,which was lower than 30.55%in the control group,and the difference was statistically significant(P<0.05).Conclusion Triple antibiotic paste shows good effect on pulp revascularization of immature permanent teeth with pulp necrosis,and is worthy of clinical recommendation.