iRoot BP填充在深龋直接盖髓术患者中的应用效果

Application effects of iRoot BP filling in patients with deep caries undergoing direct pulp capping

目的:观察iRoot BP填充在深龋直接盖髓术患者中的应用效果。方法:选取60例深龋患者为研究对象,根据随机掷骰子法分为对照组(n=30)和观察组(n=30)。两组均行直接盖髓术治疗,对照组采用氢氧化钙填充,观察组采用iRoot BP填充,比较两组治疗效果、手术前后生命质量[生活质量综合评定问卷(GQOLI-74)]评分和术后1年不良事件发生率。结果:术后3个月,两组治疗成功率比较,差异无统计学意义(P>0.05);术后6、9个月,观察组治疗成功率高于对照组,差异有统计学意义(P<0.05);术后6个月,观察组躯体功能、心理功能、社会功能和物质生活状态等GQOLI-74评分均高于对照组,差异有统计学意义(P<0.05);观察组不良事件发生率为6.67%(2/30),低于对照组的33.33%(10/30),差异有统计学意义(P<0.05)。结论:iRoot BP填充应用于深龋直接盖髓术患者可提高治疗成功率和生命质量评分,降低不良事件发生率,效果优于氢氧化钙填充。

Objective:To observe application effects of iRoot BP filling in patients with deep caries undergoing direct pulp capping.Methods:60 patients with deep caries were selected as the research objects and were divided into t control group(n=30)and observation group(n=30)according to the random dice roll method.Both groups underwent direct pulp capping.The control group was filled with calcium hydroxide,while the observation group was filled with iRoot BP.The treatment effect,the quality of life[general quality of life inventory(GQOLI-74)]score before and after the surgery,and the incidence of adverse events 6 months after the surgery were compared between the two groups.Results:3 months after the surgery,there was no significant difference in the treatment success rate between the two groups(P>0.05).6 and 12 months after the surgery,the treatment success rates of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).6 months after the surgery,the GQOLI-74 scores of physical function,psychological function,social function and material life status in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of adverse events in the observation group was 3.33%(1/30),which was lower than 26.67%(8/30)in the control group,and the difference was statistically significant(P<0.05).Conclusions:iRoot BP filling for the patients with deep caries undergoing direct pulp capping can improve the treatment success rate and the quality of life score,and reduce the incidence of adverse events.Moreover,it is superior to calcium hydroxide filling.