iRootSP单尖充填法治疗糖尿病患者慢性根尖炎的疗效

Clinical observation of iRoot SP single⁃cone obturation for diabetic patients with chronic periapical peri⁃odontitis

目的本研究观察iRootSP单尖充填法用于治疗糖尿病合并慢性根尖炎的临床疗效。方法选取糖尿病合并慢性根尖炎患者80例,根据根管充填方法分2组,观察组(n=40)采用iRootSP单尖充填法,对照组(n=40)采用AH Plus+热牙胶垂直加压技术。随访并比较两组根管充填后1周内急症反应以及术后3个月,1年的临床疗效。结果术后1周内急症反应程度的差异有统计学意义(Z=2.806,P=0.037),观察组均低于对照组。两组术后3个月和1年的治疗有效率差异无统计学意义(χ^(2)=0.000;P=1.000);两组术后3个月的临床疗效差异有统计学意义(Z=2.269,P=0.023),观察组的治愈率高于对照组。但术后1年两组的临床疗效差异无统计学意义(Z=0.612,P=0.54)。结论iRootSP单尖充填法和热牙胶垂直加压技术治疗糖尿病合并根尖周炎的疗效有效率相当,但iRoot SP单尖充填法有利于减少根充后急诊反应的发生,且治疗后根尖周组织愈合可能较热牙胶垂直加压充填更快。

Objective To observe the clinical efficacy of iRoot SP single⁃tip filling for diabetic patients complicated with chronic apical inflammation.Methods Eighty diabetic patients complicated with chronic apical inflammation were selected and divided into two groups according to root canal filling procedure.The observation group(n=40)was treated with iRoot SP single⁃cone obturation,and the control group(n=40)was treated with warm gutta⁃percha vertical condensation with AH Plus sealer.The two groups were followed up and compared for emergency reactions within 1 week after root canal filling and the clinical efficacy at 3 months and 1 year after obtu⁃ration.Results Significant differences in the degree of emergency reactions within 1 week after obturation was noted(Z=2.806,P=0.037),which were lower in the observation group than in the control group.No statistically significant difference in the efficacy rate between the two groups at 3 months and 1 year after operation was found(χ^(2)=0.000,P=1.000);There was a significant difference in clinical efficacy between the two groups at 3 months after obturation(Z=2.269,P=0.023),and the cure rate of the observation group was higher than that of the control group.However,no significant difference in clinical efficacy between the two groups at 1 year after operation was found(Z=0.612,P=0.54).Conclusion iRoot SP single⁃cone obturation and warm gutta⁃percha vertical condensationhad have similar therapeutic effect for diabetes complicated with periapical inflammation,but iRoot SP single⁃cone obturation was beneficial to reduce the occurrence of emergency reactions after root filling,and the periapical tissue healing after treatment may be faster than warm gutta⁃percha vertical condensation.