橡皮障隔离技术联合四手操作法对于提高牙髓炎根管治疗效果的研究

The effects of the rubber dam isolation technique combined with the four-handed operation on root canal treatment for pulpitis

目的探讨橡皮障隔离技术联合四手操作在牙髓炎根管治疗中的疗效。方法选取2021年1月至2022年12月接受根管治疗的牙髓炎患者进行单中心回顾性对照研究。将2022年1月前采用常规隔离技术(棉卷+大容量抽吸)行根管治疗的患者作为对照组,将2022年1月及之后采用橡皮障隔离技术的患者作为观察组。比较2组的根管治疗时间、根管治疗成功率及患者的治疗经验,以总治疗时间、治疗成功率和满意率作为主要指标。本研究资料采用独立样本t检验和χ^(2)检验进行统计分析。结果共有84例成年牙髓炎患者[男50例,女34例,平均年龄为(40.70±12.55)岁]入组。观察组的总治疗时间较对照组短[(45.29±4.77)min vs.(51.36±5.54)min,P<0.001]。观察组的根管治疗成功率显著高于对照组(97.62%vs.83.33%,P<0.05)。观察组患者的满意率显著高于对照组(97.62%vs.80.95%,P<0.05)。结论橡皮障隔离技术联合四手操作可有效缩短牙髓炎患者的根管治疗时间,降低感染风险,提高治疗成功率和患者满意度。

Objective To assess the efficacy of the rubber dam isolation technique combined with four-handed operation in root canal treatment of pulpitis.Methods This study is designed as a single-center retrospective control study of patients with pulpitis who underwent root canal treatment from January 2021 to December 2022.Before January 2022,the conventional isolation technique(cotton roll and high-volume evacuation)was offered in root canal treatment to the patients who were assigned to the control group.After January 2022,the rubber dam isolation technique was offered to the patients who were assigned to the observation group.The two groups were compared in terms of root canal treatment time,success rate of root canal treatment,and patient experience with therapy.The overall treatment time,treatment success rate,and satisfaction rate served as the primary indicators.Statistically,independent sample t-tests and Chi-square test were used to analyze the data in this study.Results Eighty-four adult patients with pulpitis(50 males and 34 females,average age of[40.70±12.55]years)were enrolled in the study.The observation group required shorter overall treatment time than the control group([45.29±4.77]min vs.[51.36±5.54]min,P<0.001).The success rate of root canal treatment was significantly higher in the observation group than in the control group(97.62%vs.83.33%,P<0.05).The observation groups satisfaction rate was remarkably higher than the control groups(97.62%vs.80.95%,P<0.05).Conclusion Combining the rubber dam isolation technique with the four-handed operation can effectively shorten the root canal treatment time,reduce the risk of infection,and improve the treatment success rate and patient satisfaction rate.