纳米羟基磷灰石与碘仿氧化锌丁香油糊剂在牙体牙髓病患者治疗中的应用对比

Comparison of nano hydroxyapatite and iodoform zinc oxide clove oil paste in the treatment of patients with dental pulp disease

目的:对比纳米羟基磷灰石和碘仿氧化锌丁香油糊剂分别在牙体牙髓病患者根管治疗中的临床疗效,为根管治疗填充物的选择提供经验。方法:选取2020年1月至2021年1月在信阳市人民医院就诊的90例牙体牙髓病患者作为研究对象,依照随机数字表法将其分为对照组和观察组,各45例。两组患者均接受根管治疗,其中对照组采用碘仿氧化锌丁香油糊剂作为根管填充剂;观察组采用纳米羟基磷灰石作为根管填充剂。治疗完成后,对比两组患者临床疗效、咀嚼能力、咬合力、牙龈指数(Gingival index,GI)、出血指数(Bleeding index,BI)、牙齿松动度(Toothmobility degree,TMD)等指标,观察两组治疗后不良反应发生情况。结果:观察组治疗总有效率明显高于对照组(P<0.05);观察组咀嚼效率和咬合力数值明显较对照组高,GI、BI、TMD数值明显较对照组低(P<0.05);观察组满意、基本满意例数明显较对照组多,满意度明显较对照组高(P<0.05);两组患者不良反应发生率无明显差异(χ^(2)=0.809,P=0.368)。结论:相较于碘仿氧化锌丁香油糊剂,纳米羟基磷灰石更适合牙体牙髓病患者的治疗,可缓解患者的牙龈肿胀和疼痛,提高咀嚼效率,降低不良反应发生。

Objective:To compare the clinical efficacy of nano hydroxyapatite and iodoform zinc oxide clove oil paste in root canal therapy of patients with dental pulp disease,and provide experience for the selection of root canal therapy filler.Methods:A total of 90 patients with dental pulp disease who were treated in Xinyang People's Hospital from January 2020 to January 2021 were selected as the study subjects,and they were divided into control group and observation group according to the method of random number table,with 45 patients in each group.Both groups received root canal therapy.The control group used iodoform zinc oxide clove oil paste as root canal filler.The observation group used nano hydroxyapatite as root canal filler.After treatment,the clinical efficacy,masticatory ability,bite force,gingival index(GI),bleeding index(BI),tooth mobility(TMD)and other indicators of the two groups were compared,and the adverse reactions after treatment were observed.Results:The total effective rate of treatment in the observation group was significantly higher than that in the control group(P<0.05).The masticatory efficiency and bite force of the observation group were significantly higher than those of the control group,and the GI,BI,TMD values were significantly lower than those of the control group(P<0.05).The number of cases of satisfaction and basic satisfaction in the observation group was significantly higher than that in the control group,and the satisfaction was significantly higher than that in the control group(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(χ^(2)=0.809,P=0.368).Conclusion:Compared with iodoform zinc oxide clove oil paste,nano hydroxyapatite is more suitable for the treatment of patients with dental pulp disease,which can relieve patients'gingival swelling and pain,improve chewing efficiency and reduce adverse reactions.