氢氧化钙髓腔封药治疗年轻恒牙牙髓感染的效果

Effect of calcium hydroxide pulp cavity sealing in the treatment of dental pulp infection in young permanent teeth

目的分析氢氧化钙髓腔封药治疗方案对年轻恒牙牙髓感染牙体修复的促进价值。方法选取2018年2月至2021年3月收治的60例年轻恒牙牙髓感染患者为研究对象,依据编号的奇偶性将其分为对照组和观察组,各30例。对照组行三联抗生素髓腔封药治疗,观察组在对照组基础上加氢氧化钙治疗。比较两组的治疗效果。结果观察组的治疗总有效率略高于对照组,但差异无统计学意义(P>0.05)。治疗后,两组的根管壁厚度与牙根长度均增加,根尖孔直径与菌斑指数(PLI)评分均降低,且观察组优于对照组(P<0.05)。治疗后,两组的牙周咬合力与牙齿咀嚼功能均升高,牙龈指数(GI)与牙龈出血指数(BI)评分均降低,且观察组优于对照组(P<0.05)。观察组的不良反应总发生率略低于对照组,但差异无统计学意义(P>0.05)。结论氢氧化钙髓腔封药治疗年轻恒牙牙髓感染的效果优于三联抗生素髓腔封药治疗,但两者均有助于改善患者的恒牙牙体修复质量,提升口腔功能恢复效果,值得推广。

Objective To analyze the promotion value of calcium hydroxide pulp cavity sealing treatment on dental restoration for dental pulp infection in young permanent teeth.Methods A total of 60 patients with dental pulp infection in young permanent teeth admitted from February 2018 to March 2021 were selected as the research objects.According to the parity of the number,the patients were divided into control group and observation group,with 30 cases in each group.The control group was treated with triple antibiotics pulp cavity sealing,and the observation group was treated with calcium hydroxide on the basis of the control group.The therapeutic effects of the two groups were compared.Results The total effective rate of treatment in the observation group was slightly higher than that in the control group,but the difference was not statistically significant(P>0.05).After treatment,the root canal wall thickness and root length of the two groups increased,the apical foramen diameter and plaque index(PLI)score decreased,and those in the observation group were better than the control group(P<0.05).After treatment,the periodontal bite force and tooth chewing function of the two groups increased,the gingival index(GI)and bleeding index(BI)scores decreased,and those in the observation group were better than the control group(P<0.05).The total incidence of adverse reactions in the observation group was slightly lower than that in the control group,but the difference was not statistically significant(P>0.05).Conclusion Calcium hydroxide pulp cavity sealing in the treatment of dental pulp infection in young permanent teeth is better than that of triple antibiotic pulp cavity sealing,but both of them are helpful to improve the quality of permanent teeth restoration,and improve the recovery effect of oral function,which is worth promoting.