iRoot SP单尖法根管充填联合牙周基础治疗糖尿病患者慢性根尖周炎疗效观察

Curative Effect of iRoot SP Single Apex Root Canal Filling in Patients with Diabetes Mellitus and Chronic Periapical Periodontitis

目的:探究iRoot SP单尖法根管充填治疗糖尿病合并慢性根尖周炎患者的疗效及美学效果。方法:选取2020年8月-2022年12月笔者医院收治的120例糖尿病合并慢性根尖周炎患者,采用数字化随机法将其分为观察组和对照组,每组60例。对照组采用AHPlus+热牙胶垂直加压技术充填治疗,观察组采用iRoot SP单尖法根管充填治疗。观察比较两组患者根管充填时间、充填后1 d、3 d、5 d和7 d的疼痛VAS评分,充填前后根尖周指数(Periapical index,PAI)、充填后3个月的临床疗效,充填前后患者红色美学指数评分(Pink esthetic score,PES)和白色美学指数评分(White esthetic score,WES),充填前后患者的菌斑指数(Plaque index,PLI)、牙周袋探诊深度(Probing depth,PD)和龈沟出血指数(Sulcus bleeding index,SBI)。结果:对照组充填单位根管时间较观察组长,充填后1周内观察组患者PAI指数低于对照组,且充填后1 d、3 d、5 d、7 d的VAS评分低于对照组(P<0.05);充填后3个月,观察组的总有效率与对照组相当,差异无统计学意义(P>0.05);充填前,两组患者PES和WES评分比较,差异无统计学意义(P>0.05),充填后3个月,观察组患者PES和WES评分均高于对照组,PLI、PD及SBI均低于对照组(P<0.05)。结论:相较AHPlus+热牙胶垂直加压技术,iRoot SP单尖法充填治疗糖尿病慢性根尖周炎患者的充填效率更高,充填后疼痛感更轻,成功率更高,美学效果更显著,值得临床推广应用。

Objective To explore the curative effect and aesthetic effect of iRoot SP single apex root canal filling in patients with diabetes mellitus and chronic periapical periodontitis. Methods A total of 120 patients with diabetes mellitus and chronic periapical periodontitis admitted to the author's hospital were enrolled between August 2020 and December 2022. According to random grouping method, they were divided into observation group and control group, 60 cases in each group. The control group was treated with AH Plus+ warm vertical condensation, while observation group was treated with iRoot SP single apex root canal filling. The root canal filling time, VAS scores at 1 d, 3 d, 5 d and 7 d after filling, periapical index(PAI) before and after filling, clinical curative effect at 3 months after filling, pink esthetic score(PES) and white esthetic score(WES) before and after filling, plaque index(PLI), probing depth(PD) and sulcus bleeding index(SBI) in the two groups were observed and compared. Results The filling time of unit root canal in control group was longer than that in observation group. PAI in observation group was lower than that in control group within 1 week after filling, and VAS scores were also lower than those in control group at 1 d, 3 d, 5 d and 7 d after filling(P<0.05). At 3 months after filling, difference in total response rate between the two groups was not statistically significant(P>0.05). Before filling, PES and WES were similar in the two groups(P>0.05).At 3 months after filling, PES and WES in observation group were higher than those in control group, while PLI, PD and SBI were lower than those in control group(P<0.05). Conclusion Compared with AH Plus+ warm vertical condensation, iRoot SP single apex root canal filling has higher filling efficiency, milder pain after filling, higher success rate and more significant aesthetic effect in patients with diabetes mellitus and chronic periapical periodontitis.