超声下根管内次氯酸钠荡洗联合Vitapex糊剂对乳牙牙髓炎的应用效果分析

Analysis of the Application Effect of Sodium Hypochlorite Rinsing Combined with Vitapex Paste in the Treatment of Pulpitis in Deciduous Teeth Under Ultrasound

目的:探讨在乳牙牙髓炎根管治疗中采取次氯酸钠荡洗冲洗根管与合Vitapex糊剂填充的联合应用效果。方法:前瞻性选取2022年6月到2023年6月收治的80例乳牙牙髓炎患儿,分为观察组与对照组,各40例。对照组患儿治疗过程中采取常规生理盐水进行根管冲洗,并以常规氢氧化钙糊剂作为根管填充材料,观察组患儿治疗过程中采取超声下根管内次氯酸钠荡洗,并以Vitapex糊剂作为根管填充材料。对比两组患儿近远期疗效,治疗前后炎症因子水平变化,对比两组患儿疼痛持续时间、细菌减少率及根管预备前后菌落计数,最后对比牙周健康指标水平。结果:观察组近远期总有效率高于对照组(P<0.05);治疗后两组患儿IL-10、IL-2水平升高,CRP、TNF-α水平降低,观察组与对照组比较有差异(P<0.05);观察组疼痛消失时间、根管预备后菌落计数明显低于对照组,且细菌减少率高于对照组(P<0.05);治疗后两组患儿PD、BI、PLI水平降低,观察组较对照组低(P<0.05)。结论:对乳牙牙髓炎患儿在根管治疗过程中采用超声下根管内次氯酸钠荡洗联合Vitapex糊剂可提升其近远期疗效,降低机体炎症反应,减少疼痛持续时间,具有良好的清洁效果及抗菌效果,进一步改善患儿牙周健康水平。

Objective:Exploring the combined application effect of sodium hypochlorite rinsing and Vitapex paste filling in the treatment of pulpitis in deciduous teeth.Methods:Predicted selection of 80-children with primary pulpitis from June 2022 to June 2023,randomly divided into an observation group and a control group using a random number table method,with 40 cases in each group.During the treatment process,the control group children were treated with conventional physiological saline solution for root canal irrigation,and conventional calcium hydroxide paste was used as root canal filler.During the treatment process,the children of the observation group were treated with sodium hypochlorite in the root canal under ultrasound,and Vitapex Paste was used as a root canal filler.Compare the short-and long-term therapeutic effects of two groups of children,the changes in inflammatory cytokine levels before and Post-treatment,the duration of pain,bacterial reduction rate and colony number before and after root canal preparation between the two groups of children and finally compare the levels of periodontal health indicators.Results:The effective overall rate of the observation group was higher in the short and long term than that of the control group(P<0.05);Post-treatment,both children had increased IL-10 and IL-2 levels and decreased CRP and TNF-αlevels,which were different when comparing the observed group with the control group(P<0.05);The observation group showed a significantly lower pain relief time and bacterial count after root canal preparation compared to the control group and a higher bacterial reduction rate than the control group(P<0.05);Post-treatment,PD,BI and PLI levels were decreased in the two groups,while the observation group was lower compared with the control group(P<0.05).Conclusion:The use of sodium hypochlorite combined with Vitapex paste during root canal treatment for children with pulpitis of deciduous teeth can improve their short-term and long-term therapeutic effects,reduce the body's inflammatory response,reduce the duration of pain,have good cleaning and antibacterial effects,and further improve the periodontal health level of children.