冷牙胶侧方加压充填法与热牙胶根管充填治疗牙髓病和根尖周病对NRS评分咀嚼功能及并发症的影响

Effect of Cold Lateral Condensation and Warm Vertical Condensation on NRS Score Masticatory Function and Complications in the Treatment of Pulpitis and Periapical Disease

目的:观察冷牙胶侧方加压充填法(CLC)与热牙胶根管充填(WVC)治疗牙髓病和根尖周病对NRS评分、咀嚼功能及并发症的影响。方法:选取2021年1月至2023年12月本院接受治疗的牙髓病和根尖周病患者115例,以填充材料的不同分为对照组55例接受CLC治疗,试验组60例接受WVC治疗。比较两组治疗后的临床效果和填充效果、治疗前后疼痛数字评分量表(NRS)评分、咬合力、咀嚼功能、牙周状态[牙龈指数(GI)、龈沟出血指数(SBI)],对比两组并发症发生情况。结果:治疗后,试验组临床总有效率96.67%高于对照组83.74%(P<0.05);试验组治疗后恰填比例高于对照组(91.67%vs 65.45%,P<0.05);试验组NRS评分治疗前后差值2.54±0.41分高于对照组1.38±0.56分,差异具有统计学意义(P<0.05);治疗后,试验组咬合力、咀嚼功能评分治疗前后差值49.22±7.79 lbs、10.86±1.05分高于对照组26.53±3.61 lbs、5.34±0.59分,差异具有统计学意义(P<0.05);试验组GI、SBI评分治疗前后差值1.33±0.15分、1.04±0.13分高于对照组1.05±0.14分、0.88±0.08分,差异具有统计学意义(P<0.05);治疗后,试验组并发症发生率低于对照组(P<0.05)。结论:与CLC相比,WVC能够提高牙髓病、根尖周病临床治疗效果和根管填充效果,缓解疼痛,促进牙齿实用度与牙周状态恢复,且并发症发生率低。

Objective:To observe the effects of cold lateral condensation(CLC)and warm vertical condensation(WVC)on scores of Numerical Rating Scale(NRS),masticatory function and complications in pulposis and periapical disease.Methods:A total of 115 patients with pulposis and periapical disease treated in the hospital were enrolled between January 2021 and December 2023.According to different filling materials,they were divided into a control group(55 cases,CLC)and an experimental group(60 cases,WVC).The clinical effect and filling effect after treatment,scores of NRS,bite force,masticatory function and periodontal status[gingival index(GI),sulcus bleeding index(SBI)]before and after treatment,and the occurrence of complications were compared between the two groups.Results:After treatment,total clinical response rate in the experimental group was higher than that in the control group(96.67%vs 83.74%,P<0.05).After treatment,proportion of appropriate filling in the experimental group was higher than that in the control group(91.67%vs 65.45%,P<0.05),and difference value of NRS score before and after treatment was greater than that in control group(2.54±0.41 points vs 1.38±0.56 points,P<0.05).After treatment,difference values in scores of bite force and masticatory function in the experimental group were greater than those in the control group(49.22±7.79lbs,10.86±1.05 points vs 26.53±3.61lbs,5.34±0.59 points,P<0.05),and difference values in scores of GI and SBI were greater than those in control group(1.33±0.15 points,1.04±0.13 points vs 1.05±0.14 points,0.88±0.08 points,P<0.05).After treatment,incidence of complications in the experimental group was lower than that in the control group(P<0.05).Conclusion:Compared with CLC,WVC can improve clinical curative effect and root canal filling effect,relieve pain,promote the recovery of dental practicability and periodontal status in patients with pulposis and periapical disease,which has low incidence of complications.