牙齿残冠根管治疗后修复与拔除后种植修复对比研究及对患者VAS的影响

A comparative study of restoration of residual crown root canal after treatment and implant restoration after extraction and its effect on VAS in patients

目的:对比牙齿残冠患者根管治疗后修复与拔除后种植修复效果及对患者VAS的影响。方法:将我院于2016年1月～2018年1月收治的60例需行口腔治疗的牙齿残冠患者,根据不同治疗方法分为观察组和对照组。观察组给予牙齿残冠根管治疗后修复的方法,对照组采用牙齿残冠拔除后治疗修复的方法。对两组患者的治疗后效果及视觉模拟评分(visual analogue scale,VAS)进行对比。结果:两组患者治疗后3个月,对比牙根稳定性、牙齿是否松动、修复体固定效果、咀嚼功能四个方面,观察组效果优于对照组,数据差异有统计学意义(P<0.05)。根管治疗后修复的患者满意率为83.3%,拔除后种植修复的患者满意率为66.7%,差异有统计学意义(P<0.05)。两组视觉模拟评分(visual analogue scale,VAS)对比显示,两组患者随距离治疗时间的延长,疼痛程度均明显减轻,相比而言观察组疼痛程度较轻,疼痛减轻更快,患者舒适度更高。结论:牙齿残冠根管治疗后修复与拔除后种植修复相比,前者疼痛较轻,效果更佳,值得优先选择。

compare the clinical effect of root canal repair after root canal therapy and implant repair after extubation,and the difference of VAS in patients with residual crown.Methods:From January 2016 to January 2018,60 patients with residual crown were divided into observation group and control group.The observation group was treated with residual crown root canal and the control group was treated with tooth residual crown extraction.The visual analogue scale and visual analogue score(VAS)were compared between the two groups.Results:Three months after treatment,the clinical effects of the observation group were better than those of the control group in four aspects:root stability,loosening of teeth,fixation effect of prosthesis and masticatory function(P<0.05).The satisfaction rate of the patients repaired after root canal therapy was 83.3%,and that of the patients with implant repair after extraction was 66.7%.The difference was statistically significant(P<0.05).VAS of the two groups showed that the pain degree was significantly reduced with the prolongation of the distance treatment time,but the pain degree of the observation group was lighter,the pain relief was faster,and the comfort degree of the patients was higher.Conclusion:The former has less pain and better effect than that after extraction,so it is worth choosing first.