氢氧化钙与甲醛甲酚用于根管封药的效果比较.pdfVIP

主旦基星医堑婴!!生i旦复!Q鲞笙!Q塑垦!堕』望里丛型坠婴!丛型!!!!：∑生：垫：塑!：!Q ·1495· 氢氧化钙与甲醛甲酚用于根管封药的 效果比较 黄宇文 【摘要】 目的比较根管预备后分别采用氢氧化钙糊剂与甲醛甲酚(FC)棉捻进行根管封药的治疗效 果。方法选择诊断为慢性根尖周炎行前牙根管治疗的患者共283例(共388颗牙)。常规开髓、拔髓，根管 预备后分别采用氢氧化钙与甲醛甲酚进行根管封药，氢氧化钙组患牙采用螺旋输送器将氢氧化钙糊剂输送 入根管内并充满根管，甲醛甲酚组患牙根管干燥后内置甲醛甲酚棉捻，封药后棉球、丁香油氧化锌糊剂暂封。 l周后复诊，观察并比较封药后治疗效果。结果采用氢氧化钙进行根管封药的总有效率为96．39％，采用 FC棉捻封药的总有效率为79，90％，氢氧化钙组的总有效率明显高于FC组(x2=53．792，P0．05)o 结论采用氢氧化钙进行根管封药安全性较好，对根尖周组织的刺激性小，疗效可靠，值得临床推广。 【关键词】氢氧化钙；甲醛甲酚；根管治疗；根管封药 of effect inrootcanal the 0feaidm andformocresol Analysis hydroxide applied sealingmeeHcine胁螂YmverL First 510180，China DepartmentofStomatology，thePeople’5HospitalofGuangdong，Guangzhou，Guangdong To thetreatmenteffectofcalcium andformocresolinroot 【Abstract】Objectivecompare hydroxide applied canaldisinfectionafterrootcanal 283 with388teeth aschronic patients diagnosed periapical preparation．Methods and were after of removedandroot wereselected．Calcium formocresol applied chamber，pulp hydroxide openingpulp canal Was into rootcanalscrew tofilltherootcanalincalcium preparation．Calciumhydroxidepipedthe by conveyor formocresolcottontwistWassettedintherootcanalafterdriedinformocresol hydr嘲degroup，and group．Tampons andZOEwereusedfor closure．Treatmenteffectsinboth were inaweek．ResultsThe temporary groupscompared totaleffectiverateincalcium was 79．90％informocresol totaleffective hydroxidegroup96，39％，while group．The rateincalcium thanthatinformocresol Calci- hydroxidegroupw弘hi#er group(f=53．792，Po．05)．Conclusion was tissueirr