老年人合创伤性根尖周炎临床治疗分析.docVIP

机用根管锉在老年患者牙合创伤性根尖周炎临床治疗应用分析 丁志江 杨兴华 陈岱韵 李俊福 【摘要】　目的　观察ProTaperfile机用系统在老年牙合创伤性根尖周炎患者中根管治疗的效果。方法　随机把需要进行治疗的牙合创伤性根尖周炎患者125例, 220颗患牙随分为机用大锥度proTaper镍钛锉治疗组（P组 前牙64颗，后牙42颗）和手用不锈钢K锉（H组 前牙73颗，后牙41颗）,P组用ProTaper机用镍钛锉冠根向逐步深入法预备管,H组用手用不锈钢锉逐步后退法预备根管,观察两组在根尖引流效果、调牙合效果、根管治疗的完善程度，治疗操作时间，根尖周破坏的愈牙合程度，牙齿有无折裂的差异。结果　P组根尖周炎治疗效果优于H组的预备效果, 具有差异性(P＜0.025);两组的充填时间P组优于H组(P0.01)。结论　ProTaper机用锉在老年牙合创伤性根尖周炎临床治疗中优于统手用不锈钢锉的临床治疗。 关键词 ProTaper机用镍钛锉；老年；创伤牙合；根尖周炎 The study of the Protaper file by Machine in elderly occlusal trauma patients of periapical inflammation in the clinical application DING Zhijiang1, YANG Xinghua2 . School of Dentistry of Xuzhou Medical College,Xuzhou 271000,P.R.China School of Dentistry of Taishan Medical College,Taian,271000,P.R.China [Abstract]　 Objection The goal observes ProTaperfile machine with the system the effect which the root canal treats in the old age occlusal trauma periapical inflammation patient. Methods random to carry on the treatment the occlusal trauma periapical inflammation patient 125 examples, 220 trouble tooth appropriate to ones station for machine with the big taper proTaper nickel titanium file treatment group (P group of front tooth 64, latter tooth 42) and the hand with the stainless steel K file (H group of front tooth 73, latter tooth 41), P group with ProTaper machine with the nickel titanium file crown roots to the thorough method preparation tube, H group gradually retrocedes gradually with the hand with the stainless steel file the law preparation root canal, observes two groups in the root point drainage effect, the adjust occlusion effect, the root canal treatment perfect degree, the treatment operating time, the root tip destroys recovers the clutch degree, the difference which whether there is the tooth broken.Results P group of root point week inflammation treatment result surpasses H group of preparation effect, has the difference (P 0.025); Two group of backfill time P group surpasses H group (P 0.01).Conclusion ProTaper ma