不同根管预备方法对老年人磨牙根管治疗期间急症的效果分析.pdfVIP

·临床研究· 2 0 1 3 年 1 1 月 第 3 卷 第 2 2 期 不同根管预备方法对老年人磨牙 根管治疗期间急症的效果分析 沈务农 江苏省溧阳市妇幼保健院口腔科，江苏溧阳 213300 [摘要] 目的 研究不同根管预备方法对老年人磨牙根管治疗期间急症发生率的影响，为临床推广提供事实依据。 方法 将选取 2010 年 3 月～ 2013 年 3 月 408 例来本院口腔科行磨牙根管治疗的老年患者，分为研究 A 组和对照 B 组，每组 204 例，A 组采用改良双敞法预备根管，B 组采用逐步后退法预备根管，记录相关因素，比较各组 EIAE 发 生率。 结果 研究 A 组 EIAE 发生率明显低于对照 B 组，差异有统计学意义（P ＜ 0.05），下颌磨牙根管治疗期间急 症的比例高于上颌磨牙，死髓牙根管治疗期间急症的比例高于活髓牙。 结论 采用改良双敞法进行根管预备能一 定程度上降低老年人磨牙 EIAE 发生。 [关键词] 根管治疗期间急症；根管预备；疼痛 [中图分类号] R781.05      [文献标识码] B      [文章编号] 2095-0616（2013）22-174-02 Study on the incidence of EIAE resulting from using the different root canal preparation in root canal therapy for the elderly SHEN  Wunong Department of Stomatology, MCH of Liyang City, Liyang 213300, China [Abstract] Objective To study the incidence of EIAE resulting from using the different root canal preparation in root canal therapy for the elderly. Methods 408 elder cases coming to hospital dentistry were selected to have molar root canal treatment from March 2010 to March 2013，patients were randomly divided into study group A and control group B equally, with group A used open method of preparing a modified dual root canal and group B used step-back technique root canal. The related factors were recorded. The incidences of EIAE were statistically analyzed. Results Group As incidence of EIAE was significantly lower than control group Bs, the difference was statistically significant (P ＜ 0.05). Conclusion Open method using a modified double root canal preparation can reduce the incidence of elderly molars EIAE, We should promote it. [Key words] Endodontic interappointmente mergency; Root canal therapy; Pain 根 管 治 疗 期 间 急 症（endodonticinterappointment 按统计学研究方法随机等分为研究 A