慢性根尖周炎一次性根管治疗临床探究.docVIP

慢性根尖周炎一次性根管治疗临床探究摘 要 目的：探讨慢性根尖周炎患者进行一次性根管治疗术的临床效果。方法：慢性根尖周炎患者40例，常规开髓，清理髓室，清除髓室,拔髓用5.25%次氯酸钠溶液，选K锉探查根管，双敞改良技术进行根管预备，并用平衡力法，每换一号器械交替用0.5%次氯酸钠溶液和17% EDTA冲洗根管。随机分为两组，一次性根管治疗组操作完成后即用牙胶尖蘸树脂类封闭,多次根管治疗组根管预备后封入氢氧化钙糊剂。结果：A组优为85%，B组为90%，两组成功率比较无统计学意义（P＞0.05）。两组间在术后1天疼痛的发生率A组为45%，B组为25%，两组间比较有统计学意义（P＜0.05），在术后7、30天的疼痛发生率比较则无统计学意义（P＞0.05）。结论：一次性根管治疗是临床一种安全有效的方法 关键词 慢性根尖周炎 一次性根管治疗 根管预备 疗效 AbstractObjective:To explore the root ZhouYan patients with chronic one-time root canal therapy technique the clinical effect.Methods:patients with chronic root ZhouYan 40 cases.Conventional open pulp,clean pulp chamber,remove pulp chamber,pull out pulp,adopting sodium hypochlorite solution with 5.25% probe root canal,K file modified two open technology for root canal preparation and adopt balanced force method,each replacement no.1 instrument by 0.5% sodium hypochlorite solution and 17% EDTA alternate flushing tube.The random were divided into two groups:one-time root canal therapy group operation after completion of glue,pointed teeth unmature dip colophony kind closed,multiple root canal therapy group root canal prepare calcium hydroxide after sealing into paste 1 week time.Results:A group of optimal for 83.7% group B is optimal for 90.1%,two composition power is no statistical difference（P＞0.05）.Between the two groups in the incidence of postoperative pain 1d group A,B group for 44.1% is 23.5%,there were significant differences between the two groups（P＜0.05）,in postoperative pain incidence 30d 7d,there were no significant difference（P＞0.05）.Conclusion:Oone-time root canal therapy is clinical a safe and effective method. Key Wordschronic periapical periodontitis;Immediate root canal filling;Root canal prepare;Therapeutic effect 为探讨慢性根尖周炎患者进行一次性根管治疗术的临床效果，评价根管治疗成功率和疼痛的发生率，为临床寻求一种安全有效的方法，2008年6月～2010年12月收治40患者进行临床观察。现总结报告如下 资料与方法 一般资料：选择慢性根尖周炎患者40例，其中男28例，女12例，年龄21～78岁，平均45.3岁。有一颗患牙需行根管治疗者，患牙为直根管，无牙周病，无钙化；治疗前X线片示根尖暗影直径＜5mm。40例患者分成一次性根管治疗组（A组）和多次根管治疗组（B组），每组各20例，两组年龄、性别、病灶等方面差异均