氢氧化钙碘仿糊剂及抗生素糊剂对慢性根尖周炎疗效观察.docVIP

氢氧化钙碘仿糊剂及抗生素糊剂对慢性根尖周炎疗效观察[摘要]目的：探讨氢氧化钙碘仿糊剂对控制慢性根尖周炎顽固性疼痛的临床治疗效果。方法：选择反复疼痛、无急性渗出的根尖周炎患者92例（125颗）。采用氢氧化钙碘仿糊剂65颗，抗生素糊剂60颗作治疗性根管封药。观察随访3个月～2年，评价其疗效。结果：治疗后近期、6个月及12个月疗效成功率氢氧化钙碘仿糊剂分别为76.9%、89.5%和91%，抗生素糊剂为48.3%、87%和88.9%，氢氧化钙碘仿糊剂的近期治愈率明显高于抗生素糊剂（P＜0.05）。6个月后两组差异不显著。结论：对疼痛性难治性根尖周炎用氢氧化钙碘仿糊剂作暂时充填，可取得较好的疗效。 [关键词]氢氧化钙碘仿糊剂；慢性根尖周炎；疼痛 [中图分类号]R782 [文献标识码]A [文章编号]1008-6455（2008）07-1062-03 The therapeutic study of Ca(OH)2 iodoform paste and antibiotic paste on periodontitis JING Bin1，DONG Yan2 (1.Department of Dentistry, People’s Hospital of bozhou,Bozhou 236800,Anhui China; 2.Department of Dentistry, the Second Affiliated Hospital of Medicine College,Zhejiang University) Abstract:ObjectiveTo discuss the clinical therapeutic effect of Ca(OH)2 iodoform paste on pain control caused by chronic periapical periodontitis. Methods 125 teeth of 92 cases with repeated pain, none-acute exudation refractory periapical periodontitis were chosen, 65 were treated by Ca(OH)2 iodoform paste and the other 60 were treated by antibiotic paste for the temporary therapeutic filling. The therapeutic effects were observed for a different time span from 3 months to 2 years. Results After treatment of 6months and 12months, the curing efficiency of Ca(OH)2 iodoform paste were 89.5% and 91% respectively. While the efficiency of the antibiotic paste were 87% and 88.9%. The curing rates of the former groups were quite higher than that of the latter ones. Conclusion To use of Ca(OH)2 iodoform paste could get a better therapeutic effect on the refractory periapical periodontitis. Key words:Ca(OH)2 iodoform paste;chronic periapical periodontitis;pain 慢性根尖周炎病程长，复诊次数多。根管预备后，若常规采用甲醛甲酚、碘酊或木馏油消毒根管常需要3次以上，部分病例仍有叩痛或咬合痛。为此，我们采用氢氧化钙碘仿糊剂做根管消毒剂，经长期观察，90%以上患者的症状消失。与抗生素糊剂对比，疗效更优。 1资料和方法 1.1病例选择：患者92例（男38例，女54例），年龄18～75岁，前牙67颗, 前磨牙36颗，磨牙22颗，共125颗。纳入标准：反复不愈的咬合痛，无明显渗出与窦道。根尖X线片显示根尖阴影（平均直径为1.9mm）。经过根管预备、开放引流及封甲醛甲酚或碘酊或木馏油3～5次以上，咀嚼痛、叩痛等症状仍不能消除者。 1.2材料：80％氢氧化钙粉剂（上海张江生物材料厂）,粉状碘仿（20％），0.5%丙二醇,99%蒸馏水,0.5%地