一次性根管填充与传统多次根管填充治疗急性牙髓炎临床比较.docVIP

一次性根管填充与传统多次根管填充治疗急性牙髓炎临床比较 　　【摘要】 目的 探讨给予急性牙髓炎患者一次性根管填充与传统多次根管填充治疗的效果。方法 90例（107颗患牙）急性牙髓炎患者， 随机分为观察组（54颗患牙）和对照组（53颗患牙）， 各45例。对照组给予多次根管填充治疗， 观察组给予一次性根管填充治疗。对比分析两组治疗效果。结果 观察组近期治疗的总有效率96.3%与对照组98.1%比较差异无统计学意义（P0.05）；观察组远期治疗的总有效率98.1%与对照组94.3%比较差异无统计学意义（P0.05）。结论 在严格掌握根管填充治疗的适应证和禁忌证情况下， 给予急性牙髓炎患者一次性根管填充治疗效果较好， 可明显减少就诊次数， 减轻牙髓症状， 降低根管再次感染的几率， 且近、远期疗效与多次根管填充治疗相当。 　　【关键词】 一次性根管填充；多次根管填充；急性牙髓炎 　　DOI：10.14163/j.cnki.11-5547/r.2017.07.013 　　Clinical comparison of one-time root canal filling and traditional multiple root canal filling in the treatment of acute pulpitis DENG Ji-en. Sichuan Province Nanchong City Shunqing District Maternal and Child Care Service Center， Nanchong 637000， China 　　【Abstract】 Objective To explore the effect of acute pulpitis patients treated with one-time root canal filling and traditional multiple root canal filling. Methods A total of 90 acute pulpitis patients （107 involved teeth） were randomly divided in to observation group （54 involved teeth） and control group （53 involved teeth）， with 45 cases in each group. The control group received multiple root canal filling for treatment， and the observation group received one-time root canal filling for treatment. Treatment effect was compared and analyzed in two groups. Results The observation group had no statistically significant difference in total effective rate of short-term treatment as 96.3%， comparing with 98.1% in the control group （P0.05）. The observation group had no statistically significant difference in total effective rate of long-term treatment as 98.1%， comparing with 94.3% in the control group （P0.05）. Conclusion Under the circumstance of strict control of root canal filling treatment indications and contraindications， one-time root canal filling treatment shows good treatment effect in treating acute pulpitis， which can significantly reduce visits times， relieve pulp symptoms， decrease root canal re-infection rate， and it had equal short-term and long-term curative effect comp