ProTaper Universal联合丁克除应用于根管再治疗临床研究.docVIP

ProTaper Universal联合丁克除应用于根管再治疗临床研究 　　【摘要】 目的：探讨高效快速去除根管内牙胶等充填材料的临床方法。方法：选取80个根管欠充填需行再治疗的单根管上颌切牙和下颌前磨牙，随机分为四组，为H锉+丁克除（Desocclusol）组、H锉组、ProTaper+丁克除组、ProTaper组。四组分别使用手用H锉或ProTaper Universal机用镍钛根管预备器械，联合或不联合使用丁克除牙胶尖辅助溶剂去除根管内牙胶充填材料，疏通根管并进行根管再预备，使用冷牙胶侧方加压技术充填根管。分别计算每组根管内残留充填物的百分比，记录从器械开始进入根管到根管再预备完成所使用的时间，对治疗期间患者的术后反应进行评分，最后进行统计学分析，术后2年随访评价远期疗效。结果：在各组中无论是否联合使用丁克除进行根管再治疗，根管残留充填材料百分比比较，差异均无统计学意义（P0.05），患者的术后反应比较，差异亦均无统计学意义（P0.05）；而联合丁克除的使用能显著缩短再治疗的操作时间，差异均有统计学意义（P0.01）。使用ProTaper的两组与使用H锉的两组相比，再治疗后根管残留充填材料明显减少，再治疗操作时间显著缩短，患者术后反应显著减轻，差异均有统计学意义（P0.01）。结论：在根管再治疗中，应用ProTaper Universal联合丁克除能显著增加根管的清洁度，减少再治疗的临床操作时间。 　　【关键词】 ProTaper Universal； 丁克除； 根管再治疗 　　中图分类号 R781.05 文献标识码 A 文章编号 1674-6805（2016）25-0013-03 　　【Abstract】 Objective：To investigate the clinical methods of high efficiency and rapid removal of the root canal filling materials.Method：Eighty incompletely filled maxillary incisors and mandibular premolars with single canal were selected and randomly divided into 4 groups，H-file+Desocclusol group，H-file group，ProTaper+Desocclusol group and ProTaper group.Four groups were used in military with nickel titanium root canal instruments for H-file or ProTaper Universal machine，combined or not combined with Desocclusol removing gutta percha assisted solvent removal of root canal in gutta-percha filling material，root canal dredging and root canal preparation，using cold lateral condensation of gutta percha root canal filling pressure method.The percentage of residual fillings in each group were calculated，recording the time from the device to the root canal to the root canal and then ready to complete the use，the postoperative reaction of the patients during the treatment period were scored，finally carries on the statistics analysis，after 2 years of follow-up evaluation of long-term efficacy.Result：In all groups regardless of whether the joint use of Desocclusol except for root canal treatment，root canal residual filling material percentage comparison，the differences were n