Reciproc和Mtwo两种镍钛根管预备系统在下颌第一磨牙一次法根管治疗术中应用对比.docVIP

Reciproc和Mtwo两种镍钛根管预备系统在下颌第一磨牙一次法根管治疗术中应用对比 　　[摘要]目的 评价应用Reciproc和Mtwo两种镍钛根管预备系统在下颌第一磨牙一次法根管治疗术中的效果差异。方法 选择2015年6月～2016年6月在我院行下颌第一磨牙一次法根管治疗术的72例患者，随机分为R组和M组，各组36例分别在基础治疗之上采用Reciproc和Mtwo两种镍钛根管预备系统进行根管预备后行根管填充，术后随访6个月，比较两组患者根管预备时间、根管预备并发症（如髓腔穿孔、台阶和器械折断）、根管填充情况和根管治疗约诊间痛（EIAP）以及术后6个月的疗效差异。结果 R组和M组的根管准备时间分别为（120.23±38.67） s和（72.82±36.22） s，R组的EIAP发生率和疼痛程度明显低于M组，差异有统计学意义（P0.05）。结论 与Mtwo镍钛；根管预备系统相比，在下颌第一磨牙一次法根管治疗术中应用Reciproc镍钛根管预备系统的根管准备时间较短，患者疼痛反应较小，而临床疗效无统计学差异，值得推广。 　　[关键词]根管准备；Reciproc；Mtwo；下颌第一磨牙 　　[中图分类号] R781.05 [文献标识码] A [文章编号] 1674-4721（2017）06（b）-0092-03 　　[Abstract]Objective To observe the comparison of therapeutic effects with Reciproc and Mtwo root canal preparation system in one time instant root canal filling for mandibular first molar.Methods From June 2015 to June 2016，72 patients for one time instant root canal filling for mandibular first molar in our hospital were randomly divided into R group and M group，36 cases in each group.R group and M group were treated by Reciproc and Mtwo root canal preparation system，the root canal preparation time，complications（such as perforations， ledge and broken instruments）， correct fill-in rate，endodontic interappointment pain and total efficacy were comparatively analyzed.Results The root canal preparation time in R group and M group was （120.23±38.67） s and （72.82±36.22） s，the EIAP rate and VAS score in R group were significantly lower than those in M group （P0.05）.Conclusion In contrast with Mtwo root canal preparation system，using the Reciproc root canal preparation system in one time instant root canal filling for mandibular first molar can significantly shorten the root canal preparation time，obviously reduce the endodontic interappointment pain，both groups can achieve good clinical effect. 　　[Key words]Root canal preparation；Reciproc；Mtwo；Mandibular first molar 　　牙髓和根尖周疾病是常?的口腔疾患，表现为自发性疼痛和冷热刺激痛，给患者带来很大的痛苦，严重影响患者的生活质量。根管治疗是治疗牙髓和根尖周疾病的重要手段，在消除炎症的同时可有效保留患牙，减轻了患者的痛苦经历[1]。根管预备是根管治疗前疏通根管，清洁杂质的重要环节，对根管治疗的成功与否有着至关