探讨慢性牙髓炎根尖周炎一次法根管充填治疗方法和效果.docVIP

探讨慢性牙髓炎根尖周炎一次法根管充填治疗方法和效果 　　doi：10.3969/j.issn.1007-614x.2014.2.39 　　摘 要 目的：探讨使用一次法根管充填治疗慢性牙髓炎及根尖周炎的方法及疗效。方法：收治慢性牙髓炎、根尖周炎患者288例，随机均分成对照组和治疗组，每组144例，并给予治疗组一次性根管充填法进行治疗，对照组则给予多次法根管充填进行治疗，治疗结束后，对两组的各项指标及有效率进行观察。结果：通过对治疗结果进行分析可知，两组在疼痛消失时间及使用抗生素使用天数上并无较大差异，但是在复诊次数、完成治疗天数差异却有统计学意义（P0.05）具有统计学意义。结论：使用一次法根管充填治疗慢性牙髓炎及根尖周炎较之多次法具有疗程短、复诊率低的优势，如果对适应症进行有效的控制可以很好的避免疼痛，具有良好的治疗效果。 　　关键词 慢性牙髓炎 根尖周炎 一次法根管充填法 治疗效果 　　Study of one visit root canal therapy method and effect on chronic pulpitis， periapical periodontitis 　　Lv Wenxia，Wang Ying，Ma Lingxia 　　Henan province，Hui county people’s hospital，Stomatology Department，456300 　　Abstract Objective：To explore the one visit root canal therapy method and effect on chronic pulpitis，periapical periodontitis.Methods：288 patients suffering from chronic pulpitis，periapical periodontitis were randomly divided into control group and treatment group，144 patients in each group.Treatment group were treated with one-visit root canal therapy.Control group were treated with multiple-visit root canal therapy.The indexes and efficiency were observed after treatment.Results：Analysis on the treatment results reveal that there were no differences in time of pain disappeared and days of antibiotic using between two groups，but there were statistically significant differences in the referral number and complete treatment days（P0.05）.Conclusions：The use of one-visit root canal therapy on chronic pulpitis and periapical periodontitis compared with multiple-visit has short course and low referral rate advantage.It can be very good to avoid the pain and has a good therapeutic effect with the effective control of indication. 　　Key words Chronic pulpitis；Periapical periodontitis；One-visit root canal therapy；Effect of therapy 　　作为口腔科常见的病症――慢性牙髓炎、根尖周炎，其有着发病率高、发病率普遍等特点，其中慢性牙髓炎是最常见的这一种病证[1]。所谓慢性牙髓炎指的就是由龋病所造成的，不存在剧烈的自发性疼痛，时而存在轻微的钝痛，患病的牙齿在咬合时会产生疼痛。不存在特别典型的临床症状，因此容易发生误诊或延缓治疗。根尖周炎同样也不存在非常明显的临床症状，因此也会出现误诊或者迟缓治疗等现象，一旦根尖周炎得不到及时的治疗就会形成慢性窦道型根尖周炎。因此及时的治疗慢性牙髓炎、根尖周炎既可以减轻患者的痛