根管糊剂不同输送方式对根管充填效果影响.docVIP

根管糊剂不同输送方式对根管充填效果影响 　　doi：10.3969/j.issn.1007-614x.2014.10.45 　　摘 要 目的：分析3种糊剂输送方式对根管充填效果的影响。方法：从2927例患者中选择1200例根管治疗病例进行分析，按牙位分为4类，每一类按不同输送方式分为3组，每组选择100例，输送方式分别使用日本Mani机用螺旋根管输送针；手用扩大针及光滑髓针输送糊剂，根管充填后观察疗效。结果：使用3种器械输送糊剂在上前牙，下前牙，下后牙分析组中差异无统计学意义，在上后牙的分析组中螺旋输送针和其他两组差异有统计学意义，P0.05。结论：使用机用螺旋输送针输送糊剂在上牙复杂根管中有显著优势，根管充填密实，到位，根充效果佳，疗效明显优于对照组。 　　关键词 螺旋输送针 根管糊剂 根管充填 　　The impact of different transport root canal pastes way on root canal pastes 　　Wang Kui1，Ma Haiping2 　　Department of Stomatology，Zhongzhuang Community Health Center of the Fifth Peoples Hospital of Qinghai，8100001 　　The Stomatology Hospital of Xining，Qinghai2 　　Abstract Objective：To analyze the impact of three delivery methods of root filling paste.Methods：1200 patients with root canal therapy were selected from 2927 cases.They were divided into 4 categories according to the tooth position.We divided every category into three groups with 100 patients in each according to different transport.The three delivery pastes methods used respectively were spiral conveyor needle root canal of Japanese Mani machine，hand reamer and smooth marrow needle.We observed the efficacy after the root canal filling.Results：We analysed the use of three instruments conveying paste in anterior teeth，lower front teeth and the lower teeth in the groups showed no significant difference.In the anterior back teeth the screw conveyor needles have statistically significant differences comparied with the other two groups，P0.05.Conclusion：The use of conveyor screw conveyor needle paste with a significant advantage in the complex root canal of upper teeth，its root canal filling dense and in right place，the effect of root canal filling is better than the control group significantly. 　　Key words Screw conveyor needle；Root canal pastes；Root canal filling 　　根管治疗是牙髓病和根尖周病最佳治疗方法。根管治疗依赖良好的根管清理和严密的根管充填才能达到成功。根充时将糊剂完全导入根尖部位，才能达到良好的封闭作用。我科用3种不同器械输送糊剂发现效果不尽相同，现报告如下。 　　资料与方法 　　2011年11月-2012年12月从2927例患者中选择1200例根管治疗病例，按牙位分为上前牙，下前牙，上后牙，下后牙4类，每一类按不同输送方式分