AH Plus与氧化锌丁香油糊剂根管充填术后疼痛比较研究.docVIP

AH Plus与氧化锌丁香油糊剂根管充填术后疼痛比较研究 　　[摘要] 目的 比较AH Plus和氧化锌丁香油糊剂根管充填术后疼痛的影响。方法 346颗需做根管治疗的恒牙,随机分为使用AH Plus根充糊剂的实验组和使用根管充填剂氧化锌丁香油糊剂的对照组。术后l周评价急症反应和术后2年评定疗效。结果 对照组和实验组患者根管充填后1周内急症反应发生率分别为17.8%和6.0%(P0.01),根管充填2年后对照组和实验组的成功率分别为84.5%和95.0%,两组比较有显著性差异(P0.01)。结论 使用AH Plus根管充填可显著减轻根管充填术后的疼痛。 　　[关键词] AH Plus; 氧化锌丁香油糊剂; 根管充填; 术后; 疼痛 　　[中图分类号] R781.3 [文献标识码] A [文章编号] 1673-9701(2009)23-37-02 　　 　　Comparative Study of the Pain of AH Plus and Zinc Oxide Eugenol Paste after Root Canal Filling 　　WEN Jiquan LIN Zhiwei ZHOU Fengping 　　Department of Stomatology,Longgang People’s Hospital,Guangdong 518172,China 　　 　　[Abstract] Objectiveto compare of the pain influence of AH Plus and zinc oxide eugenol paste after root canal filling. MethodsA total of 346 permanent teeth which needed root canal therapy,randomly divided into experimental group(the use of AH Plus root canal filling paste)and control group(the use of root canal filling agent zinc oxide eugenol paste). Assess the Acute reaction after 1 week and the curative effect after 2 year. Resultsthe control group and experimental group patients’ acute reaction incidence were 17.8% and 6.0% in 1 week of root canal filling(P0.01),After 2 year of root canal filling,The achievement ratio of control group and experimental group were 84.5% and 95.0%,there were highly significant difference between two group after statistical test(P0.01). Conclusion the use of AH Plus root canal filling can significantly relieve the postoperative pain of root canal filling. 　　[Key Words]AH Plus; Zinc oxide eugenol paste; Root canal filling; Postoperative; Pain 　　 　　根管治疗术是治疗牙髓病和根尖周病的重要方法,其目的在于清除坏死的牙髓组织,并利用根管充填剂的持续消毒作用使根尖周病变得以痊愈[1]。术后疼痛的控制及疗效,是该法研究的主要问题[2]。而根管充填后疼痛反应与根管充填材料的选择和应用有一定的关系。为减少术后疼痛的发生,多种根管充填材料应???而生。本文比较AH Plus和氧化锌丁香油糊剂根管充填术后疼痛的反应情况。 　　 　　 　　1 材料和方法 　　 　　1.1 临床资料 　　选择需做根管治疗的恒牙(包括各型牙髓炎、根尖周炎及外伤露髓)的患者346例共346颗牙,其中男195颗,女151颗,年龄14～75岁,平均年龄(36.2±21.7)岁。按就诊顺序随机分为两组:实验组183颗(前牙35个、前磨牙57个、磨牙91个),男102颗,女81颗;对照组163颗(前牙31个、前磨牙50个、磨牙82个)。所有患牙根尖孔闭合,