无砷失活剂和As2O3用于牙髓失活术的临床效果观察.docVIP

无碑失活剂和AS2O3用于牙髓失活术的临床效果观察 沈红焕 (青海省红十字医院口腔科 青海西宁810000) 目的比较无碑失活剂与AS2O3用于牙髓失活术的效果及封药后的疼 痛反应。方法 选择127例急性或慢性牙髓炎患者随机分成2组，分别用多聚甲 醛和AS2O3失活剂进行失活，观察并比较两者的临床使用效果。结果 封多聚 甲醛失活剂组失活有效率为91.42%优于AS2O3失活剂组(有效率为72.13%),且 多聚甲醛组封药后疼痛反应和对牙周组织的损伤低于AS2O3失活剂组。结论 使 用多聚甲醛失活剂失活效果好，能有效减轻患者痛苦，减少根管预备操作时间, 是一种既安全又有效的制剂。 【关键词】多聚甲醛失活剂AS2O3失活剂 牙髓失活 R782 A 2095-1752 (2012) 23-0395-02 Clinical obervation of the Devitalizing Effects on Devitalizing Past without Arsenic Compare with As2O3 Devitaling Paste Shen Honghuan Department of stomatology, The Red Cross hospital of Qinghai Province Xining 810000 【Abstract】Objective To evaluation the devitalizing effects and seal the pain after drug reaction by Devitalizing Past without Arsenic and As2O3 Devitaling Paste.Methods A total of 131 permanent tooth were diagnosed as acute pulpitis or chronic pulpitis randomied block designed into two groups.The experimental group were devitalized by paraformaldehyde inactivation agent.The control group were devitalized by As2O3 Devitaling Paste. To observe and compare the clinical effect of two group. Results The rate of devitalizing effect of experimental group was 91.42%, more than that of the control groupprime;s 72.13%, there was significan differenee in two groups (P0.05),and Paraformaldehyde group sealing after the pain response and in juries to the period on tai tissues below As2O3 in activatio n age nt group. Con clusio ns The use of paraformaldehyde in activati on age nt in activati on effect is good, can effectively reduce the suffering of patientsjeduce the root canal operatip on time. It suggested that paraformaldehyde inactivatio n age nt is an effective and safe drug for pulp devitalize. [Key words] paraformaldehyde inactivation agent Arsenic trioxide Pulpit devitalize 牙髓炎是口腔内科常见病之一，在牙髓治疗的过程中，各种操作都会引 起疼痛，在治疗吋需要实行局部麻醉和牙髓失活术等无痛技术，使牙髓病在无痛 或尽量减少疼痛的情况下进行，能最大限度减轻患者痛苦，减轻患者就医焦虑和 恐惧感，而失活治疗的关键是失活剂的应用，由于传统的含神失活剂存在封药后 疼痛，容易泄露引起牙周组织损伤，封药量大或吋间过长引起化学性根尖炎，其 至颌骨骨髓炎等观点，我科自采用多聚甲醛失活剂对患牙进行失活，取得良好的 效果且副作用少，现对多聚甲醛失活剂和AS2O3失活剂临床