浅议62例牙体牙髓病患者不同程度的根管充填的观察和分析.docxVIP

浅议62例牙体牙髓病患者不同程度的根管充填的观察和分 析 湖南省凤凰县人民医院416200 摘要：目的：观察和分析为牙体牙髓病患者采取不同根管充填程度所获得的疗效。 方法：择取2014年7月到2015年1月于本院进行根管治疗的62例患者，按照 根管充填程度的不同进行如下随机分组：超量组21例患者，根管充填程度超过 根尖；欠量组21例患者，根管充填程度填补全部缝隙，或距根尖1毫米以上， 或根管处于未封闭状态；适量组20例患者，充填材料完全填满根管，且与根尖 Z间的距离在1毫米Z内。对比三组患者治疗过程中的疼痛程度以及最终治疗效 果。结果:超量组有7例患者感到疼痛，疼痛率为30.00%,治疗总有效率为57.15%； 欠量组有8例患者感到疼痛，疼痛率为38.10%,治疗总有效率为61.90%；适量 组2例患者感到疼痛，疼痛率为10.00%,治疗总有效率为95.00%。在疼痛率和 治疗总有效率方面，适量组都要远远优于欠量组和超量组，P0.05,差异有统 计学意义。但超量组与欠组组无论疼痛度还是治疗总有效率均比较接近，P0.05, 差异无统计学意义。结论：使用根管治疗法医治牙体牙髓病患者时，应该在治疗 前先借助影像学手段详细了解患者髓腔及根管情况，统计出根管长度与根管结构, 再选择适当材料进行适量充填，这样可以有效降低患者疼痛度，同时还可以提高 临床疗效，对患者的日常生活具有非常良好的影响。 关键词：牙体牙髓；根管充填；超量充填；欠量充填；适量充填 【abstract] objective： to explore the different root canal filling degree to treatment in patients with tooth pulp.Methods： will pick in July 2014 to January 2015 in our hospital for den tai pulp treatme nt of 62 patie nts, accordi ng to the difference in the level of root canal filling the following random grouping： excess group of 21 patients, more than any root root canal filling； Owe the amount set of 21 patients, root canal filling degree to fill all the gaps, or more than 1 mm from the apex, or root canal in the closed state； A moderate amount of group of 20 patients, completely fill the root canal filling materials, and with the distance between the root tip within 1 mm.Compared three groups of patients in the process of pain degree and treatment effect in the end.Results： the excess of group of seven patients feel pain，pain rate was 30.00%, total effective rate is 57.15%； Owe amount of group of eight patients feel pain，pain rate was 38.10%, total effective rate is 61.90%； A moderate amount of group 2 patients feel pain, pain at a rate of 10.00%, the total effective rate was 95.00%」n terms of pain rate and total effective treatment, moderate group is far superior to owe the amount and excess group, P lt; 0.05, the d iff ere nee was statistically sign讦icant.But excess group was treated with owe way regardless of the degree of pain or total ef