不同锥度牙胶尖充填同一锥度根管临床疗效观察.docVIP

不同锥度牙胶尖充填同一锥度根管临床疗效观察 不同锥度牙胶尖充填同一锥度根管临床疗 效观察 3238 ? 临床研究? 重庆医学201o年12月第39卷第23期 不同锥度牙胶尖充填同一锥度根管临床疗效观察 周霞,王金川1,张莉,蒲东.全.,安建平,刘鲁川? (1.第三军医大学大坪医院野战外科研究所口腔科,重庆400042; 2.解放军77283部队医院,云南开远661600.) 摘要:目的比较O.02锥度与0.06锥度牙胶尖在充填同锥度根管时临床疗效的差异.方法选择大坪医院口腔科就 诊的牙髓病或根尖周病患者8O颗,按就诊顺序排列随机分为两组,分男l1采用0.02锥度牙胶尖(A组)和0.06锥度牙胶尖(B组) 进行根管充填:.对两组患牙的根管充填时间,根管充填效果和治愈率(术后3,6个月和1年复查)进行比较,并拍摄x线片进行记 录.结果.A组适填58根管,超填z根管,欠填2根管;B组适填68根管,超填1根管,欠填2根管.以根管为单位,A组根管充 填时间平均(145.9士14.3)s,B组平均(95.6?17.8)s(P%0.05…)结论0.02锥度与0.06锥度牙胶尖充填根管在临床疗藏上 差异无统计学意义(Plt;O.05).0.06锥度牙胶尖充填根管时间短,操作简便,适合于临床推广应用. 关键诃:根管治疗;同一锥度;牙胶尖 doi:10.3969/j.issn.1671—8348.2010.23.038 中图分类号:R781.33文献标识码:A文章编号:1671—8348(2010)23—3238—02 Clinicalcurativeeffectsofthesametaperrootcanalobturatedwithdifferentguttaperchacone s ZH0Uxia1,WANGJin—chuan1,ZHANGLi1,eta1. (1.Departmentofstomatology,ResearchInstitueofSurgery,DapingHospital,ThirdMilitary MedicalUniversity,400042,China;2.77283MilitaryHospitalofChinesePLA,Kaiyuan,Yunnan661600,China) Abstract:0bjectiveTocomparetheclinicalefficacyofthesametaperrootcanalobturatedtherapybetween0.02taperedand 0.06taperedguttapercha.MethodsEightypatientswithpulpitisorperiapicaldiseasestreatedinourhospitalwererandomlydi— videdintotwogroups,whoseteethwerefilledby0.02tapered(groupA)and0.06taperedguttapercha(groupB),respectively.The obturationtime,outcomesandrecoveryrate(atpostoperative3months,6monthsandoneyearfollow-ups)wererecordedandcom— pared.Preoperativeandpostoperativeradiographsofeachtoothweretaken.ResultsTherewere58rootcanalswhichweresuitable filled,2over-filledand2under-filledingroupA;therewere68rootcanalswhichweresuitablefilled,oneover-filledand2under- filledingroupB.Theaverageobturationtimepercanalwas(145.9? 14.3)singroupAand(95.6+--17.8)singroupB(Plt;O.05). ConclusionThereisnosignificantdifferenceonclinica1outcomesbetween0.02taperedand0.06taperedguttapercha.However, the0.06taperedguttaperchahaveshorterobturationtimeandiseasytooperate,whichissuitableforclinicalapplication. Keywords:rootc