热牙胶根管充填和冷侧方加压治疗牙髓病和根尖周病的临床疗效.docx

热牙胶根管充填和冷侧方加压治疗牙髓病和根尖周病的临床疗效

莫志祥王文辉柴淑贞叶艳

[关键词]?牙髓病；根尖周病；热牙胶根管充填；冷侧方加压根管充填；临床疗效

[中图分类号]?R781.05??????[文献标识码]?A??????[DOI]?10.3969/j.issn.1673-9701.2024.06.004

Clinical?effect?of?hot?gutta-percha?root?canal?filling?and?cold?lateral?compression?in?the?treatment?of?endodontic?and?periapical?diseases

MO?Zhixiang1，?WANG?Wenhui2，?CHAI?Shuzhen1，?YE?Yan1

1.Department?of?Stomatology，?Lanxi?Traditional?Chinese?Medicine?Hospital，?Lanxi?321100，?Zhejiang，?China;?2.Department?of?Radiology，?Lanxi?Traditional?Chinese?Medicine?Hospital，?Lanxi?321100，?Zhejiang，?China

[Abstract]?Objective?To?investigate?the?clinical?efficacy?of?hot?gutta-percha?root?canal?filling?and?cold?lateral?compression?in?the?treatment?of?endodontic?and?periapical?diseases.?Methods?A?total?of?100?patients?with?pulp?disease?and?periapical?disease?treated?with?C-type?root?canal?therapy?in?Department?of?Stomatology?of?Lanxi?Hospital?of?Traditional?Chinese?Medicine?were?selected?as?the?research?subjects?for?this?prospective?study?from?July?2022?to?February?2023.?The?selected?cases?were?randomly?divided?into?control?group?and?trial?group，?each?group?of?50?cases.?The?control?group?patients?were?treated?with?cold?tooth?glue?side?pressure?filling?root?canal，?and?the?test?group?patients?were?treated?with?hot?tooth?glue?filling?root?canal.?After?the?operation，?the?filling?effect?was?observed?by?conical?beam?CT，?and?the?time?of?root?canal?filling?was?compared?between?the?two?groups.?A?numerical?rating?scale?（NRS）?was?used?to?compare?periodontal?root?tip?pain?in?two?groups?of?patients.?To?observe?the?occurrence?of?adverse?reactions?after?treatment?in?two?groups?of?patients.?Results?The?filling?rate?of?root?canal?in?test?group?（94.00%）?was?significantly?higher?than?that?of?control?group?（76.00%）?（P0.05）.?The?total?effective?rate?（98.00%）?of?the?experimental?group?was?significantly?higher?than?that?of?the?control?group?（86.00%）?（P0.05）.?The?root?canal?filling?time?in?the?test?group?was?significantly?lower?than?that?in?th