不同根管治疗方法治疗牙髓病的疗效分析

Effect of different root canal treatments for patients with pulp disease

  • 摘要:
      目的  探讨不同根管治疗方法对牙髓病患者预后的影响。
      方法  选取84例牙髓病患者(共124颗牙),按信封法分为分次组(60颗牙)与一次组(n=42, 64颗牙),分别开展分次法根管、一次性根管治疗,比较2组治疗效果。
      结果  一次组近期总有效率97.62%, 显著高于分次组80.95%(P < 0.05), 术后并发症发生率7.14%, 显著低于分次组的26.19%(P < 0.05)。一次组平均治疗时间显著短于分次组(P < 0.05)。2组远期效果成功率以及视觉模拟评分量表(VAS)评分比较无显著差异(P>0.05)。
      结论  分次法根管与一次性根管治疗牙髓病均具有显著的远期效果,但一次性根管治疗近期效果优于分次法根管,术后并发症发生率低。

     

    Abstract:
      Objective  To explore the influence of different root canal therapies on prognosis of patients with dental pulp disease.
      Methods  A total of 84 patients with pulp disease (124 teeth) were selected and divided into gradation group (n=42, 60 teeth) and single time group (n=42, 64 teeth) according to the envelope Method. Gradation group and single time group were treated with graded root canal therapy and disposable root canal therapy, respectively. Therapeutic effects were compared between the two groups.
      Results  The short-term total effective rate of single time group was 97.62%, which was significantly higher than 80.95% of the gradation group (P < 0.05), and the incidence rate of postoperative complications was 7.14%, which was significantly lower than 26.19% of the gradation group (P < 0.05). The average treatment time of the single time group was significantly shorter than that of the gradation group (P < 0.05). There were no significant differences in long-term success rate and Visual Analogue Scale (VAS) score between the two groups (P>0.05).
      Conclusion  Both graded root canal therapy and disposable root canal therapy have significant long-term effect on pulp disease, but the short-term effect of disposable root canal therapy is better than graded root canal therapy, and the incidence rate of complications is lower.

     

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