首页|米诺环素联合一次性根管治疗对逆行性牙髓炎患者牙周状况及疼痛程度的影响

米诺环素联合一次性根管治疗对逆行性牙髓炎患者牙周状况及疼痛程度的影响

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目的 探讨米诺环素联合一次性根管治疗在逆行性牙髓炎中的效果.方法 选取郓城县人民医院 2021 年1月—2024 年1 月收治的 82 例逆行性牙髓炎患者为研究对象,按随机数字表法将其分为对照组和观察组,每组 41 例.对照组采用一次性根管治疗,观察组在对照组基础上采用米诺环素治疗.对比两组的临床疗效、牙周状况、炎症因子水平、疼痛程度、临床症状、咀嚼功能.结果 观察组治疗总有效率为 80.49%,高于对照组的 95.12%,差异有统计学意义(P<0.05).治疗后,观察组菌斑指数、牙龈指数、牙周袋深度、龈沟出血指数评分均低于对照组,肿瘤坏死因子-α、白介素-2、C反应蛋白水平均低于对照组,牙周肿胀、牙周松动、牙周疼痛评分、疼痛视觉模拟评分均低于对照组,咀嚼效率高于对照组,咬合力大于对照组,组间差异有统计学意义(P<0.05).结论 米诺环素联合一次性根管治疗可提高逆行性牙髓炎患者临床疗效,降低其炎症因子水平,减轻患牙疼痛,促进咀嚼功能恢复.
Effect of Minocycline Combined with One-Time Root Canal Therapy on Periodontal Status and Pain Degree of Patients with Retrograde Pulpitis
Objective To investigate the effect of minocycline combined with one-time root canal therapy in retrograde pulpitis.Methods A total of 82 patients with retrograde pulpitis treated in Yuncheng County People's Hospital from January 2021 to January 2024 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 41 cases in each group.The control group received one-time root canal therapy,and the observation group received minocycline treatment on the basis of the control group.The clinical effect,periodontal status,inflammation factors level,pain degree,clinical symptom and masticatory function were compared between the two groups.Results The total effective rate of observation group was 80.49%,which was higher than 95.12%of control group,and the difference was statistically significant(P<0.05).After treatment,the scores of plaque index,gingival index,periodontal pocket depth and gingival sulcus bleeding index in the observation group were lower than those in the control group,the levels of tumor necrosis factor-α,interleukin-2 and C-reactive protein were lower than those in the control group,the periodontal swelling,periodontal loosening,periodontal pain score and Visual Analogue Scale score were lower than those in the control group,the chewing efficiency was higher than that in the control group,and the biting force was higher than that in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Minocycline combined with one-time root canal therapy can improve the clinical effect of retrograde pulpitis patients,reduce the level of inflammation factors,relieve the pain of affected teeth,and promote the recovery of masticatory function.

Retrograde pulpitisMinocyclineOne-Time root canal therapyPeriodontal statusPain degree

曾爽、黄国栋、王铭坤

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郓城县人民医院口腔科,山东郓城 274000

逆行性牙髓炎 米诺环素 一次性根管治疗 牙周状况 疼痛程度

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(14)