首页|Gutta Flow2和iRoot SP根管封闭剂在一次性根管治疗中的临床疗效评价

Gutta Flow2和iRoot SP根管封闭剂在一次性根管治疗中的临床疗效评价

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目的 探讨Gutta Flow2和iRoot SP与常规根管封闭剂(AH-plus)在一次性根管治疗中的术后急症反应及短期临床效果.方法 选取郑州市口腔医院2021年6月至2023年1月收治的123颗患牙,随机分为三组,其中Gutta Flow2组和iRoot SP组为实验组,AH-plus组为对照组.Gutta Flow2组41颗牙以Gutta Flow2根管封闭剂配合单尖法一次性根管治疗,iRoot SP组41颗牙以iRoot SP根管封闭剂配合单尖法一次性跟管治疗,AH-plus组41颗牙以AH-plus配合热牙胶充填法一次性根管治疗.比较三组根管充填质量,根管充填时间,术后疼痛VAS评分及急症反应发生情况.采用SPSS 26.0统计软件对以上数据进行统计学分析.结果 Gutta Flow2组、AH-plus组与Ah-plus组在充填时间上明显减少,差异有统计学意义.三组在根管充填质量上无明显统计学差异.术后疼痛VAS评分Gutta Flow2组与AH-plus组在术后1天和术后3天与AH-plus组比较有统计学差异,Gutta Flow2组与AH-plus组术后疼痛指数均小于AH-plus组.Gutta Flow2组与AH-plus组术后1天时疼痛评分比较t=4.314,P<0.05,在术后3天时t=4.080,P<0.05.iRoot SP组与AH-plus组在术后1天时疼痛评分比较t=4.903,P<0.05;在术后3天疼痛评分t=4.669,P<0.05.两组在术后5天和术后7天与对照组AH-plus组比较均无统计学差异.急症反应发生率Gutta Flow2 组(9.76%)与 Ah-plus 组(23.0%)比较 x2=0.734,P=0.391,两组比较无统计学差异.iRoot SP 组(4.90%)与Ah-plus组(23%)比较x2=5.145,P=0.023,两组比较有统计学差异.结论 Gutta Flow2和iRoot SP配合单尖充填技术在一次性根管治疗中可获得良好的临床效果,术后疼痛发生率较低.
Comparison of clinical application of iRoot SP and Gutta Flow2 root canal sealer
Objective To investigate the postoperative emergency response and short-term clinical effect of Gutta Flow2,iRoot SP and conventional root canal sealer(AH-plus)in one-time root canal treatment.Methods Selected 123 af-fected teeth in our hospital from June 2021 to January 2023,and divided them into three groups randomly,among which the Gutta Flow2 group and iRoot SP group are the experimental group,and the AH-plus group is the control group.41 teeth in Gutta Flow2 group were treated with Gutta Flow2 root canal sealer combined with single-cusp method.41 teeth in iRoot SP group were treated with iRoot SP root canal sealer combined with single-cusp method.AH-plus group One-time root canal treatment with AH-plus combined with hot gutta-percha.The root canal filling quality,root canal filling time,postoperative pain VAS score and emergency response were compared among the three groups.The above data were statistically analyzed using SPSS 19.0 statistical software.Results The filling time of the two experiments groups and the Ah-plus group was significantly reduced,and the difference was statistically significant.There was no statistically significant difference in root canal filling quality among the three groups.There was no statistical difference between the Gutta Flow2 group and the iRoot SP group at the four time points(P>0.5),and there were statistical differences between the two groups at 1 day and 3 days after operation compared with the AH-plus group in the control group.The posterior pain index was lower than that of AH-plus group.The pain scores of Gutta Flow2 group and AH-plus group were compared at 1 day after operation,t=4.314,P<0.05,and t=4.080,P<0.05 at 3 days after operation.The pain score of the iRoot sp group and the AH-plus group was t=4.903,P<0.05 at 1 day after operation;the pain score at 3 days after operation was t=4.669,P<0.05.There was no statistical difference between the two groups at 5 days and 7 days after operation compared with the AH-plus group in the control group.Compared with Gutta Flow2 group(9.76%)and Ah-plus group(23.0%)x2=0.734,P=0.391,there was no statistical difference between the two groups.Compared with the iRoot sp group(4.90%)and the Ah-plus group(23%)x2=5.145,P=0.023,there was a statistical difference between the two groups.Conclusion Gutta Flow2 and iRoot SP combined with single-point obturation technology can achieve good clinical effect in one-time root canal treat-ment,and the incidence of postoperative pain is low.

Gutta Flow2iRoot SPone-time root canal treatment

李梦洁、刘飞、彭林红、王芳、费晓磊

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郑州市口腔医院牙体牙髓病科,郑州 450099

郑州大学第一附属医院口腔科,郑州 450052

Gutta Flow2 iRoot SP 一次性根管治疗 急症反应

2021年度河南省重点研发与推广专项(科技攻关)项目

212102310595

2024

医药论坛杂志
中华预防医学会,河南省医学情报研究所

医药论坛杂志

影响因子:0.47
ISSN:1672-3422
年,卷(期):2024.45(1)
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