首页|三联抗生素糊剂联合浓缩生长因子治疗对年轻恒牙血运重建的影响

三联抗生素糊剂联合浓缩生长因子治疗对年轻恒牙血运重建的影响

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目的 探讨三联抗生素糊剂(TAP)联合浓缩生长因子(CGF)治疗对年轻恒牙血运重建的影响。方法 选取沧州市人民医院 2019 年 6 月~2021 年 6 月收治的 154 例年轻恒牙牙髓坏死患者,根据随机数表法分为CGF组(n=77)和血凝组(n=77)。血凝组患者采取TAP联合血凝块支架治疗,CGF组采用TAP联合CGF支架治疗。比较两组患者临床疗效、牙根长度、根管壁厚、咬合力及炎症指标水平。结果 CGF组治疗总有效率明显高于血凝组(93。51%vs。81。82%),差异有统计学意义(χ2=4。863,P<0。05)。CGF组术后 6 个月时牙根长度[(8。58±0。22)mm vs。(8。49±0。24)mm]、根管壁厚[(2。98±0。27)mm vs。(2。83±0。26)mm]和咬合力[(56。09±8。02)kg vs。(49。28±8。49)kg]明显大于血凝组,差异有统计学意义(t= 2。235、3。596、4。092,P<0。05)。CGF组术后3 个月时血清白细胞介素-1β[(3。21±1。21)pg/ml vs。(4。06±1。16)pg/ml]、白细胞介素-6[(12。26±1。86)pg/ml vs。(13。49±1。93)pg/ml]及肿瘤坏死因子-α[(4。21±1。05)pg/ml vs。(5。09±1。21)pg/ml]水平低于血凝组,差异有统计学意义(t=5。453、3。937、3。891,P<0。05)。两组患者术后牙龈红肿、填充物脱落、根尖周炎复发率、牙体变色率差异均无统计学意义(P>0。05。结论 TAP联合CGF支架应用于年轻恒牙血运重建的疗效显著,可有效降低炎症反应,促进牙根发育,提高牙齿咬合力。
Effect of triple antibiotic paste combined with CGF on revascularization of young permanent teeth
Objective To investigate the impact of triple antibiotic paste(TAP)combined with concentrated growth factor(CGF)on revascularization in young permanent teeth.Methods A total of 154 young patients with pulp necrosis of permanent teeth admitted to our hospital from June 2019 to June 2021 were selected and divided into CGF group(77 cases)and blood clot group(77 cases)by random number table method.The blood clot group was treated with TAP combined with blood clot stent while CGF group was treated with while AP combined with CGF stent.Clinical efficacy,root length,root canal wall thickness,bite force and inflammation index were compared between the two groups.Results The overall effective rate of CGF group was significantly higher than that of blood clot group(χ2=4.863,P<0.05).6 months after operation the root length,root canal wall thickness and bite force of the CGF group were significantly higher than those of the blood clot group(t=2.235,3.596,4.092,P<0.05).The levels of serum interleukin-1β,interleukin-6 and tumor necrosis factor-α in CGF group were lower than those in blood clot group at 3 months after operation(t = 5.453,3.937,3.891,P<0.05).There were no significant differences in gingival swelling,fillings loss,recurrence rate of periapical inflammation and tooth discoloration rate between 2 groups(P>0.05).Conclusion TAP combined with CGF is effective in blood revascularization of young permanent teeth,which can effectively reduce inflammation,promote root development,and improve teeth's bite force.

RevascularizationPulp necrosisTriple antibiotic pasteBlood coagulation stentConcentrated growth factor

郭洁、高尔东、胡姝娥、赵文君

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061000 沧州市人民医院口腔科

血运重建 牙髓坏死 三联抗生素糊剂 血凝支架 浓缩生长因子

沧州市科技计划自筹经费项目

213106043

2024

中华保健医学杂志
中国人民解放军总后勤部卫生部保健局

中华保健医学杂志

CSTPCD
影响因子:0.477
ISSN:1674-3245
年,卷(期):2024.26(1)
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