首页|不同根管消毒药物治疗慢性有窦型根尖脓肿的疗效观察

不同根管消毒药物治疗慢性有窦型根尖脓肿的疗效观察

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目的 探讨不同根管消毒药物对慢性有窦型根尖脓肿的临床效果.方法 筛选慢性有窦型根尖脓肿 60 例患者,按随机数字表法分为 Vitapex 组和 Multi-Cal 组,各 30 例,在根管治疗中分别将 Vitapex(Vitapex 组)和Multi-Cal(Multi-Cal组)糊剂充满根管及窦道.比较 2 组患者治疗后 2 周及治疗后 1 年的临床疗效、根管充填后 1周急性疼痛反应发生情况和牙周探诊情况[牙周袋深度(periodontal pocket depth,PD)、菌斑指数(plaque index,PLI)及龈沟出血指数(sulcus bleeding index,SBI)].结果 治疗后 2 周及 1 年,Vitapex组疗效均显著好于 Multi-Cal组(P<0.05);根管充填后 1 周 Vitapex组的急性疼痛反应程度明显低于 Multi-Cal 组(P<0.05);治疗后 1 年Vitapex组的PD、PLI、SBI值显著小于 Multi-Cal 组(P<0.05).结论 Vitapex治疗慢性有窦型根尖脓肿见效快、疗效好、不良反应小、复发率低.
Efficacy of Different Root Canal Disinfections in the Treatment of Chronic Sinusoidal Apical Abscesses
Objective To investigate clinical effects of different root canal disinfection drugs on chronic sinusoidal apical abscess.Methods A total of 60 patients with chronic sinusoidal apical abscess were randomly divided into Vitapex group and Multi-Cal group,with 30 cases in each group.The clinical efficacy at week 2 and 1 year after treatment,the occurrence of acute pain reac-tions 1 week after root canal filling,periodontal pocket depth(PD),plaque index(PLI),and gin-gival sulcus bleeding index(SBI)were compared between the two groups.Results 2 weeks and 1 year after treatment,the efficacy of the Vitapex group was significantly better than that of the Multi-Cal group(P<0.05);1 week after root canal filling,the degree of acute pain response in the Vitapex group was significantly lower than that of the Multi-Cal group(P<0.05);1 year af-ter treatment,the values of PD,PLI,and SBI in the Vitapex group were significantly smaller than those in the Multi-Cal group(P<0.05).Conclusion Vitapex can be clinically fast-acting and ef-fective in the treatment of chronic sinusoidal apical abscesses,with minimal adverse effects and low recurrence rates.

sinusoidal apical abscesschronicsinus tractroot canal therapyefficacy

张国庆、王卫国、万悦、任艳云

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中国人民解放军联勤保障部队第九○三医院口腔科,杭州 310000

根尖脓肿,慢性 窦道 根管治疗 疗效

国家自然科学基金

81600916

2024

南昌大学学报(医学版)
南昌大学

南昌大学学报(医学版)

CSTPCD
影响因子:1.008
ISSN:2095-4727
年,卷(期):2024.64(1)
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