iRoot BP plus与MTA根尖屏障术治疗年轻恒牙慢性根尖周炎的疗效比较
Comparison of the effects of using iRoot BP plus and MTA apical barrier surgery in young permanent teeth with chronic apical periodontitis
孙艳妮 1赵蕾 2刘伟 2殷晓萍1
作者信息
- 1. 青岛大学附属青岛市海慈医院(青岛市中医医院)口腔科,山东 青岛 266000
- 2. 康复大学青岛中心医院(青岛市中心医院)口腔科,山东 青岛 266042
- 折叠
摘要
目的:探讨iRoot BP plus与MTA根尖屏障术治疗年轻恒牙慢性根尖周炎的效果.方法:将122例年轻恒牙慢性根尖周炎患者随机分为试验组(n=61,患牙61颗)和对照组(n=61,患牙61颗),试验组行iRoot BP plus根尖屏障术,对照组行MTA根尖屏障术,比较2组患者术后3、6、9、12个月的旧根尖周指数(old periapical index,O-PAI)、根尖透射区面积、疗效、治疗次数、炎症因子水平.采用SPSS 19.0软件包对数据进行统计学分析.结果:术后12个月,试验组和对照组的O-PAI评级为(1.48±0.36)、(1.71±0.42),根尖透射区面积为(0.51±0.14)、(1.09±0.31),2组O-PAI评级和根尖透射区面积相比差异显著(P＜0.05).术后3、6、12个月,2组患者的O-PAI评级逐渐降低(P＜0.05),根尖透射区面积逐渐减少(P＜0.05).术后12个月,试验组和对照组的成功率为98.36％、88.52％,组间差异显著(P＜0.05).试验组和对照组患者的治疗次数为(3.64±0.58)、(4.72±0.61)次,组间差异显著(P＜0.05).术后3个月,试验组和对照组患者的血清hs-CRP水平为(6.89±1.13)、(7.25±1.40)mg/L,与治疗前相比差异显著(P＜0.05);治疗3个月后,试验组和对照组患者的血清IL-6水平为(82.04±19.62)、(87.52±20.85)mg/L,与治疗前相比差异显著(P＜0.05).2组患者治疗前、后的血清IL-6、hs-CRP水平组间相比,差异无显著性(P＞0.05).结论:iRoot BP plus根尖屏障术治疗年轻恒牙慢性根尖周炎有助于降低O-PAI指数,减少术后就诊次数,术后成功率更高.
Abstract
PURPOSE:To explore the effect of using iRoot BP plus and MTA apical barrier surgery in young permanent teeth with chronic apical periodontitis.METHODS:A total of 122 patients with chronic periapical periodontitis with open root tips of permanent teeth were randomly divided into experimental group(n=61,61 teeth)and a control group(n=61,61 teeth).Patients in the experimental group received iRoot BP plus plus apical barrier surgery,while those in the control group received MTA apical barrier surgery.The old periapical index(O-PAI),apical transmission area,efficacy,treatment times,and inflammatory factor levels of the two groups of patients were compared at 3,6,9,and 12 months after surgery.SPSS 19.0 software package was used for statistical analysis.RESULTS:At 12 months after surgery,the O-PAI ratings of the experimental group and the control group were(1.48±0.36)and(1.71±0.42),respectively,and the apical transmission area was(0.51±0.14)and(1.09±0.31).There was a significant difference in the O-PAI ratings and apical transmission area between the two groups(P＜0.05).At 3 months,6 months,and 12 months after surgery,the O-PAI scores of patients in both groups gradually decreased(P＜0.05).After 12 months of treatment,the success rates of the experimental group and the control group were 98.36％and 88.52％,respectively,with significant difference between the two groups(P＜0.05).The treatment frequency of patients in the experimental group and the control group was(3.64±0.58)times and(4.72±0.61)times,respectively,with a significant difference between the two groups(P＜0.05).After 3 months of treatment,the serum hs-CRP levels in the experimental group and the control group were(6.89±1.13)mg/L and(7.25±1.40)mg/L,respectively,with a significant difference compared to pre-treatment(P＜0.05).After 3 months of treatment,the serum IL-6 levels in the experimental group and the control group were(82.04±19.62)mg/L and(87.52±20.85)mg/L,respectively,with significant differences compared to pre-treatment(P＜0.05).There was no significant difference in serum IL-6 and hs-CRP levels be-tween the two groups before and after treatment(P＞0.05).CONCLUSIONS:iRoot BP plus apical barrier surgery for the treatment of chronic apical periodontitis with open permanent teeth can reduce the O-PAI index,decrease the number of postoperative visits,and have a higher postoperative success rate.
关键词
根尖屏障术/iRoot/BP/plus/MTA/年轻恒牙/根尖周炎Key words
Apical barrier surgery/iRoot BP plus/MTA/Young permanent teeth/Periapical periodontitis引用本文复制引用
基金项目
山东省自然科学基金面上项目(ZR202103030420)
出版年
2024
NETL
NSTL
万方数据