首页|全冠修复联合根管治疗在牙隐裂伴慢性牙髓炎中的临床疗效分析

全冠修复联合根管治疗在牙隐裂伴慢性牙髓炎中的临床疗效分析

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目的 探讨分析全冠修复联合根管治疗在牙隐裂伴慢性牙髓炎中的临床疗效.方法 选取 2022 年 2 月至2024 年 4 月在如东县中医院口腔科接受治疗的牙隐裂伴慢性牙髓炎患者 70 例,依据单双号方式随机分为对照组和观察组,各 35 例.对照组接受根管治疗,观察组接受全冠修复联合根管治疗.术后随访 6 个月,对比临床疗效、咀嚼功能及咬合力.结果 观察组治疗总有效率(97.14%)高于对照组(82.86%),P<0.05.与术前比,术后6 个月,两组咀嚼功能及最大咬合接触面、最大咬合力均上升,咬合力不对称指数下降,且术后观察组咀嚼功能及最大咬合接触面、最大咬合力均高于对照组,咬合力不对称指数低于对照组,P<0.05.结论 全冠修复联合根管治疗对牙隐裂伴慢性牙髓炎的疗效确切,可提高患者咀嚼功能,增强咬合力.
Clinical Analysis of Total Crown Prosthesis Combined with Root Canal in Treatment of Dental Fissure with Chronic pulpitis
Objective:To explore and analyze the clinical effect of crown restoration combined with root canal therapy in cracked teeth with chronic pulpitis.Methods:From February 2022 to April 2024,70 cases of cracked teeth with chron-ic pulpitis were selected and randomly divided into control group and observation group according to odd and even numbers,with 35 cases in each group.The control group received root canal therapy,and the observation group re-ceived crown restoration combined with root canal therapy.The patients were followed up for 6 months after opera-tion,and the clinical efficacy、masticatory function and bite force were compared.Results:The total effective rate in the observation group(97.14%)was higher than that in the control group(82.86%),P<0.05.Compared with before operation,6 months after operation,the masticatory function,the maximum occlusal contact surface and the maximum occlusal force in both groups increased,while the asymmetry index of occlusal force decreased.The mastica-tory function、the maximum occlusal contact surface and the maximum occlusal force in the observation group were higher than those in the control group,and the asymmetry index of occlusal force was lower than that in the control group,P<0.05.Conclusion:Crown restoration combined with root canal therapy is effective in the treatment of cracked teeth with chronic pulpitis,which can improve the masticatory function and enhance the bite force.

Total crown prosthesisRoot canalDental fissure with chronic pulpitis

杨玲莉、蔡娜娜

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如东县中医院口腔科,江苏南通 226400

全冠修复 根管治疗 牙隐裂伴慢性牙髓炎

2024

生命科学仪器
北京市北分仪器技术公司

生命科学仪器

影响因子:0.305
ISSN:1671-7929
年,卷(期):2024.22(3)
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