摘要
目的 观察一次性根管治疗在小儿乳牙急性牙髓炎中的应用效果.方法 选取 2021年1月至2023 年1月于青岛市即墨区田横卫生院治疗的 86 例乳牙急性牙髓炎患儿,按照随机数字表法将其分为对照组(n=43)与研究组(n=43).对照组给予常规根管治疗,研究组给予一次性根管治疗,比较两组临床疗效、牙痛发生情况、炎症因子水平、不良事件总发生率.结果 研究组治疗总有效率高于对照组,差异有统计学意义(P<0.05).研究组牙痛发生率低于对照组,差异有统计学意义(P<0.05).治疗后,两组超敏C反应蛋白(hs-CRP)、白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)水平均降低,且研究组hs-CRP、IL-6、TNF-α水平低于对照组,差异有统计学意义(P<0.05).研究组不良事件总发生率低于对照组,差异有统计学意义(P<0.05).结论 一次性根管治疗在小儿乳牙急性牙髓炎中的应用效果显著,能够减轻疼痛程度和炎症反应,值得推广.
Abstract
Objective To observe the application effect of one-time root canal therapy on acute pulpitis of deciduous teeth in children.Methods A total of 86 children with acute pulpitis of deciduous teeth treated in Tianheng Health Center in Jimo District,Qingdao from January 2021 to January 2023 were selected and divided into control group(n=43)and study group(n=43)by the random number table method.The control group received routine root canal therapy,while the study group received one-time root canal therapy.The clinical efficacy,incidence of toothache,levels of inflammatory factors,and total incidence of adverse events were compared between the two groups.Results The total effective rate of study group was higher than that of control group,the difference was statistically significant(P<0.05).The incidence of toothache of study group was lower than that of control group,the difference was statistically significant(P<0.05).After treatment,the levels of high sensitivity C-reactive protein(hs-CRP),interleukin-6(IL-6),and tumor necrosis factor-α(TNF-α)were decreased in both groups,and the levels of hs-CRP,IL-6,and TNF-α in the study group were lower than those in the control group,the differences were statistically significant(P<0.05).The total incidence of adverse events in the study group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion One-time root canal therapy on acute pulpitis of deciduous teeth in children has significant application effect,which can reduce the pain level and inflammatory reactions,and is worth promoting.
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