Objective To compare the effects of different root canal filling pastes in the treatment of lateral accessory root canals for patients with chronic apicitis.Methods A total of 60 patients with chronic apicitis who were treated in our hospital from April 2021 to April 2023 were selected as the research objects.They were divided into control group and observation group by random number table method,with 30 patients in each group.The control group was filled with Langli root canal filling paste,and the observation group was filled with AH-plus root canal filling paste.The treatment effect,periodontal health index[plaque index(PLT),gingival index(GI),periodontal pocket depth(PD),bleeding index(BI)],inflammatory factor levels[interleukin-6(IL-6),interleukin-8(IL-8)],pain(VAS)score and incidence of adverse reactions were compared between the two groups.Results The filling rate of lateral accessory root canal in the observation group(86.67％)was higher than that in the control group(63.33％)(P＜0.05).The PLT,GI,PD and BI of the two groups after treatment were lower than those before treatment,and those of the observation group was lower than those of the control group(P＜0.05).The VAS score of the two groups after treatment was lower than those before treatment,and that of the observation group was lower than that of the control group(P＜0.05).The levels of IL-6 and IL-8 in the two groups after treatment were lower than those before treatment,and those in the observation group were lower than the control group(P＜0.05).The incidence of adverse reactions in the observation group was 6.67％,which was lower than 20.00％in the control group(P＜0.05).Conclusion Different root canal filling pastes have different effects on the treatment of lateral accessory root canals in patients with chronic apicitis.AH-plus root canal filling paste has a significant filling effect,which can improve the filling effect of lateral accessory root canals,reduce adverse reactions,relieve patients'pain,and improve periodontal health index.It is worthy of clinical application.
Chronic apicitisRoot canal filling pasteLateral accessory root canalPeriodontal health index
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