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热牙胶垂直加压法在牙体牙髓病患者中的应用效果分析

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目的 探讨热牙胶垂直加压法在牙体牙髓病患者中的应用效果.方法 选取2019 年3 月至2023 年3月收治的牙体牙髓病患者81 例为研究对象,根据填充方式不同分为观察组41 例和对照组40 例.2 组均行根管填充治疗,观察组采用热牙胶垂直加压法根管填充治疗,对照组采用冷侧压法根管填充治疗.2 组均随访6 个月.比较 2组临床疗效、填充效果和不良反应,以及治疗前后牙周指标、炎性因子变化.结果 治疗后6 个月对照组、观察组总有效率比较后者更高(P<0.05).治疗后 1 个月,对照组、观察组比较,后者恰填率更高(P<0.05).治疗后 1 个月,2组出血指数、牙龈指数、菌斑指数均降低,而观察组变化更明显(P<0.05,P<0.01);咀嚼效率均升高,而观察组变化更明显(P<0.05,P<0.01).治疗后1 个月,2 组血清白细胞介素-2、白细胞介素-6、白细胞介素-1β、C反应蛋白水平均降低,而观察组变化更明显(P<0.05,P<0.01).观察期间对照组、观察组比较,后者不良反应总发生率更低(P<0.05).结论 牙体牙髓病患者应用热牙胶垂直加压法填充效果较好,可提高临床疗效,改善牙周指标,减轻炎症反应,同时安全性良好.
Analysis of the Application Effect of Hot Glue Vertical Compression in Pa-tients with Endodontic Disease
Objective To investigate the effect of vertical compression of hot dental glue in patients with endodontic disease.Methods 81 patients with endodontic disease treated from March 2019 to March 2023 were selected as the study ob-jects,and were divided into observation group(41 cases)and control group(40 cases)according to different filling methods.The two groups were treated with root canal filling.The observation group was treated with hot gum vertical compression,while the control group was treated with cold lateral compression.Both groups were followed up for 6 months.The clinical efficacy,filling effect and adverse reactions of the two groups were compared,as well as the changes of periodontal indexes and inflam-matory factors before and after treatment.Results 6 months after treatment,the total effective rate of control group and ob-servation group was higher than that of the latter(P<0.05).One month after treatment,compared with the control group and the observation group,the latter had a higher rate of just filling(P<0.05).One month after treatment,the bleeding index,gingival index and plaque index of 2 groups were decreased,and the changes were more significant in the observation group(P<0.05,P<0.01).Mastication efficiency was increased,and the change was more obvious in observation group(P<0.05,P<0.01).One month after treatment,the serum levels of interleukin-2,interleukin-6,interleukin-1β and C reactive protein in 2 groups were decreased,and the changes were more significant in the observation group(P<0.05,P<0.01).During the observation period,the total incidence of adverse reactions in the control group was lower than that in the observa-tion group(P<0.05).Conclusion The effect of vertical compression with hot glue is better in patients with endodontic dis-ease,which can improve clinical efficacy,improve periodontal indexes,reduce inflammatory reaction and have good safety.

Endodontic diseaseHot teether vertical pressureCold side pressureFilling effectPlaque indexMasticatory efficiencyInterleukin-2

马玉、陈志敏

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215127 江苏 苏州,上海交通大学医学院苏州九龙医院口腔科

牙体牙髓病 热牙胶垂直加压 冷侧压 填充效果 菌斑指数 咀嚼效率 白细胞介素-2

2024

转化医学杂志
海军总医院

转化医学杂志

CSTPCD
影响因子:0.671
ISSN:2095-3097
年,卷(期):2024.13(8)