正畸矫正中不同根管充填方式在牙体牙髓病患者根管治疗中的应用
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禚昌帅(1987.8-),男,山东临沂人,本科,主治医师,主要从事口腔疾病的诊治工作

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R781.05

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Application of Different Root Canal Filling Methods in Root Canal Therapy for Patients with Endodontic Disease
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    摘要:

    目的 探讨不同根管充填方式在牙体牙髓病患者根管治疗中的应用效果。方法 选取2022年 7月-2023年6月在临沂沂州医院接受治疗的90例牙体牙髓病患者为研究对象,按照随机数字表法分为 参考1组、参考2组和研究组,每组30例。参考1组采用AH-plus糊剂热牙胶垂直加压填充,参考2组采用 AH-plus糊剂冷牙胶侧方加压充填,研究组采用iRootSP糊剂单尖法填充,比较三组咀嚼功能、牙周健康程 度、炎症因子水平、疼痛程度及并发症发生情况。结果 研究组治疗后咬合力、咀嚼效率均高于参考1组 与参考2组,牙龈指数、出血指数、松动度、VAS评分、TNF-α、IL-6、hs-CRP及并发症发生率低于 参考1组与参考2组(P <0.05)。结论 在牙体牙髓病患者实施根管治疗手术中,采用iRootSP糊剂单尖法 充填可有效恢复患者咬合与咀嚼功能,抑制炎症因子水平,降低疼痛程度,且治疗中并发症风险更低。

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    Objective To explore the application effect of different root canal filling methods in root canal therapy for patients with endodontic disease. Methods A total of 90 patients with endodontic disease who were treated in Linyi Yizhou Hospital from July 2022 to June 2023 were selected as the research objects. According to the random number table method, they were divided into reference group 1, reference group 2 and study group, with 30 patients in each group. The reference group 1 was filled with AH-plus warm gutta-percha vertical compaction, the reference group 2 was filled with AH-plus cold gutta-percha lateral compaction, and the study group was filled with iRootSP single point filling method. The masticatory function, periodontal health level, inflammatory factor level, pain degree and complications of the three groups were compared. Results After treatment, the bite force and masticatory efficiency of the study group were higher than those of the reference group 1 and the reference group 2, and the gingival index, bleeding index, looseness, VAS score, TNF-α, IL-6, hs-CRP and complication rate were lower than those of the reference group 1 and the reference group 2 (P <0.05). Conclusion In the root canal treatment of patients with endodontic disease, iRootSP single point filling can effectively restore the occlusal and masticatory function of patients, inhibit the level of inflammatory factors, reduce the degree of pain, and the risk of complications during treatment is lower.

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禚昌帅.正畸矫正中不同根管充填方式在牙体牙髓病患者根管治疗中的应用[J].医学美学美容,2024,33(11):36-39.

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  • 在线发布日期: 2024-06-24
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