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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:

期数:

2024年9期

页码:

139-142

栏目:

出版日期:

2024-08-26

文章信息/Info

Title:

Infl uence of Timing of Periodontal Treatment after Root Canal Treatment on the Clinical Effect and Aesthetics of Combined Periodontal Pulp Syndrome?/html>

文章编号:

1008-6455（2024）09-0139-04

作者:

沈寅杰; 顾鸿江; 徐小玉

(太仓市中医医院口腔科 江苏 太仓 215400 )

Author(s):

SHEN Yinjie;  GU Hongjiang;  XU Xiaoyu

( Department of Stomatology, Taicang Hospital of Traditional Chinese Medicine, Taicang 215400, Jiangsu, China )

关键词:

牙周; 牙周牙髓联合征; 根管治疗; 治疗时机; 炎症; 美观度; 不良反应

Keywords:

periodontal;  periodontal pulp syndrome;  root canal therapy;  treatment time;  inflammation;  aesthetics;  adverse reactions

分类号:

R781.33

文献标志码:

A

摘要:

目的：选择不同牙周治疗时机，对比分析对牙周牙髓联合病变根管治疗后的临床效果。方法：选取2019年3月-2020年 3 月于笔者医院就诊的80例牙周牙髓联合病变患者，按随机数字表法分为早期组（40例）和晚期组（40例）。两组患者均先 进行根管治疗，早期组在根管治疗结束后1周进行牙周治疗，晚期组则在根管治疗结束后4～6周行牙周治疗。治疗后1个月复 查，比较两组患者临床疗效、不良反应、龈沟液炎症因子和美学效果，比较治疗前后的牙周指标。结果：治疗后1、6个月， 两组牙周探诊深度、龈沟出血指数和菌斑指数均降低（P＜0.05），但组间比较差异无统计学意义（P＞0.05）。两组治疗总 有效率比较差异无统计学意义（P＞0.05）。治疗后，两组龈沟液白介素-6、肿瘤坏死因子α和白介素-1β水平均低于治疗 前，且早期组低于晚期组（均P＜0.05）。治疗后两组红色美学指数评分均升高，且早期组高于晚期组（P＜0.05）。两组均 无严重不良反应发生，且不良反应发生情况比较差异无统计学意义（P＞0.05）。结论：对于牙周牙髓联合病变，在根管治 疗结束后1周行牙周治疗可明显牙周抑制炎症，且美学效果显著。

Abstract:

Objective To investigate the clinical effect of different periodontal treatment time after root canal therapy for combined periodontal and endodontic lesions. Methods From March 2019 to March 2020, 80 patients with combined periodontal and endodontic lesions were treated with root canal therapy. They were randomly divided into early stage group (n=40) and late stage group (n=40) , the early group received periodontal treatment 1 week after the end of the root canal therapy, while the late group received periodontal treatment 4-6 weeks after the end of the root canal therapy. The clinical effects, adverse reactions, periodontal indexes, gingival crevicular fluid inflammatory factors and aesthetic effects were compared between the two groups 1 month after operation. Results One and six months after treatment, PD, BI and PI were decreased in both groups (P ＜0.05), but there was no signifi cant diff erence between the two groups (P ＞0.05). There was no signifi cant diff erence in the total eff ective rate between the two groups (P ＞0.05). After treatment, the levels of IL-6, TNF-α and Il-1β in gingival crevicular fl uid in the two groups were lower than those before treatment, and the levels of IL-6, TNF-α and Il-1β in the early group were lower than those in the late group (P ＜0.05). PES scores of both groups were increased, and the early group was higher than the late group, the diff erence was statistically signifi cant(P ＜0.05). There were no serious adverse reactions in the two groups, and there was no significant difference in the incidence of adverse reactions between the two groups(P＞0.05). Conclusion For combined periodontal and pulp lesions, periodontal treatment after one week of root canal treatment can suppress infl ammation and have a signifi cant aesthetic eff ect.

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更新日期/Last Update: 2024-08-30