[1]陈星羽,薛雅琴,张 宁.一次性和多次根管治疗对根尖周炎的疗效对比[J].中国美容医学,2022,(3):148-151.
　CHEN Xingyu,XUE Yaqin,ZHANG Ning.Comparison of Curative Effect of One-time and Multiple Root Canal Therapy on Periapical Periodontitis[J].Medical Aesthetics and Beauty,2022,(3):148-151.
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一次性和多次根管治疗对根尖周炎的疗效对比()
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2022年3期
页码:
148-151
栏目:
出版日期:
2022-03-10

文章信息/Info

Title:
Comparison of Curative Effect of One-time and Multiple Root Canal Therapy on Periapical Periodontitis
文章编号:
1008-6455（2022）03-0148-04
作者:
陈星羽; 薛雅琴; 张 宁
(南京大学医学院附属口腔医院 南京市口腔医院高级专家诊疗科 江苏 南京 210008 )
Author(s):
CHEN Xingyu;  XUE Yaqin;  ZHANG Ning
(Department of Senior Expert Diagnosis and Treatment, Nanjing Stomatological Hospital,Medical School of Nanjing University, Nanjing 210008,Jiangsu,China)
关键词:
根管治疗; 根尖周炎; 牙槽骨; 疼痛; 封闭
Keywords:
root canal treatment;  apical periodontitis;  alveolar bone;  pain;  closure
分类号:
R781.3
文献标志码:
A
摘要:
目的：探究一次性和多次根管治疗对根尖周炎的治疗效果。方法：选择2017年6月-2020年6月在南京市口腔医院就诊的88例根尖周炎患者为研究对象。以随机数字的方法分为对照组和观察组，每44例。对照组使用多次性根管治疗方案，观察组使用一次性根管治疗方案。对比两组的治疗效果、填充效果、治疗时间、治疗完成后1周的疼痛情况（VAS评分）、牙槽骨骨密度、血清炎性反应因子指标[C反应蛋白（CRP）、白细胞介素-2（IL-2）、白细胞介素-6（IL-6）]及并发症情况。结果：观察组的治疗有效率100.00%，对照组的治疗有效率97.73%（P＞0.05）；两组的填充效果良好率均为100.00%（P＞0.05），差异均无统计学意义。观察组的治疗时间和治疗完成后1周的VAS评分均低于对照组（P＜0.05）。治疗后1个月，两组的牙槽骨骨密度均增高，两组比较差异无统计学意义（P＞0.05）。治疗后1个月，观察组的CRP、IL-2、IL-6均低于对照组，差异有统计学意义（P＜0.05）。两组的并发症发生率比较差异无统计学意义（P＞0.05）。结论：治疗根尖周炎患者，一次性根管填充治疗和多次性根管填充治疗所获得的疗效及填充效果十分接近，改善牙槽骨骨密度的能力类似，均具有良好的安全性。但是一次性根管治疗可明显缩短治疗时间，降低组织损伤程度以及术后短期疼痛感。
Abstract:
Objective To explore the difference between one-time and multiple root canal therapy in the treatment of periapical periodontitis. Methods 88 patients with periapical periodontitis in Nanjing stomatological hospital from June 2017 to June 2020 were selected as the research objects. They were randomly divided into control group and observation group, with 44 patients in each group. The control group used multiple root canal therapy, and the observation group used one-time root canal therapy. The treatment effect, filling effect, treatment time, pain (VAS score), alveolar bone mineral density, serum inflammatory response factor indexes [C-reactive protein (CRP), interleukin-2 (IL-2), interleukin-6 (IL-6)] and complications of the two groups were compared. Results The effective rate of the observation group was 100.00%, and that of the control group was 97.73% (P＞0.05). The good filling rate of the two groups was 100.00% (P＞0.05). The treatment time and VAS score of the observation group were lower than those of the control group (P＜0.05). One month after treatment, the alveolar bone mineral density of the two groups increased, and there was no significant difference between the two groups (P＞0.05). One month after treatment, CRP, IL-2 and IL-6 in the observation group were lower than those in the control group (P＜0.05). There was no significant difference in the incidence of complications between the two groups (P＞0.05). Conclusion In the treatment process of periapical periodontitis patients, the treatment effect and filling effect of one-time root canal filling treatment and multiple root canal filling treatment are very close, and the ability to improve alveolar bone mineral density is similar, which has good safety. However, one-time root canal therapy can significantly shorten the treatment time,reduce the degree of tissue damage and postoperative short-term pain .

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更新日期/Last Update: 2022-04-11