上海口腔医学

上海口腔医学 ›› 2018, Vol. 27 ›› Issue (6): 645-648.doi: 10.19439/j.sjos.2018.06.017

• 论著 • 上一篇    下一篇

热牙胶充填技术联合不同封闭剂在根管充填治疗中的疗效评价

舒怡1, 罗业姣2   

  1. 1.德阳市口腔医院 口腔内科,四川 德阳 618000;
    2.成都医学院第一附属医院 口腔科,四川 成都 610500
  • 收稿日期:2018-05-10 出版日期:2018-12-25 发布日期:2019-01-11
  • 通讯作者: 舒怡,E-mail: bart711@yeah.net
  • 作者简介:舒怡（1983-）,女,本科,主治医师

Curative effect of warm gutta-percha filling technique combined with different sealers in root canal filling

SHU Yi1, LUO Ye-jiao2   

  1. 1.Department of Oral Medicine,Deyang Stomatological Hospital. Deyang 618000;
    2.Department of Stomatology, The First Affiliated Hospital of Chengdu Medical College. Chengdu 610500, Sichuan Province, China
  • Received:2018-05-10 Online:2018-12-25 Published:2019-01-11

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摘要： 目的: 评价热牙胶充填技术联合不同封闭剂在根管充填治疗中的临床疗效。方法: 选取2015年6月—2017年6月在我院接受根管充填的牙髓炎患者95例,按随机数表法分为A组（n=30）、B组（n=33）和C组（n=32）。A组采用热牙胶充填技术+iRoot SP,B组采用热牙胶充填技术+AH plus,C组采用热牙胶充填技术+Vitapex。比较3组术后7 d的根管充填质量,评估患者疼痛程度。采用SPSS19.0软件包对数据进行统计学分析。结果: 3组适充率比较差异无统计学意义（P>0.05）。A、B组1级疼痛率分别为6.7%、6.1%,显著低于C组的28.1%（P<0.05）。结论: 热牙胶充填技术联合iRoot SP、AH plus或Vitapex,均具有较好的根管封闭效果;但iRoot SP、AH plus相较于Vitapex,可以更有效减轻根管治疗术后疼痛症状,推荐作为根管充填治疗中的首选封闭剂。

关键词: 牙髓炎, 根管治疗, 热牙胶充填, 封闭剂, 术后疼痛

Abstract: PURPOSE: To evaluate the clinical curative effect of warm gutta-percha filling technique combined with different sealers in root canal filling. METHODS: Ninety-five patients with pulpitis who underwent root canal filling from June 2015 to June 2017 were selected. They were randomly divided into group A (n=30), group B (n=33) and group C(n=32). Group A was treated with warm gutta-percha filling technique + iRoot SP, group B was treated with warm gutta-percha filling technique + AH plus, and group C was treated with warm gutta-percha filling technique + Vitapex. The quality of root canal filling at 7 days after surgery was compared among the three groups, and the pain degree was assessed. Statistical analysis was performed using SPSS 19.0 software package. RESULTS: There was no significant difference in the rate of suitable filling among the three groups (P>0.05). The rates of level 1 pain in group A and group B (6.7% and 6.1%) were significantly lower than that in group C (28.1%) (P<0.05). CONCLUSIONS: The root canal sealing effects of warm gutta-percha filling technique combined with iRoot SP or AH plus or Vitapex are good. However, compared with Vitapex, iRoot SP and AH plus can relieve symptoms of pain after root canal treatment more effectively. They are suggested as the preferred sealers in root canal filling.

Key words: Pulpitis, Root canal therapy, Warm gutta-percha filling, Sealer, Postoperative pain

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