摘要
目的:探讨生物陶瓷制剂iRoot-BP封闭根管上段在年轻恒牙根尖周病变行牙髓血运重建术中的应用价值。方法:纳入2018年6月至2019年6月新疆维吾尔自治区人民医院口腔科就诊的40例发生根尖周病变的年轻恒牙患者作为研究对象;随机分为治疗组和对照组,各20例;对照组应用根尖诱导成形术治疗,治疗组应用IROOT-BP行牙髓血运重建术;比较两组患者临床疗效、根尖指数、根管壁厚度和根冠长度及牙齿功能。结果:治疗组临床有效率明显高于对照组(90.00%vs 60.00%),差异具有统计学意义(P<0.05);根据根尖指数评判标准,治疗组在完全治愈+好转病比例高于对照组,差异具有统计学意义(P<0.05);治疗组根管壁厚度、根冠长度高于对照组(P<0.05);VAS评分显示,治疗组在咬合度、牙齿色泽、咀嚼功能方面评分高于对照组,差异具有统计学意义(P<0.05)。结论:采用iRoot-BP封闭冠部的牙髓血运重建术在治疗年轻恒牙根尖周病变中疗效显著,能够促进根管壁厚度和根管再生,值得推广。
Objective:To explore the application value of iRoot-BP closed upper root canal in the treatment of endodontic revascularization of young permanent teeth.Methods:Forty young permanent teeth patients with periapical lesions who were treated in the Department of Stomatology of Xinjiang Uygur Autonomous Region People's Hospital from June 2018 to June 2019 were included as the research subjects and randomly divided into a treatment group and a control group with 20 cases in each.The control group was treated with apical induction angioplasty,and the treatment group was treated with IROOT-BP for endodontic revascularization.The two groups were compared on the clinical efficacy,apex index,root canal wall thickness,root crown length and tooth function of patients with diabetes.Results:The clinical effective rate of the treatment group was significantly higher than that of the control group(90.00%vs 60.00%),and the difference was statistically significant(P<0.05).According to the apex index evaluation criteria,the proportion of complete cure+improvement in the treatment group was higher than that in the control group,and the difference was statistically significant(P<0.05).The root canal wall thickness and root crown length of the treatment group were higher than those of the control group(P<0.05).The VAS score showed that the treatment group scored higher than the control group in terms of occlusion,tooth color,and chewing function,and the differences were statistically significant(P<0.05).Conclusion:Endothelium revascularization with iRoot-BP closed crown is effective in the treatment of periapical lesions of young permanent teeth,and can promote root canal wall thickness and root canal regeneration.It is worth promoting.
作者
热孜亚·艾尼
马依热·阿布都赛麦提
陈晓涛
REZIYA Eni;MAJRE Abdul Samet;CHEN Xiaotao(Xinjiang Uygur Autonomous Region People's Hospital,Xinjiang Urumqi 830001,China)
出处
《河北医学》
CAS
2020年第12期2012-2016,共5页
Hebei Medicine
基金
新疆维吾尔自治区人民医院科技引进创新项目,(编号:20180208)。
