摘要
目的探讨口腔显微镜下无机三氧化物聚合物(MTA)根尖屏障联合热牙胶充填技术治疗恒牙根尖敞开患者的临床疗效。方法选取2020年9月至2021年9月本院收治的62例根尖敞开恒牙患者为研究对象,采用系统抽样法分为观察组与对照组,每组31例。对照组采用热牙胶充填技术,观察组采用口腔手术显微镜下MTA根尖屏障联合热牙胶充填技术,比较两组临床疗效、根管充填效果、疼痛程度、炎症因子水平、满意度、不良反应发生率。结果观察组治疗总有效率为93.55%,高于对照组的74.19%,差异有统计学意义(P<0.05)。观察组适度充填占比高于对照组,欠充填、超充填占比均低于对照组,差异有统计学意义(P<0.05)两组视觉模拟评分法(VAS)评分组间、时间、交互比较差异有统计学意义(P<0.05)。组内比较:术后1、3 d,两组VAS评分均低于术前,且术后3 d低于术后1 d,差异有统计学意义(P<0.05)。组间比较:术前,两组VAS评分比较差异无统计学意义;术后1、3 d,观察组VAS评分均低于对照组,差异有统计学意义(P<0.05)。术前,两组白细胞介素-β(IL-β)、肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)水平比较差异无统计学意义;术后,两组IL-β、TNF-α、IL-6水平均低于术前,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组总满意度为90.32%,高于对照组的67.74%,差异有统计学意义(P<0.05);观察组不良反应发生率为16.13%,低于对照组的38.71%,差异有统计学意义(P<0.05)。结论显微镜下MTA根尖屏障联合热牙胶充填技术,可提高恒牙根尖敞开临床疗效,减轻患者疼痛,降低炎症因子水平,提高患者满意度。
Objective To investigate the clinical efficacy of mineral trioxide aggregate(MTA)apical barrier combined with hot gutta-percha in the treatment of permanent teeth with open root apices.Methods 62 patients with permanent teeth apical opening in our hospital from September 2020 to September 2021 were selected as the research subject,and they were divided into the observation group and the control group by the systematic sampling method,with 31 cases in each group.The control group was treated with hot gutta-percha filling technique,while the observation group was treated with MTA apical barrier combined with hot gutta-percha filling technique under oral microscope,the clinical efficacy,root canal filling effect,pain degree,inflammatory factor level,satisfaction and incidence of adverse reactions were compared between the two groups.Results The total effective rate in the observation group was 93.55%,which was higher than 74.19%in the control group,and the difference was statistically significant(P<0.05).The proportion of moderate filling in the observation group was higher than that in the control group,and the proportion of underfilling and overfilling were lower than those in the control group,and the differences were statistically significant(P<0.05).There were significant differences in visual analogue scale(VAS)between two groups of group,time points and interaction(P<0.05).Comparison within the group:1 and 3 d after surgery,VAS scores in the two groups were lower than before surgery,and 3 d after surgery was lower than 1 d after surgery,the differences were statistically significant(P<0.05).Comparison between groups:before surgery,there was no significant difference in VAS scores between the two groups;1 and 3 d after surgery,the VAS scores in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Before surgery,there were no significant differences in the interleukin-β(IL-β),tumor necrosis factor-α(TNF-α)and interleukin-6(IL-6)levels between the two groups;after surgery,the levels of IL-β,TNF-αand IL-6 of the two groups were lower than before operation,and the observation group was lower than control group,the differences were statistically significant(P<0.05).The total satisfaction in the observation group was 90.32%,which was higher than 67.74%in the control group,and the difference was statistically significant(P<0.05).The incidence of adverse reactions in the observation group was 16.13%,which was lower than 38.71%in the control group,and the difference was statistically significant(P<0.05).Conclusion MTA apical barrier combined with hot gutta-percha filling technology under microscope can improve the clinical effect of apical opening of permanent teeth,relieve patients'pain,reduce the level of inflammatory factors and improve patients'satisfaction.
作者
韩梅
周盛平
欧阳静
HAN Mei;ZHOU Shengping;OUYANG Jing(Department of Stomatology,Deyang Second People's Hospital,Deyang,Sichuan,618000,China)
出处
《当代医学》
2023年第13期22-26,共5页
Contemporary Medicine
关键词
恒牙根尖敞开
无机三氧化物聚合物
根尖屏障
热牙胶充填技术
Permanent teeth apical opening
Mineral trioxide aggregate
Apical barrier
Hot gutta-percha filling technology
