摘要
目的探讨冠修复与根管同步治疗隐裂牙牙髓病的疗效。方法选取2018年1月—2019年6月湖北省某医院98例隐裂牙牙髓病患者作为研究对象,采用随机数字表法将患者分成观察组(n=49)和对照组(n=49),对照组患者采用常规治疗,观察组患者采用冠修复与根管同步治疗,2组患者均持续治疗6个月。比较2组患者的就诊次数、就诊持续时间、治疗效果及2组患者治疗7d时的疼痛情况,比较2组患者治疗前、治疗6个月时的牙齿功能变化。结果观察组患者的就诊次数为(2.41±0.51)次,明显少于对照组的(3.65±0.71)次,治疗时间为(13.24±1.23)d,明显短于对照组的(21.58±2.69)d,差异均有统计学意义(P<0.05)。观察组患者的治疗总有效率为97.96%,明显高于对照组的81.63%,差异有统计学意义(P<0.05)。观察组患者治疗7d时的疼痛发生率为20.41%,明显低于对照组的40.82%,差异有统计学意义(P<0.05)。治疗前,2组患者咬合力、咀嚼效率、牙齿松动度比较,差异均无统计学意义(P>0.05)。治疗治疗6个月时,观察组患者的咬合力、咀嚼效率明显高于对照组,牙齿松动度明显低于对照组,差异均有统计学意义(P<0.05)。结论冠修复与根管同步治疗隐裂牙牙髓病具有明显效果,可明显减少患者就诊次数,缩短就诊持续时间,有效缓解疼痛,改善牙齿功能,具有较高的推广应用价值。
Objective To explore the efficacy of synchronous application of crown restoration and root canal treat-ment for cracked-tooth syndrome.Methods Ninety-eight patients with cracked-tooth syndrome in a hospital in Hubei from January 2018 to June 2019 were selected as the study subjects,and the patients were divided into ob-servation group(n=49)and control group(n=49)using a random number table.The patients in the control group were treated conventionally,and the patients in the observation group were treated with crown restoration and root canal treatment simultaneously,and the treatment for patients in both groups continued for 6 months.The number of visits,treatment time,treatment efficacy and pain at 7 d of treatment were compared between the two groups,and the functional changes of the teeth before and at 6 months of treatment were compared between the two groups.Results The number of visits in the observation group was 2.41±0.51,which was significantly less than that the control group’s 3.65±0.71,and the treatment time was(13.24±1.23)d,which was signifi-cantly shorter than that in the control group(21.58±2.69)d.The differences were statistically significant(P<0.05).The total treatment efficiency of patients in the observation group was 97.96%,which was significantly higher than that of 81.63%in the control group,and the difference was statistically significant(P<0.05).The incidence of pain in the patients of the observation group at 7 d of treatment was 20.41%,which was significantly lower than that of the control group(40.82%),and the difference was statistically significant(P<0.05).Be-fore treatment,there was no statistically significant difference in the bite force,chewing efficiency,and tooth loosening between the 2 groups(P>0.05).At 6 months of treatment,the bite force and chewing efficiency of the patients in the observation group were significantly higher than those in the control group,and the tooth loos-ening was significantly lower than that in the control group,and the differences were all stati
作者
岑乐
陈利亚
Cen Le;Chen Liya(Department of Stomatology,Tongshan County People's Hospital,Xianning Hubei 437600,China)
出处
《保健医学研究与实践》
2021年第2期63-66,共4页
Health Medicine Research and Practice
关键词
冠修复
根管治疗
同步治疗
隐裂牙
牙髓病
临床疗效
Crown restoration
Root canal treatment
Simultaneous treatment
Cracked-tooth syndrome
Endodontic disease
Clinical efficacy
