摘要
目的探讨AH PLus与Endomethasone两种根管充填剂用于老年患者1次性根管治疗的临床效果。方法经诊断为牙髓炎、根尖周病患者83例根行管治疗的老年患者的临床资料,根据使用填充剂分为AH Plus组39例和Endomethasone组44例,均行1次根管治疗,比较两组术后1周疼痛反应,术后24周的临床疗效。结果术后1周,牙髓炎和根尖周炎两组患者疼痛反应发生率差异无统计学意义(χ^2=0.686,P=0.710,χ^2=0.102,P=0.950)。术后24周牙髓炎AH Plus组和Endomethasone组临床疗效比较差异无统计学意义[89.5%(17/19)和85.7%(18/21),χ^2=0.016,P=0.992];根尖周炎,AH Plus组和Endomethasone组临床疗效两组比较差异无统计学意义[90.0%(18/20)和87.0%(20/23),χ^2=0.307,P=0.858]。结论AH PLus与Endomethasone两种根管充填剂用于老年患者1次性根管治疗的临床效果较好,两组的疼痛反应发生率和临床疗效无明显的差异。
Objective To investigate the clinical efficacies of AH Plus versus Endomethasone for pulp disease in elderly patients udergoing one-time root canal therapy. Methods Clinical data of 83 elderly patients with pulpitis and periapical diseases were retrospectively analyzed.According to fillers, patients were divided into AH Plus group(n=39)and Endomethasone group(n=44). All patients underwent one-time root canal therapy.The pain response at one week after operation and clinical effects at 24 weeks after operation were observed and compared between the two groups. Results At one week after operation, there was no significant difference in the incidence of pain response between AH Plus group and Endomethasone group in patients with pulpitis and periapical diseases respectively(χ^2=0.686, P=0.710;χ^2=0.102, P=0.950). No significant difference in clinical efficacy was found between AH Plus group and Endomethasone group at 24 weeks after pulpitis surgery(89.5% or 17/19 vs.85.7% or 18/21,χ^2=0.016, P=0.992). There was no significant difference in clinical efficacy between AH Plus group and Endomethasone group in patients with periapical diseases at 24 weeks after surgery(90.0% or 18/20 vs.87.0% or 20/23,χ^2=0.307, P=0.858). Conclusions Both the root canal fillers AH Plus and Endomethasone have better clinical efficacy in the elderly undergoing one-time root canal therapy.There is no significant difference in the incidence of pain response and clinical efficacy between the two groups.
作者
章巧丽
李立峰
来月丽
Zhang Qiaoli;Li Lifeng;Lai Yueli(Department of Stomatology,the First People's Hospital of Fuyang District,Hangzhou 311400,China)
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
2019年第6期662-664,共3页
Chinese Journal of Geriatrics
关键词
根管疗法
牙髓
Root canal therapy
Dental pulp
