摘要
目的 观察Vitapex及AH plus糊剂联合应用治疗牙周牙髓联合病变的临床疗效。方法 选取2019年4月-2021年1月在我院诊治的82例牙周牙髓联合病变患者为研究对象,采用随机数字表法分为对照组和观察组,各41例。两组均给予常规牙周基础治疗,对照组采用AH plus糊剂填充根管,观察组采用Vitapex及AH plus糊剂联合填充根管,比较两组治疗1周内急症反应、临床疗效、牙周健康指标、疼痛评分、并发症发生率。结果 治疗1周内,观察组急症反应发生率为4.88%,与对照组的7.32%比较,差异无统计学意义(P>0.05);观察组治疗总有效率为97.56%,高于对照组的85.37%(P<0.05);两组治疗后龈沟出血指数(SBI)、牙周探诊深度(PD)、探诊出血指数(BOP)、牙龈指数(GI)、松动度(TM)、菌斑指数(PLI)均低于治疗前,观察组低于对照组,观察组疼痛评分低于对照组(P<0.05);观察组并发症发生率为7.32%,低于对照组的14.63%(P<0.05)。结论 Vitapex及AH plus糊剂联合应用治疗牙周牙髓联合病变效果确切,可提高治疗疗效,改善牙周健康指标,减轻疼痛,降低并发症发生率,具有显著的临床应用优势,值得临床应用。
Objective To observe the clinical effect of Vitapex combined with AH plus paste in the treatment of combined periodontal-endodontic lesions.Methods A total of 82 patients with combined periodontal-endodontic lesions diagnosed and treated in our hospital from April 2019 to January 2021 were selected as the research objects. They were divided into control group and observation group by random number table method, with41 cases in each group. Both groups were given routine periodontal basic treatment, while the control group was filled with AH plus paste, and the observation group was filled with Vitapex and AH plus paste. The emergency response, clinical efficacy, periodontal health index, pain score and complication rate were observed and compared between the two groups within 1 week of treatment. Results Within 1 week of treatment, the incidence of acute reaction in the observation group was 4.88%, which was compared with 7.32% in the control group, the difference was not statistically significant(P>0.05). The total effective rate of treatment in the observation group was 97.56%, which was higher than 85.37% in the control group( P<0.05). After treatment, the gingival sulcus bleeding index(SBI), periodontal probing depth(PD), probing bleeding index(BOP), gingival index(GI),mobility(TM) and plaque index(PLI) of the two groups were lower than those before treatment, while the observation group was lower than the control group, and the pain score of the observation group was lower than that of the control group(P<0.05). The incidence of complications in the observation group was 7.32%, which was lower than 14.63% in the control group(P<0.05).Conclusion The combination of Vitapex and AH plus paste is effective in the treatment of combined periodontal-endodontic lesions, which can improve the therapeutic effect, improve periodontal health indicators, reduce pain, and reduce the incidence of complications. It has significant clinical application advantages and is worthy of clinical application.
作者
程杰
王士杰
孙寒蕾
CHENG Jie;WANG Shi-jie;SUN Han-lei(Department of Stomatology,Tianjin Jizhou Hospital of Traditional Chinese Medicine,Tianjin 301900,China)
出处
《医学信息》
2023年第2期138-140,144,共4页
Journal of Medical Information
