感染根管一次性根管治疗的疗效观察被引量：52

A clinical study of one-visit endodontic treatment for infected root canals

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摘要目的评价感染根管一次性根管治疗的临床效果和可靠性。方法选择临床诊断为牙髓坏死、慢性根尖周炎、急性根尖周炎的单根管患牙138颗为研究对象。76颗患牙在一次治疗内完成根管预备和根管充填,设为一次组;62颗患牙经2次治疗后完成根管充填(第1次治疗后氢氧化钙封药1周),设为二次组。观察2组在根管治疗术前、术后的疼痛状况,评价术后6月、1年和2年的治愈率,比较2组的临床疗效。结果根管治疗后,一次组和二次组术后疼痛率的差异无统计学意义。术后6月、1年和2年,一次组的治愈率为68.4%、92.1%、98.7%,二次组分别为64.5%、91.9%、96.8%,2组治愈率的差异也无统计学意义(P>0.05)。结论与2次治疗后完成根管充填相比,一次性根管治疗的术后疼痛和2年治愈率差异不大,且疼痛期较短,具有一定的临床可行性。 Objective To evaluate the post-operative pain level and two years healing of one-visit endodontic treatment for infected root canals.Methods 76 infected cases were included in one-visit root canal therapy group and 62 infected cases in two-visit group using calcium hydroxide as an interappointment medicament.A comparison of the clinical results was done between the two groups.The main assessments included pre-and post-operative pain evaluated by patients and dentists,and the healing response after six months,one year and two years.Results There was no statistical significance between the groups regarding pain 7 days after operation and two years＇ cure rate.After six months,one year and two years,the cure rates of one-visit group were 68.4%,92.1%,98.7%,while those of two-visit group were 64.5%,91.9%,96.8%,respectively.Conclusion One-visit endodontic treatment for infected root canals has the same clinical efficacy as two-visit in regarding to post-operative pain level and shortterm healing.

作者肖丹张德辉

机构地区北京世纪坛医院口腔科

出处《华西口腔医学杂志》 CAS CSCD 北大核心 2010年第1期57-60,共4页 West China Journal of Stomatology

关键词一次性根管治疗感染根管疼痛 one-visit endodontics treatment infected root canals pain

分类号 R781.05 [医药卫生—口腔医学]

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1Orstavik D, Kerekes K, Eriksen HM. The periapical index: A scoring system for radiographic assessment of apical periodontitis [J]. Endod Dent Traumatol, 1986, 2(1):20-34.
2Maalouf EM, Gutmann JL. Biological perspectives on the non- surgical endodontic management of periradicular pathosis[J]. Int Endod J, 1994, 27(3) : 154-162.
3Walton R, Fouad A. Endodontic interappointment flare-ups: A prospective study of incidence and related factors[J]. J Endod, 1992, 18 (4) : 172-177.
4Fava LR. A comparison of one versus two appointment endodontie therapy in teeth with non-vital pulps[J]. Int Endod J, 1989, 22 (4) : 179-183.
5张成飞,赵宝红,林琼光,杨捷.不同根管预备方法对根尖孔溢出碎屑和液体的影响[J].现代口腔医学杂志,2003,17(3):224-226. 被引量：39
6Albashaireh ZS, Alnegrish AS. Postobturation pain after single- and multiple-visit endodontic therapy. A prospective study[J]. J Dent, 1998, 26 (3) : 227-232.
7Smith CS, Setchell D J, Harry FJ. Factors influencing the success of conventional root canal therapy--a five-year retrospective study [J]. Int Endod J, 1993, 26(6):321-333.
8Sjogren U, Hagglund B, Sundqvist G, et al. Factors affecting the long-term results of endodontic treatment[J]. J Endod, 1990, 16 (10) : 498-504.
9Orstavik D. Time-course and risk analyses of the development and healing of chronic apical periodontitis in man[J]. Int Endod J, 1996, 29(3) : 150-155.