摘要
目的观察用DYCAL、氧化锌碘仿糊剂治疗陈旧性髓室底穿孔的临床疗效。方法 45例陈旧性髓室底穿孔的病例,均为磨牙且伴髓腔息肉,处理好患牙后用DYCAL封闭穿孔区,然后再用氧化锌碘仿糊剂牙胶尖根管充填,观察2周后行聚羧酸锌垫底、银汞合金充填修复,1年后复查,观察患牙的临床症状、并拍X光片检查,综合评价治疗效果。结果 45例患者中有6例未成功复诊,其余39例患者中成功30例,失败9例,成功率为76.9%,并且穿髓孔直径小的效果优于穿髓孔直径大者,具有统计学意义(P<0.05)。结论用DYCAL、氧化锌碘仿糊剂治疗陈旧性髓室底穿孔的近期效果比较满意,值得在基层工作中应用。
Objective To observe the clinical curative effect of DYCAL and zinc oxide iodoform paste in the treatment of old floor of pulp chamber perforation. Methods 45 cases with old floor of pulp chamber perforation occurred all in the molar and were combined with medullary cavity polyp. All the perforations were repaired by DYCAL after treating the impacted teeth, then the root canals were prepared and filled with zinc oxide iodoform paste and gutta-percha, and the PAZ zinc was used to fill the bottom and silver amalgam was used to fill and repair after two weeks of observation. The clinical symptoms of impacted teeth were observed, X-ray examination was done, and clinical curative effect was evaluated at the visit after 1 year. Results In 45 cases, there were 6 cases with unsuccessful visit,30 cases were successful and 9 cases were failing among the remaining 39 cases, the successful rate was 76.9%,and the effect of smaller diameter perforation was better than that of bigger diameter perforation, the difference was statistically significant（P 〈 0.05）. Conclusion The short-term clinical curative effect of DYCAL and zinc oxide iodoform paste in the treatment of old floor of pulp chamber perforation is satisfactory, and worth of application at the grass-roots work.
出处
《中国医药科学》
2014年第3期185-187,共3页
China Medicine And Pharmacy
关键词
陈旧性髓室底穿孔
氧化锌碘仿糊剂
DYCAL
Old floor of pulp chamber perforation
DYCAL
Zinc oxide iodoform paste
