摘要
目的探讨牙髓血运重建术中氢氧化钙髓腔封药治疗年轻恒牙牙髓炎坏死患者的临床价值。方法回顾性分析因牙髓炎坏死而行牙髓血运重建术患儿120例(患牙120颗)的临床资料。根据牙髓血运重建术使用髓腔封药不同将其分为研究组(采用氢氧化钙进行髓腔封药)和对照组(采用三联抗生素糊剂进行髓腔封药)两组各60例,患牙各60颗。比较两组治疗后临床效果,治疗前和治疗后3、6、12个月视觉模拟评分法(VAS)评分,治疗期间不适情况,以及治疗后不良反应发生情况。结果治疗后,研究组临床有效率为98.33%,对照组临床有效率为96.67%,两组比较差异无统计学意义(P>0.05)。治疗后3、6和12个月,两组VAS评分均呈逐渐下降趋势。治疗后3和6个月两组VAS评分比较差异无统计学意义(P>0.05);治疗后12个月,研究组VAS评分低于对照组,差异有统计学意义(P<0.01)。治疗期间,研究组不适情况总发生率1.67%低于对照组不适情况总发生率6.67%;治疗后,研究组不良反应总发生率3.33%低于对照组不良反应总发生率5.00%,但两组比较差异均无统计学意义(P>0.05)。结论牙髓血运重建术中利用氢氧化钙髓腔封药治疗年轻恒牙牙髓炎坏死临床效果好,且方便、简单、无耐药性。
Objective To analyze the clinical value of calcium hydroxide as intramedullary cavity sealant in dental pulp revascularization in the treatment of pulpitis necrosis of young permanent teeth.Methods The data of 120 children(120 teeth)undergoing pulp revascularization for pulp necrosis were retrospectively analyzed.According to the different drugs used in dental pulp revascularization,and they were divided into a control group(intramedullary cavity sealant with triple antibiotic paste)and a research group(intramedullary cavity sealant with calcium hydroxide)with 60 teeth in each group.The clinical effect,visual analogue scale(VAS)pain score before and at 3,6 and 12 months after treatment,discomfort during treatment,and postoperative adverse reactions were compared between the two groups.Results The clinical effective rate of the research group after treatment was 98.33%,which was not significantly different from that(96.67%)of the research group was(P>0.05).The VAS scores of the two groups gradually decreased at 3,6 and 12 months after treatment,and there was no statistically significant difference at 3 and 6 months after treatment(P>0.05).However,at 12 months after treatment,the VAS score of the research group was lower than that of the control group(P<0.01).The incidence of discomfort in the research group during treatment was 1.67%,which was significantly lower than that(6.67%)of the control group,and after treatment,the total incidence of adverse reactions was 3.33%in the research group,which was lower than that(5.00%)in the control group(P>0.05).Conclusion In the treatment of pulpitis necrosis of young permanent teeth,the calcium hydroxide as intramedullary cavity sealant in dental pulp revascularization has a good clinical effect,and provides a more convenient,simple and non-talerance treatment in clinical practice.
作者
张玉杰
张楠
张雪飞
张江畔
阎香娟
胡永权
ZHANG Yu-jie;ZHANG Nan;ZHANG Xue-fei;ZHANG Jiang-pan;YAN Xiang-juan;HU Yong-quan(Department of Stomatology,the Second Hospital of Shijiazhuang City,Shijiazhuang 050051,China;Disease Control and Prevention Center of Shijiazhuang,Shijiazhuang 050021,China)
出处
《临床误诊误治》
2020年第11期105-108,共4页
Clinical Misdiagnosis & Mistherapy
基金
河北省2020年度医学科学研究课题计划(20201341)。
关键词
牙髓炎
牙髓坏死
年轻恒牙
牙髓血运重建术
氢氧化钙髓腔封药
Pulpitis
Dental pulp necrosis
Young permanent teeth
Dental pulp revascularization
Calcium hydroxide intramedullary cavity sealant
