摘要
目的:对比WaveOne Gold镍钛锉与手用不锈钢K锉对根尖牙周炎患者根管预备的效果及术后疼痛的影响。方法:将2021年10月至2023年10月于本院行根管治疗的130例患者依据临床指征对应的器械选择分为镍钛锉组(n=66,WaveOne Gold镍钛锉)和K锉组(n=64,手用不锈钢K锉)。比较两组的一次根管预备成功率、根管预备时间;评价两组的根管填充效果及术后7d的疼痛情况。结果:镍钛锉组的一次根管预备成功率高于K锉组,根管预备时间短于K锉组(P<0.05);镍钛锉组的根管恰填率高于K锉组(P<0.05);术后7d,镍钛锉组的视觉模拟评分法(VAS)评分低于K锉组(P<0.05)。结论:相比于手用不锈钢K锉,WaveOne Gold镍钛锉应用于根尖牙周炎患者根管预备的效果更佳,可有效提升一次性根管预备成功率,缩短根管预备时间,提升根管填充效果,减轻术后疼痛。
Objective:To compare the influence of WaveOne Gold nickel-titanium file and hand stainless steel K file on root canal preparation and postoperative pain in patients with apical periodontitis.Methods:Totally 130 patients who received root canal therapy in the hospital from October 2021 to October 2023 were classified into nickel-titanium file group(n=66,WaveOne Gold nickel-titanium file)and K file group(n=64,hand stainless steel K file)according to the instrument selection corresponding to clinical indications.The success rate of one-time root canal preparation and root canal preparation time were compared between groups.The effect of root canal filling and pain status at 7 days after surgery were evaluated.Results:The success rate of one-time root canal preparation in the nickel-titanium file group was higher than that in the K file group,and the root canal preparation time was shorter(P<0.05).The root canal accurate filling rate in the nickel-titanium file group was higher compared with that in the K file group(P<0.05).The visual analogue scale(VAS)score at 7 days after surgery was lower in the nickel-titanium file group than that in the K file group(P<0.05).Conclusion:Compared with hand stainless steel K file,WaveOne Gold nickel-titanium file is more effective in root canal preparation for patients with apical periodontitis,and the latter one can more effectively improve the success rate of one-time root canal preparation,shorten the root canal preparation time,enhance the root canal filling effect,and relieve the postoperative pain.
作者
朱秀娟
刘刚
周亚楠
陈珍珍
李冰润
ZHU Xiujuan;LIU Gang;ZHOU Ya'nan(Huaibei Miners General Hospital,Anhui Huaibei 235000,China)
出处
《河北医学》
2025年第7期1211-1215,共5页
Hebei Medicine
基金
安徽省自然科学基础研究计划项目,(编号:2020JM-394)。
关键词
根管预备
镍钛锉
K锉
填充效果
术后疼痛
Root canal preparation
Nickel-titanium file
K file
Filling effect
Postoperative pain
