摘要
目的:对比分析iRoot SP、GuttaFlow2和BioRoot RCS在牙体牙髓病患者单尖法根管充填治疗中的应用效果。方法:将2023年1月~2025年1月收治的120例牙体牙髓病患者(151颗患牙)通过抽签的方式随机分成iRoot SP组(40例/52颗)、GuttaFlow2组(40例/49颗)、BioRoot RCS组(40例/50颗)。3组均实施单尖法根管充填治疗,分别使用iRoot SP、GuttaFlow2、BioRoot RCS配合牙胶尖作为根管充填材料。比较3组的根管充填时间、根管充填质量、疼痛程度[数字评分量表(NRS)]、疼痛应激指标[皮质醇(Cor)、前列腺素E2(PGE2)、P物质(SP)]、牙周健康状态(菌斑指数评分、龈沟出血指数评分)及并发症。结果:iRoot SP组和GuttaFlow2组的根管充填时间均较BioRoot RCS组短(P<0.05),GuttaFlow2组的根管充填时间均较iRoot SP组短(P<0.05)。3组治疗后3 d、7 d及1个月的NRS评分、治疗后3 d的Cor、PGE2、SP水平均下降,且iRoot SP组和BioRoot RCS组均比GuttaFlow2组低(P<0.05),iRoot SP组与BioRoot RCS组的差异无统计学意义(P>0.05)。治疗后3个月的龈沟出血指数与菌斑指数评分均下降,但组间比较无统计学差异(P>0.05)。3组的根管充填质量、并发症发生率比较,无统计学差异(P>0.05)。结论:在牙体牙髓病患者单尖法根管充填治疗中,iRoot SP、GuttaFlow2和BioRoot RCS均能达到理想的充填质量,且对牙周健康无显著影响,GuttaFlow2的操作效率更高,iRoot SP和BioRoot RCS在术后疼痛控制、应激反应减轻方面更具优势。
Objective:To compare and analyze the application effect of iRoot SP,GuttaFlow2 and BioRoot RCS in the single-point root canal filling treatment of patients with endodontic disease.Methods:From January 2023 to January 2025,120 patients with endodontic disease(151 affected teeth)were randomly divided into iRoot SP group(40 cases,52 teeth),GuttaFlow2 group(40 cases,49 teeth)and BioRoot RCS group(40 cases,50 teeth)by drawing lots.All the three groups were treated with single-point root canal flling,used iRoot SP,GuttaFlow2,BioRoot RCS(with gutta percha point),respectively,as the root canal flling material.The root canal filling time,root canal flling quality,pain degree[numerical rating scale(NRS)],pain stress indicators[cortisol(Cor),prostaglandin E2(PGE2),substance P(SP)],periodontal health status(plaque index score,sulcus bleeding index score)and complications were compared among the three groups.Results:The time of root canal filling in iRoot SP group and GuttaFlow2 group was shorter than that in BioRoot RCS group(P<0.05),and the root canal filling time in GuttaFlow2 group was shorter than that in iRoot SP group(P<0.05).The NRS scores at 3 days,1 week and 1 month after treatment,scores of sulcus bleeding index and plaque index at 3 months after treatment and levels of Cor,PGE2 and SP at 3 days after treatment were decreased in the three groups,and the above scores and levels were lower in iRoot SP group and BioRoot RCS group than those in GuttaFlow2 group(P<0.05),and there were no statistical differences between iRoot SP group and BioRoot RCS group(P>0.05).The scores of sulcus bleeding index and plaque index were decreased at 3 months after treatment,but there were no statistical differences between the two groups(P>0.05).No statistical differences were observed in the quality of root canal flling and the incidence rates of complications among the three groups(P>0.05).Conclusion:In the single-point root canal filling treatment of patients with endodontic disease,iRoot SP,Gutta-Flow2 and BioRoot RCS can achieve ideal flling quality,and have no significant influence on periodontal health.GuttaFlow2 has higher operation efficiency,and iRoot SP and BioRoot RCS have more advantages in postoperative pain control and stress response reduction.
作者
祝心威
李炯
阳宏林
魏龙形
许乐
王宇喆
ZHU Xin-wei;LI Jiong;YANG Hong-lin;WEI Long-xing;XU Le;WANG Yu-zhe(Stomatological Hospital Affiliated to Anhui Medical University,Anhui Hefei 230000,China;School of Stomatology,Anhui Medical University,Anhui Hefei 230000,China;North Campus of the First Affiliated Hospital of Anhui Medical University,Anhui Hefei 230000,China)
出处
《临床口腔医学杂志》
2025年第9期551-555,共5页
Journal of Clinical Stomatology
基金
安徽医科大学校级质量工程项目(2024xjxm22)
安徽医科大学青年科学基金项目(2023xkj054)
2022年度安徽省高校科研项目(2022AH050686)。
