摘要
目的探究不同牙髓状态下年轻恒牙采用根尖诱导成形术的价值。方法研究年限范围为2018年1月至2024年2月期间,选取我院收治的60例年轻恒牙患者。根据不同牙髓状态分为3组,即牙髓炎组(20例)、牙髓坏死组(20例)、根尖炎组(20例),均实施根尖诱导成形术。比较三组患者的临床疗效、疼痛程度、并发症发生率及牙根发育时间。结果牙髓坏死组与根尖炎组的临床疗效高于牙髓炎组(P<0.05);牙髓炎组的疼痛程度与牙髓坏死组、根尖炎组相近(P>0.05);牙髓坏死组与根尖炎组的并发症发生率低于牙髓炎组(P<0.05);牙髓坏死组与根尖炎组的牙根发育时间短于牙髓炎组(P<0.05)。结论根尖诱导成形术对不同牙髓状态的年轻恒牙均具有一定疗效,但对牙髓坏死及根尖周炎患者的适用性更高,可降低并发症发生率,提高整体疗效。
Objective To explore the value of apical induction forming in young permanent teeth with different pulp states.Methods A total of 60 patients with young permanent teeth admitted to our hospital from January 2018 to February 2024 were selected and divided into three groups according to different pulp states:pulpitis group(20 cases),pulp necrosis group(20 cases),and periapical periodontitis group(20 cases).All patients underwent apical induction forming.The clinical efficacy,pain degree,complication rate,and root development time of the three groups were compared.Results The clinical efficacy of the pulp necrosis group and periapical periodontitis group was higher than that of the pulpitis group(P<0.05);the pain degree of the pulpitis group was similar to that of the pulp necrosis group and periapical periodontitis group(P>0.05);the complication rate of the pulp necrosis group and periapical periodontitis group was lower than that of the pulpitis group(P<0.05);the root development time of the pulp necrosis group and periapical periodontitis group was shorter than that of the pulpitis group(P<0.05).Conclusion Apical induction forming has certain efficacy in young permanent teeth with different pulp states,but it is more applicable to patients with pulp necrosis and periapical periodontitis,which can reduce the complication rate and improve the overall efficacy.
作者
林艳
杜燚
何雁冰
石佳伟
Lin Yan;Du Yi;He Yanbing;Shi Jiawei(Department of Oral Comprehensive,Jiangmen Central Hospital,Jiangmen,Guangdong 529030,China)
出处
《当代临床医刊》
2025年第5期31-34,共4页
Journal of Contemporary Clinical Medicine
基金
江门市医疗卫生领域科技计划项目,项目编号(2024YL01064)。
关键词
不同牙髓状态
年轻恒牙
根尖诱导成形术
临床疗效
疼痛程度
Different pulp states
Young permanent teeth
Apical induction forming
Clinical efficacy
Pain degree
