[1]张汉雄,黄 龙.不同根管冲洗方案对不可复性牙髓炎根管治疗术后患者疼痛及预后的影响[J].医学信息,2023,36(21):74-77.[doi:10.3969/j.issn.1006-1959.2023.21.016]
　ZHANG Han-xiong,HUANG Long.Effect of Different Root Canal Irrigation Schemes on Pain and Prognosis of Patients with Irreversible Pulpitis After Root Canal Therapy[J].Journal of Medical Information,2023,36(21):74-77.[doi:10.3969/j.issn.1006-1959.2023.21.016]
点击复制

不同根管冲洗方案对不可复性牙髓炎根管治疗术后患者疼痛及预后的影响()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年21期
页码:
74-77
栏目:
论著
出版日期:
2023-11-01

文章信息/Info

Title:
Effect of Different Root Canal Irrigation Schemes on Pain and Prognosis of Patients with Irreversible Pulpitis After Root Canal Therapy
文章编号:
1006-1959（2023）21-0074-04
作者:
张汉雄; 黄 龙
（万载县人民医院口腔科，江西 万载 336100）
Author(s):
ZHANG Han-xiong; HUANG Long
(Department of Stomatology,Wanzai County People’s Hospital,Wanzai 336100,Jiangxi,China)
关键词:
不可复性牙髓炎; 根管治疗术; 根管冲洗; 术后疼痛
Keywords:
Irreducible pulpitis; Root canal therapy; Root canal irrigation; Postoperative pain
分类号:
R781.31
DOI:
10.3969/j.issn.1006-1959.2023.21.016
文献标志码:
A
摘要:
目的 研究不同根管冲洗方案对不可复性牙髓炎根管治疗术后患者疼痛及预后的影响。方法 选取2019年1月-2022年3月万载县人民医院收治的72例不可复性牙髓炎患者，按照随机数字表法分为对照组（36例）与观察组（36例）。两组均给予根管治疗，对照组应用注射根管冲洗方案，观察组则应用超声根管冲洗方案，比较两组根管充填质量（根充致密性、侧支根管充填率）、牙周指数[菌斑指数（PLI）、探诊出血指数（BI）、牙龈指数（GI）]、疼痛视觉模拟评分（VAS）、口腔健康程度量表（OHIP-14）评分、并发症发生率。结果 观察组根充致密性优于对照组，侧支根管充填率高于对照组（P＜0.05）；两组术后3个月PLI、BI、GI均小于术后即刻，且观察组小于对照组（P＜0.05）；两组术后24 h VAS评分低于术后6 h，且观察组低于对照组（P＜0.05）；两组术后3个月OHIP-14评分低于术后1周，且观察组低于对照组（P＜0.05）；观察组并发症发生率为8.33%，低于对照组的27.78%（P＜0.05）。结论 超声根管冲洗方案与注射根管冲洗方案在不可复性牙髓炎根管治疗术中均具有确切应用效果，前者可改善根管充填质量，且术后疼痛轻、并发症少，对患者口腔健康具有积极改善作用，其效果优于注射根管冲洗方案。
Abstract:
Objective To study the effect of different root canal irrigation schemes on pain and prognosis of patients with irreversible pulpitis after root canal therapy.Methods A total of 72 patients with irreversible pulpitis admitted to Wanzai County People’s Hospital from January 2019 to March 2022 were selected and divided into control group (36 patients) and observation group (36 patients) according to the random number table method. Both groups were given root canal treatment, while the control group was treated with injection root canal irrigation scheme, the observation group was treated with ultrasonic root canal irrigation scheme. The root canal filling quality (root filling compactness, collateral root canal filling rate), periodontal index [plaque index (PLI), bleeding index (BI), gingival index (GI)], visual analogue scale (VAS), oral health scale (OHIP-14) score and complication rate were compared between the two groups.Results The root filling density of the observation group was better than that of the control group, and the lateral root canal filling rate was higher than that of the control group (P<0.05). The PLI, BI and GI of the two groups at 3 months after operation were smaller than those immediately after operation, and those of the observation group were smaller than those of the control group (P<0.05). The VAS score of the two groups at 24 h after operation was lower than that at 6 h after operation, and that of the observation group was lower than that of the control group (P<0.05). The OHIP-14 score of the two groups at 3 months after operation was lower than that at 1 week after operation, and that of the observation group was lower than that of the control group (P<0.05). The incidence of complications in the observation group was 8.33%, which was lower than 27.78% in the control group (P<0.05).Conclusion The ultrasonic root canal irrigation scheme and the injection root canal irrigation scheme have a definite application effect in the root canal therapy of irreducible pulpitis. The former can improve the quality of root canal filling, with less postoperative pain and fewer complications, and has a positive effect on improving the oral health of patients, which is superior to the injection root canal irrigation scheme.

参考文献/References:

[1]Ricucci D,Siqueira JF Jr,Abdelsayed RA,et al.Bacterial Invasion of Pulp Blood Vessels in Teeth with Symptomatic Irreversible Pulpitis[J].J Endod,2021,47(12):1854-1864.[2]王诗维,黄晶,李迎楼,等.超声冲洗技术在磨牙iRoot BP Plus牙髓切断术中的应用效果[J].现代生物医学进展,2022,22(9):1766-1769,1765.[3]严美芳,薛慧.不同根管冲洗剂对急性牙髓炎患者一次性根管治疗效果和对致病菌及P物质的影响[J].生物医学工程与临床,2021,25(3):331-336.[4]Pasqualini D,Corbella S,Alovisi M,et al.Postoperative quality of life following single-visit root canal treatment performed by rotary or reciprocating instrumentation: a randomized clinical trial[J].Int Endod J,2016,49(11):1030-1039. [5]何捷,郭家平,马毅慧,等.不同根管冲洗技术用于不可复性牙髓炎根管治疗术后疼痛的临床评价[J].临床口腔医学杂志,2021,37(1):22-25.[6]王楠,范蓬,邢田,等.两种根管治疗方案对慢性牙髓炎患者口腔健康相关生活质量影响[J].临床军医杂志,2020,48(12):1457-1458,1461.[7]卢虹,魏宏琳,夏茜.超声荡洗在乳牙一次性根管治疗中的疗效探讨[J].贵州医药,2020,44(12):1944-1945.[8]郝秀芬,关彤.根管超声荡洗对根管治疗术后疼痛程度的影响[J].山西医药杂志,2021,50(3):406-407.[9]仇文栋.一次性根管治疗急性牙髓炎患者疗效观察及对患者炎性因子水平和生命质量影响[J].中国医师进修杂志,2020,43(8):712-715.[10]高玲丽,王艳辉.不同冲洗消毒方式对牙髓-牙周综合征患者牙周相关指数、龈沟液中细菌变化的影响[J].临床口腔医学杂志,2020,36(5):299-302.[11]吴萍,张红梅,王飞.一次性根管治疗对牙体牙髓病的干预效果及其对血清骨保护素和炎性因子水平的影响[J].中国医药,2019,14(4):605-608.[12]刘志平.意外穿髓牙根管治疗中超声冲洗对疼痛发生率影响分析[J].山西医药杂志,2020,49(6):707-709.[13]李林光,吴幸晨.220例牙髓病或根尖周患者根管治疗的根管预备和充填质量分析[J].川北医学院学报,2020,35(2):313-316.[14]向珊珊,王莉莉,刘漪.不同冲洗方案对慢性根尖周炎根管微生物的影响[J].中华老年口腔医学杂志,2019,17(5):265-270.[15]何捷,郭家平,董青山.根尖疏通对老年人根管治疗术后疼痛的临床评价[J].中华老年口腔医学杂志,2019,17(5):271-274.[16]陈勇,闵丽.机用镍钛器械与超声根管冲洗联合应用于慢性根尖周炎一次性根管治疗的临床研究[J].口腔医学,2018,38(2):162-165.[17]赵树玲,邸春蕾,焦正凯.超声冲洗技术应用于牙髓炎一次性根管治疗的临床疗效观察[J].蚌埠医学院学报,2021,46(1):44-45,49.[18]陈帆,朱凤华.超声冲洗技术在口腔感染根管治疗中的临床应用[J].重庆医学,2018,47(26):3471-3472,3481.[19]Sabeti M,Golchert K,Torabinejad M.Regeneration of Pulp-Dentin Complex in a Tooth with Symptomatic Irreversible Pulpitis and Open Apex Using Regenerative Endodontic Procedures[J].J Endod,2021,47(2):247-252.[20]朱晓云.超声冲洗联合氢氧化钙糊剂用于一次法根管治疗的疗效观察[J].河北医药,2018,40(11):1707-1710.[21]胡慧,陈志敏,梁红玲.超声根管预备对慢性牙髓炎根管治疗患儿牙周指数及疼痛的影响[J].长春中医药大学学报,2022,38(12):1396-1399.[22]Lin LM,Ricucci D,Saoud TM,et al.Vital pulp therapy of mature permanent teeth with irreversible pulpitis from the perspective of pulp biology[J].Aust Endod J,2020,46(1):154-166.

相似文献/References:

[1]赵慧娟,姜 娜.根管治疗术对瘘管型根尖周炎患者根尖周炎症的影响[J].医学信息,2020,33(23):109.[doi:10.3969/j.issn.1006-1959.2020.23.031]
　ZHAO Hui-juan,JIANG Na.Effect of Root Canal Therapy on Periapical Inflammation in Patients with Fistula Periapical Periodontitis[J].Journal of Medical Information,2020,33(21):109.[doi:10.3969/j.issn.1006-1959.2020.23.031]

更新日期/Last Update: 1900-01-01