140例牙周-牙髓联合病变的治疗效果分析

目的观察综合治疗牙周-牙髓联合病变的治疗效果。方法将140例160颗牙周-牙髓联合病变患牙分成3组,A组在进行根管治疗的同时行牙周治疗,B组在进行根管治疗后2～3个月再行牙周治疗,C组只进行根管治疗。观察治疗后1年的临床疗效。结果治疗1年后,A组的临床疗效好于B组,但差异没有显著性(P>0.05);A、B组临床疗效均好于C组,差异有显著性(P<0.05)。结论完善的根管治疗和及时的牙周系统治疗是牙周-牙髓联合病变治疗成功的有效手段,可以提高患牙的保存率。

Analysis of clinical efficacy of treating periodontal-endodontic combined lesions in 140 cases

Objective To analyse the clinical efficacy of treating periodontal-endodontic combined lesions in 140 cases.Methods 160 teeth with periodontal-endodontic combined lesions in 140 patients were selected and divided into three groups randomly.Group A was treated with combined method of root canal therapy and periodontal therapy at the same time.Group B was treated with periodontal therapy 2～3 months after the root canal therapy.Group C was treated with root canal therapy.Results The clinical treatment effects of group A were superior to those of group B,but there was no statistical significance one year later(P>0.05).The clinical treatment effects of group A and group B were superior to those of group C obviously,and there was statistical significance(P<0.05).Conclusions Combined method of thorough root canal therapy and seasonable periodontal therapy is effective to treat periodontal-endodontic combined lesions,which can increase teeth' survival rate.