氢氧化钙在孕妇急性根尖周病治疗中的应用

目的为妊娠期急性根尖炎患者找到一种既不影响胎儿生长发育,又能使孕妇行使正常咀嚼功能的治疗方法。方法将已明确诊断为急性根尖周炎的孕妇患牙,经开放引流无症状后,使用氢氧化钙和碘仿糊剂在根管内暂封,待分娩后再行常规根管充填。结果20例孕妇患牙治疗后整个妊娠期间(或1年内)未出现自发痛、激发痛或咬合痛。所有孕妇都正常分娩,母婴正常。结论考虑到胎儿安全,对于孕妇急性根尖周病采取的暂时治疗,使用氢氧化钙安全有效。

The Application of Calcium Hydroxide in the Therapy of Acute Periapical Diseases in Pregnant Women

Objective To find a method of therapy for pregnancy acute periapical periodontitis patients,which has no effect on development of foetus and also make pregnant women exercise normal masticatory function.Methods When the teeth of pregnant women diagnosed definitely acute periapical periodontitis were asymptomatic,Using calcium hydroxide and iodoform paste for temporary stopping in root canal;then the teeth would be filled conventionally after delivery.Results The teeth of 20 pregnant women were all good,without pain of oneself,excitation and occlusion.All the pregnant women delivered normally and the mother and infant were all right.Conclusions Considering the safety of foetus,the temporary treatment of acute periapical diseases in pregnant women,using calcium hydroxide was safe and effective.