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iRoot SP一次性根管治疗前牙窦道型慢性根尖周炎疗效观察
引用本文:李响,蔡兴伟,何鑫,张娜.iRoot SP一次性根管治疗前牙窦道型慢性根尖周炎疗效观察[J].实用口腔医学杂志,2017(3):393-396.
作者姓名:李响  蔡兴伟  何鑫  张娜
作者单位:1. 锦州医科大学中国人民解放军火箭军总医院培养基地,北京,100086;2. 中国人民解放军火箭军总医院口腔科
摘    要:目的:观察iRoot SP一次性根管治疗前牙窦道型慢性根尖周炎的临床疗效.方法:纳入240 例前牙窦道型慢性根尖周炎患者,随机分成2 组(n=120),在Nd:YAG激光消毒下,进行一次性根管充填:观察组采用iRoot SP以热牙胶连续波垂直加压技术充填根管,对照组采用AH-plus糊剂以热牙胶连续波垂直加压技术充填根管,观察术后48 h疼痛发生情况、术后10 d窦道愈合情况及1 年后的疗效.结果:术后48 h观察组和对照组疼痛发生率分别为7.14%和15.0%(P=0.038);术后10 d,观察组和对照组窦道愈合情况有效率分别为95.8%和88.3%(P=0.031);术后1 年复诊,2 组疗效成功率分别为98.3%和94.8%(P>0.05).结论:iRoot SP和AH-plus糊剂在一次性根管治疗前牙窦道型慢性根尖周炎中均取得良好疗效,但iRoot SP术后反应发生率低,窦道愈合快.

关 键 词:iRootSP  一次性根管治疗  慢性窦道型根尖周炎

The effects of one-off root canal therapy using iRoot SP for chronic apical periodontitis with sinus in anterior teeth
LI Xiang,CAI Xingwei,HE Xin,ZHANG Na.The effects of one-off root canal therapy using iRoot SP for chronic apical periodontitis with sinus in anterior teeth[J].Journal of Practical Stomatology,2017(3):393-396.
Authors:LI Xiang  CAI Xingwei  HE Xin  ZHANG Na
Abstract:Objecive:To observe the clinical effects of one-off root canal therapy using iRoot SP in the treatment of chronic apical periodontitis with sinus in anterior teeth.Methods:240 anterior teeth of chronic apical periodontitis witn sinus were randomly divided into 2 groups(n=120).One-off root canal filling were performed using iRoot SP(group A) and AH-plus(group B) respectively after Nd:YAG laser disinfection.Clinical effects were evaluated 48 h,10 days and 1 year after treatment.Results:In group A and B,the 48 h postoperative pain reaction rate was 7.14% and 15.0%(P<0.05),10 days postoperative effective rate was 95.8% and 88.3%(P<0.05),1 year after treatment the effective rate was 98.3% and 94.8%(P>0.05) respectively.Conclusion:iRoot SP and AH-plus show reliable effect in the treatment of chronic apical periodontitis with sinus in anterior teeth with one-off root canal therapy.iRoot SP may result in sligher postoperative reaction and shorter healing time.
Keywords:iRoot SP  One-off root canal therapy  Chronic apical periodontitis with sinus
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