乳磨牙深龋和牙髓炎的早期根管治疗

目的探讨乳磨牙深龋和牙髓炎早期根管治疗术的可行性,以便更好地保持乳牙列完整和恒牙的正常萌出。方法挑选门诊5岁左右儿童59颗第二乳磨牙深龋和牙髓炎早期行根管治疗术,随访1～3年,了解成功率,并对样本进行χ2检验分析。结果对第二乳磨牙深龋和牙髓炎早期根管治疗成功与失败病例的对比分析发现,乳磨牙深龋和牙髓炎早期根管治疗术是有效的。3年随访显示治疗成功48例(81.4%),失败11例。结论为更好地预防儿童龋病,保存乳牙,维持完整的乳牙列,可对乳磨牙深龋和牙髓炎早期行根管治疗。

Early root canal treatment of deep caries in primary molars and pulpitis

Objective To investigate the feasibility of early root canal treatment of deep caries in deciduous molar and pulpitis to better maintain normal column arrangement of deciduous teeth and permanent teeth eruption. Methods 59 second deciduous molars with deep caries and pulpitis from 5-year children in outpatient department were selected for performing early root canal treatment. The results of 1-3 years were followed up for understanding the success rates and performing X2 test analysis. Results The comparative analysis of early root canal therapy of deep caries in second deciduous molar and pulpitis showed that the early root canal therapy was effective （P〈0.01）. Conclusion For better preventing dental caries in children, saving the deciduous teeth and maintaining the integrity of deciduous teeth arrangement, deep caries in deciduous molar and pulppitis may be treated by early root canal therapy.