3种糊剂治疗感染性畸形中央尖的疗效探讨

目的:探讨感染性畸形中央尖应用3种不同糊剂治疗的临床效果。方法:将150例(161颗)感染性畸形中央尖患者按照随机数字表法随机分为3组,每组50例。以接受氢氧化钙糊剂治疗者为A组(54颗患牙),以接受抗生素糊剂治疗者为B组(55颗患牙),以接受Vitapex糊剂治疗者为C组(52颗患牙)。对比3组感染治疗情况及感染治疗总有效率。结果:治疗后红肿消退、咀嚼功能正常及牙周病变消失时间B组为(4.22±1.15)天、(7.11±1.62)天及(8.12±2.17)天,C组为(4.16±1.11)天、(6.92±1.06)天及(8.15±2.11)天,均低于A组的为(7.25±2.16)天、(9.26±2.71)天及(10.16±3.25)天(P0.05),而B组与C组比较未见统计学差异(P0.05)。同时B组及C组感染治疗总有效率分别为88.00%及94.00%明显优于A组的64.00%(P0.05),B组与C组比较未见统计学差异(P0.05)。同时1年随访显示,B组及C组龋齿发生率明显低于A组(P0.05)。结论:抗生素糊剂及Vitapex糊剂均可显著提高感染性畸形中央尖患牙的临床治疗效果,并可降低患者龋齿的发生率。

Effect of 3 kinds of paste the central point of treatment of infective abnormalities

Objective To study the infective deformed central point application three different paste the clinical effect of treatment. Methods 150 cases （161） infectious deformity the central point of dental patients were randomly divided into three groups by random number table,each group of 50 cases. For those treated with calcium hydroxide paste in group A （54 of teeth）,for those treated with antibiotic cataplasm group B （55 with teeth）,to accept the Vitapex paste treatment for group C （52 with teeth）. Compared with three groups of infection situation and total effective rate of infection treatment. Results The swelling subsided after treatment, normal chewing function and periodontal disease is disappearing time for group B was （4.22±1.15）d,（7.11±1.62）d and （8.12±2.17）d, for group C was （4.16±1.11）d,（6.92±1.06）d and（8.15±2.11）d,were lower than that of group A（7.25±2.16）d,（9.26±2.71）d and（10.16±3.25）d （ P〈0.05）,while group B and group C was no statistical difference （ P〉0.05）. At the same time, group B and group C infection treatment is obviously better than the total effective rate were 88.00% and 88.00% 64.00% of the group A （ P〈0.05）, group B and group C was no statistical difference （ P〉0.05）.1 year follow- up at the same time,the incidence of dental caries group B and C group was obviously lower in group A （ P〈0.05）. Conclusion antibiotic cataplasm and Vitapex paste infectious deformity can significantly improve the clinical therapeutic effect of teeth,and can decrease the incidence of dental caries.