一次性根管治疗中不同填充材料的临床研究(1)
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【摘要】 目的 分析比较3种不同的填充材料在一次性根管治疗中的临床应用效果。方法 选取我院2009年6月至2010年6月口腔科门诊中需要做一次性根管治疗的患者683例，随机分为3组，分别使用氧化锌糊剂、法国碧蓝Cortisomol糊剂和AH plus糊剂实施一次性根管填充治疗，同时使用牙胶尖。观察比较其术后一周内的恢复效果和半年内的临床疗效。结果 术后一周内的恢复效果比较，AH plus糊剂组的恢复效果好于其他两组，法国碧蓝Cortisomol糊剂的恢复效果好于氧化锌糊剂组，差异具有统计学意义(P<0.05)；随访半年内的临床疗效比较，AH plus糊剂组的应用有效率高于其他两组，且差异具有统计学意义(P<0.05)，法国碧蓝Cortisomol糊剂的应用有效率高于氧化锌糊剂组，且差异具有统计学意义(P<0.05)。结论 一次性根管治疗中不同填充材料的临床疗效由高到低依次为AH plus糊剂、法国碧蓝Cortisomol糊剂、氧化锌糊剂。
【关键词】 根管填充；氧化锌糊剂；法国碧蓝Cortisomol糊剂；AH plus糊剂
The Clinical study one root canal of different filling materials CHEN Qian-qian, CHENG Qi-ting, ZHANG Feng.Second Hospital of Stomatology, Guangdong,Guangdong 510095，China
【Abstract】 Objective To compare the clinical effect of three different root canal filling material in one root canal.Methods From June 2009 June 2010,693 cases were randomly divided into three groups,zinc oxide paste, French blue and AH plus sealer Cortisomol root canal filling paste to implement a one-time treatment.Observed and compared of postoperative recovery within a week within six months of the clinical effectiveness and efficacy. Results After a week,AH plus paste the recovery group was better than the other two groups, the recovery of the French blue Cortisomol paste was better than zinc oxide paste group, the difference was statistically significant(P<0.05).Within six months of follow-up of clinical effects, AH plus paste group was more efficient than the application of the other two groups, and the difference was statistically significant(P<0.05), French blue Cortisomol paste was efficient than the application of zinc oxide paste group, and the difference was statistically significant(P<0.05). Conclusion One-time root canal therapy the clinical efficacy of different filling materials in descending order of AH plus sealer, French blue Cortisomol paste, zinc oxide paste.
【Key words】 Root canal filling; Zinc oxide paste; French blue Cortisomol paste; AH plus sealer
一次性根管填充是当前治疗牙髓尖周病的有效方法。为了减轻患牙填充后的疼痛肿胀，更好的吸收根尖的炎性渗出，临床上通常在常用填充剂的基础上添加适量的碘仿。[1]同时根管管道的复杂性对于操作技术与填充材料都提出了较高的要求，如不能充分填充，很容易因细菌的再度感染造成根管填充的失败。本文比较了氧化锌糊剂、法国碧蓝Cortisomol糊剂和AH plus糊剂的临床应用效果 ......
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