论文部分内容阅读
目的评价Cortisomol糊剂与Vitapex糊剂用于一次性根管治疗术的术后疼痛和远期疗效。方法将门诊就诊的需做根管治疗的178颗患牙随机分为Cortisomol糊剂组和Vitapex糊剂组。两组均结合牙胶尖行一次性根管充填术,术后1周检查疼痛发生情况,1年后随访评价两组的远期疗效。结果两组患者术后1周复诊,Cortisomol糊剂组的疼痛发生率显著低于Vitapex糊剂组(P=0.002),术后随访1年,Vitapex糊剂组的远期临床疗效(98.9%)显著优于Cortisomol糊剂组(94.4%)(P=0.019)。结论 Cortisomol糊剂对一次性根管治疗术的术后疼痛缓解具有良好效果,而Vitapex糊剂适合根尖周病的一次性根管治疗,能够促进根尖周组织的愈合。
Objective To evaluate the postoperative pain and long-term efficacy of Cortisomol paste and Vitapex paste for one-time root canal therapy. Methods The 178 teeth to be treated at the outpatient clinic for root canal treatment were randomly divided into Cortisomol paste group and Vitapex paste group. Two groups were combined with gutta-percha point of one-time root canal filling surgery, 1 week after surgery to check the occurrence of pain, follow-up after 1 year to evaluate the long-term efficacy of both groups. Results The recurrence rate was significantly lower in the Cortisomol paste group than in the Vitapex paste group (P = 0.002) after 1 week of follow-up. The long-term clinical efficacy (98.9%) in the Vitapex paste group was followed up for 1 year. Significantly better than the Cortisomol paste group (94.4%) (P = 0.019). Conclusion Cortisomol paste has a good effect on postoperative pain relief after one-time root canal treatment. Vitapex paste is suitable for one-time root canal therapy of apical periodontosis and can promote the healing of apical periodontal tissue.