CAJ | 학술논문

目的对牙体牙髓病病因与治疗进行分析探讨.方法选择2007年10月至2010年11月我科门诊收治的牙体牙髓病患者100例；将其随机分为治疗组与对照组,每组患者50例.对照组患者应用甲醛甲酚(FC)或者樟脑酚(CP)作暂封,再以干髓剂或者根管充填剂作为填塞剂,进行永久性的充填.治疗组50例患者应用替硝唑与碘仿以及地塞米松的合剂,再以CP棉捻或者棉球进行暂封,待患者症状消除后应用替硝唑与丁香油、碘仿与地塞米松的合剂以及少许丁香油粘固粉调制成糊状后,进行根管充填,并要求充填到其根尖,垫底则应用磷酸锌的粘固粉,最后做永久性的充填.对两组暂封成功率与永久充填成功率进行对比分析.结果治疗组50例患者,暂封成功43例,失败7例,暂封成功率为86.0％；永久充填成功43例,失败7例,永久充填成功率为86.0％.对照组50例患者,暂封成功29例,失败21例,暂封成功率为58.0％；永久充填成功26例,失败24例,永久充填成功率为52.0％.对两组暂封成功率与永久充填成功率分别进行对比,差异均具有统计学意义(P＜ 0.01).结论牙体牙髓病,根据患者病史与临床症状以及检查分析,多数能够明确诊断；及时予以综合性治疗,能够达到比较满意的疗效.
목적 대아체아수병병인여치료진행분석탐토.방법 선택2007년10월지2010년11월아과문진수치적아체아수병환자100례；장기수궤분위치료조여대조조,매조환자50례.대조조환자응용갑철갑분(FC)혹자장뇌분(CP)작잠봉,재이간수제혹자근관충전제작위전새제,진행영구성적충전.치료조50례환자응용체초서여전방이급지새미송적합제,재이CP면념혹자면구진행잠봉,대환자증상소제후응용체초서여정향유、전방여지새미송적합제이급소허정향유점고분조제성호상후,진행근관충전,병요구충전도기근첨,점저칙응용린산자적점고분,최후주영구성적충전.대량조잠봉성공솔여영구충전성공솔진행대비분석.결과 치료조50례환자,잠봉성공43례,실패7례,잠봉성공솔위86.0％；영구충전성공43례,실패7례,영구충전성공솔위86.0％.대조조50례환자,잠봉성공29례,실패21례,잠봉성공솔위58.0％；영구충전성공26례,실패24례,영구충전성공솔위52.0％.대량조잠봉성공솔여영구충전성공솔분별진행대비,차이균구유통계학의의(P＜ 0.01).결론 아체아수병,근거환자병사여림상증상이급검사분석,다수능구명학진단；급시여이종합성치료,능구체도비교만의적료효.
Objective To explore the etiology and treatment of dental pulp disease.Methods The clinical data on 100 patients with dental pulp disease who had received treatment from October 2007 to November 2010 were retrospectively analyzd.The patients were randomly divided into study group and control group,50 for each group.The control group received formocresol ( FC ) or camphor phenol ( CP ) for temporary close,and then mummification agent or root canal filling agent for permanent filling.The study group was treated with tinidazole,iodoform,and dexamethasone mixture,then twist cotton or cotton balls for CP temporary close.After symptoms disappeared, mixture of tinidazole, iodoform and dexamethasone was applied to fill the root canal,reaching the tip of the canal; zinc phosphate cement powder was used for filling the bottom,and then permanent filling was completed.The success rates of temporary close and permanent filling in both groups were analyzed.Results In the study group,temporary close succeeded in 43 patients but failed in 7,with a success rate of 86.0％; permanent filling succeeded in 43 patients but failed in 7,with a success rate of 86.0％.In the control group,temporary close succeeded in 29 patients and failed in 21,with a success rate of 58.0％ permanent filling succeeded in 26 patients and failed in 24,with a success rate of 52.0％.There were significant differences between the two groups in the success rates of temporary close and permanent filling ( P ＜ 0.01 ).Conclusions The diagnosis of most dental pulp disease can be confirmed based on medical history,clinical symptoms,and examination and analysis.Timely comprehensive treatment can achieve satisfactory outcomes.