中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2013年
10期
1495-1497
,共3页
氢氧化钙%甲醛甲酚%根管治疗%根管封药
氫氧化鈣%甲醛甲酚%根管治療%根管封藥
경양화개%갑철갑분%근관치료%근관봉약
Calcium hydroxide%Formocresol%Root canal treatment%Root canal sealing medicine
目的 比较根管预备后分别采用氢氧化钙糊剂与甲醛甲酚(FC)棉捻进行根管封药的治疗效果.方法 选择诊断为慢性根尖周炎行前牙根管治疗的患者共283例(共388颗牙).常规开髓、拔髓,根管预备后分别采用氢氧化钙与甲醛甲酚进行根管封药,氢氧化钙组患牙采用螺旋输送器将氢氧化钙糊剂输送入根管内并充满根管,甲醛甲酚组患牙根管干燥后内置甲醛甲酚棉捻,封药后棉球、丁香油氧化锌糊剂暂封.1周后复诊,观察并比较封药后治疗效果.结果 采用氢氧化钙进行根管封药的总有效率为96.39％,采用FC棉捻封药的总有效率为79.90％,氢氧化钙组的总有效率明显高于FC组(x2=53.792,P＜0.05).结论 采用氢氧化钙进行根管封药安全性较好,对根尖周组织的刺激性小,疗效可靠,值得临床推广.
目的 比較根管預備後分彆採用氫氧化鈣糊劑與甲醛甲酚(FC)棉撚進行根管封藥的治療效果.方法 選擇診斷為慢性根尖週炎行前牙根管治療的患者共283例(共388顆牙).常規開髓、拔髓,根管預備後分彆採用氫氧化鈣與甲醛甲酚進行根管封藥,氫氧化鈣組患牙採用螺鏇輸送器將氫氧化鈣糊劑輸送入根管內併充滿根管,甲醛甲酚組患牙根管榦燥後內置甲醛甲酚棉撚,封藥後棉毬、丁香油氧化鋅糊劑暫封.1週後複診,觀察併比較封藥後治療效果.結果 採用氫氧化鈣進行根管封藥的總有效率為96.39％,採用FC棉撚封藥的總有效率為79.90％,氫氧化鈣組的總有效率明顯高于FC組(x2=53.792,P＜0.05).結論 採用氫氧化鈣進行根管封藥安全性較好,對根尖週組織的刺激性小,療效可靠,值得臨床推廣.
목적 비교근관예비후분별채용경양화개호제여갑철갑분(FC)면념진행근관봉약적치료효과.방법 선택진단위만성근첨주염행전아근관치료적환자공283례(공388과아).상규개수、발수,근관예비후분별채용경양화개여갑철갑분진행근관봉약,경양화개조환아채용라선수송기장경양화개호제수송입근관내병충만근관,갑철갑분조환아근관간조후내치갑철갑분면념,봉약후면구、정향유양화자호제잠봉.1주후복진,관찰병비교봉약후치료효과.결과 채용경양화개진행근관봉약적총유효솔위96.39％,채용FC면념봉약적총유효솔위79.90％,경양화개조적총유효솔명현고우FC조(x2=53.792,P＜0.05).결론 채용경양화개진행근관봉약안전성교호,대근첨주조직적자격성소,료효가고,치득림상추엄.
Objective To compare the treatment effect of calcium hydroxide and formocresol applied in root canal disinfection after root canal preparation.Methods 283 patients with 388 teeth diagnosed as chronic periapical were selected.Calcium hydroxide and formocresol were applied after opening of pulp chamber,pulp removed and root canal preparation.Calcium hydroxide was piped into the root canal by screw conveyor to fill the root canal in calcium hydroxide group,and formocresol cotton twist was setted in the root canal after dried in formocresol group.Tampons and ZOE were used for temporary closure.Treatment effects in both groups were compared in a week.Results The total effective rate in calcium hydroxide group was 96.39％,while 79.90％ in formocresol group.The total effective rote in calcium hydroxide group was higher than that in formocresol group(x2 =53.792,P ＜ 0.05).Conclusion Calcium hydroxide was safe,periapical tissue irritation and reliable effect was reached.It was worthy of clinical application.
