南通大学学报（医学版）
南通大學學報（醫學版）
남통대학학보（의학판）
JOURNAL OF NANTONG UNIVERSITY(MEDICAL SCIENCES)
2014年
3期
202-203,204
,共3页
姜淑群%徐建萍%谢晨%刘玮珏%赵琴
薑淑群%徐建萍%謝晨%劉瑋玨%趙琴
강숙군%서건평%사신%류위각%조금
热牙胶%冷牙胶%后牙弯曲根管充填
熱牙膠%冷牙膠%後牙彎麯根管充填
열아효%랭아효%후아만곡근관충전
warm gutta-percha%cold gutta-percha%after the tooth curved root canal filling
目的：探讨连续波热牙胶充填后牙弯曲根管的临床效果。方法：选取2012年1-12月在我院牙体牙髓科确诊为牙髓病或根尖周病的后牙弯曲根管80例，根据患者的治疗意愿分为两组，即热牙胶组和冷侧压组(每组40例)，所有患牙常规开髓，Mtwo机用镍钛系统预备根管，氢氧化钙糊剂消毒。热牙胶组采用连续波热牙胶垂直加压技术进行充填，冷侧压组行冷牙胶侧方加压充填，根充后即刻摄片检查充填情况。观察根充恰填率、侧副根管充填情况，术后1周疼痛反应，1年后成功率。结果：热牙胶组恰填率为95.00%，冷侧压组恰填率为77.50%，热牙胶组恰填率明显高于冷侧压组，差异具有统计学意义(P<0.05)；热牙胶组侧支根管的充填率15.00%(6/40)，冷侧压组0.00%(0/40)，两组比较差异具有统计学意义(P<0.05)；术后1周复诊，热牙胶组与冷侧压组疼痛率分别为12.50%和22.50%，差异无统计学意义(P＞0.05)。术后1年复查疗效，热牙胶组成功39例(97.50%)，冷侧压组成功31例(77.50%)，热牙胶组优于冷侧压组(P<0.05)。结论：连续波热牙胶充填术优于冷牙胶侧方加压充填术，患者术后疼痛的发生率低，治疗效果更好，值得临床广泛推广。
目的：探討連續波熱牙膠充填後牙彎麯根管的臨床效果。方法：選取2012年1-12月在我院牙體牙髓科確診為牙髓病或根尖週病的後牙彎麯根管80例，根據患者的治療意願分為兩組，即熱牙膠組和冷側壓組(每組40例)，所有患牙常規開髓，Mtwo機用鎳鈦繫統預備根管，氫氧化鈣糊劑消毒。熱牙膠組採用連續波熱牙膠垂直加壓技術進行充填，冷側壓組行冷牙膠側方加壓充填，根充後即刻攝片檢查充填情況。觀察根充恰填率、側副根管充填情況，術後1週疼痛反應，1年後成功率。結果：熱牙膠組恰填率為95.00%，冷側壓組恰填率為77.50%，熱牙膠組恰填率明顯高于冷側壓組，差異具有統計學意義(P<0.05)；熱牙膠組側支根管的充填率15.00%(6/40)，冷側壓組0.00%(0/40)，兩組比較差異具有統計學意義(P<0.05)；術後1週複診，熱牙膠組與冷側壓組疼痛率分彆為12.50%和22.50%，差異無統計學意義(P＞0.05)。術後1年複查療效，熱牙膠組成功39例(97.50%)，冷側壓組成功31例(77.50%)，熱牙膠組優于冷側壓組(P<0.05)。結論：連續波熱牙膠充填術優于冷牙膠側方加壓充填術，患者術後疼痛的髮生率低，治療效果更好，值得臨床廣汎推廣。
목적：탐토련속파열아효충전후아만곡근관적림상효과。방법：선취2012년1-12월재아원아체아수과학진위아수병혹근첨주병적후아만곡근관80례，근거환자적치료의원분위량조，즉열아효조화랭측압조(매조40례)，소유환아상규개수，Mtwo궤용얼태계통예비근관，경양화개호제소독。열아효조채용련속파열아효수직가압기술진행충전，랭측압조행랭아효측방가압충전，근충후즉각섭편검사충전정황。관찰근충흡전솔、측부근관충전정황，술후1주동통반응，1년후성공솔。결과：열아효조흡전솔위95.00%，랭측압조흡전솔위77.50%，열아효조흡전솔명현고우랭측압조，차이구유통계학의의(P<0.05)；열아효조측지근관적충전솔15.00%(6/40)，랭측압조0.00%(0/40)，량조비교차이구유통계학의의(P<0.05)；술후1주복진，열아효조여랭측압조동통솔분별위12.50%화22.50%，차이무통계학의의(P＞0.05)。술후1년복사료효，열아효조성공39례(97.50%)，랭측압조성공31례(77.50%)，열아효조우우랭측압조(P<0.05)。결론：련속파열아효충전술우우랭아효측방가압충전술，환자술후동통적발생솔저，치료효과경호，치득림상엄범추엄。
Objective: To investigate the continuous wave warm gutta-percha in filling molar curved root canals of clinical effect. Methods: From 2012 January to 2012 December in our hospital dental diagnosis of molar curved root pulposis and pe-riapical disease canal in 80 cases,the patients will be divided into two groups,namely warm gutta-percha group and cold side pressure group(40 cases each group), all teeth conventional open pulp,nickel titanium system in root canal preparation by us-ing M-two machine, Calcium Hydroxide Paste disinfection. Warm gutta-percha group using continuous wave warm gutta-percha vertical compaction technique for filling , cold side group underwent cold lateral condensation of gutta-percha filling , root canal filling after radiography examination. To observe the proper filling rate , lateral root canal filling 1 weeks after oper-ation, pain reaction, the success rate of 1 years. Results: The warm gutta-percha group just fill rate is 95%, the cold lateral condensation group just fill rate is 77.50%, warm gutta-percha group just fill rate was significantly higher than that of cold pressure group, the difference was statistically significant (P<0.05), warm gutta-percha lateral root canal filling rate was 15%(6/40),cold lateral condensation of group was 0% (0/40), difference between the two groups was significant(P<0.05), after 1 weeks, the rate of pain warm gutta-percha group and cold side group were 12.50% and 22.50%(P>0.05). Follow-up after 1 years, warm gutta-percha group was successful in 39 cases(97.50%), the cold side group was successful in 31 cases (77.50%), the difference was statistically significant(P<0.05), warm gutta-percha group is better than the cold side group. Conclusion: Continuous wave warm gutta perchafilling was better than cold lateral condensation of gutta-percha filling opera-tion,postoperative pain in patients with low incidence, treatment effect is better, is worthy of clinical application.
