CAJ | 학술논문

目的：评价不同药物用于下颌第二磨牙C型根管消毒的临床效果。方法下颌第二磨牙根管治疗者共120例，随机分为三组，常规根管预备后，A组在根管内封入Metapex糊剂，B组根管内封入樟脑苯酚（ CP）棉捻，C组根管内封入甲醛甲酚（ FC）棉捻。常规复诊，观察封药前后临床症状和体征的变化；完成根充后随访6个月，评价根充后的临床疗效。结果三组根管内封药临床有效率分别为85．00％、75．00％和75．00％，差异无统计学意义（P＞0．05）；三组封药后急症的发生率分别为2．50％、20．00％和15．00％，差异有统计学意义（P＜0．05）。根充3个月，三组根管治疗后的临床有效率分别为100．00％、82．50％和80．00％，差异有统计学意义（ P＜0．05）。结论对于糖尿病患者，Metapex糊剂不仅根管消毒效果稳定，亦能有效减少根管封药期间急症的发生，且远期效果较好，是一种较理想的根管消毒剂。
목적：평개불동약물용우하합제이마아C형근관소독적림상효과。방법하합제이마아근관치료자공120례，수궤분위삼조，상규근관예비후，A조재근관내봉입Metapex호제，B조근관내봉입장뇌분분（ CP）면념，C조근관내봉입갑철갑분（ FC）면념。상규복진，관찰봉약전후림상증상화체정적변화；완성근충후수방6개월，평개근충후적림상료효。결과삼조근관내봉약림상유효솔분별위85．00％、75．00％화75．00％，차이무통계학의의（P＞0．05）；삼조봉약후급증적발생솔분별위2．50％、20．00％화15．00％，차이유통계학의의（P＜0．05）。근충3개월，삼조근관치료후적림상유효솔분별위100．00％、82．50％화80．00％，차이유통계학의의（ P＜0．05）。결론대우당뇨병환자，Metapex호제불부근관소독효과은정，역능유효감소근관봉약기간급증적발생，차원기효과교호，시일충교이상적근관소독제。
Objective To evaluate the disinfection effect of different medicine using on c-canal of mandibular second molar.Methods 120 teeth from patients with diabetes ,randomly divided into three groups .After root canal pre-pare,Metapex for group A,CP for group B,FC for group C.record the change of the treatment .6 months after the treat-ment,reexam the patients,evaluate the effect.Results The effective rate of the three groups is 85.00%,75.00%and 75.00%,have no statistical significance (P>0.05);the incidence of EIE of the three groups is 2.50%,20.00%and 15.00%(P<0.05);6 months after treatment,the effective rate of the three groups is 100.00%,82.50 and 80.00%(P<0.05).Conclusion Metapex is an ideal medicine for the diabetes in the root canal treatment .For its stability ,efficacy of EIE and long term effect after the treatment .