中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2013年
34期
39-40
,共2页
根管预备%钙化根管%EDTA
根管預備%鈣化根管%EDTA
근관예비%개화근관%EDTA
Root canal preparation%Calcified root canals%EDTA
目的：钙化闭塞根管严重影响根管治疗效果，通过观察EDTA糊剂在钙化闭塞根管预备中的应用，评价其临床疗效。方法：选取2009年3月-2012年3月本院牙体牙髓科就诊的124例患者，140颗后磨牙，165个钙化闭塞根管，所有的患者按照随机数字表法分为A组和B组各62例。A组62例68颗后磨牙83个钙化闭塞根管采用EDTA糊剂导入根管闭塞处进行根管预备，或根管内暂封EDTA一周后再进行根管预备。而B组62例72颗后磨牙，82个钙化闭塞根管采用氯亚明配合根管预备；然后依据X线片及临床检查评价根管预备效果。结果：A组83个钙化闭塞根管中有72个根管扩通，预备完好，成功率为86.75%。B组82个钙化闭塞根管中仅有18个根管扩通，成功率为21.95%，且断针率增加，比较差异有统计学意义（P<0.01）。结论：EDTA糊剂用于钙化闭塞根管预备效果好，可显著提高根管预备成功率。
目的：鈣化閉塞根管嚴重影響根管治療效果，通過觀察EDTA糊劑在鈣化閉塞根管預備中的應用，評價其臨床療效。方法：選取2009年3月-2012年3月本院牙體牙髓科就診的124例患者，140顆後磨牙，165箇鈣化閉塞根管，所有的患者按照隨機數字錶法分為A組和B組各62例。A組62例68顆後磨牙83箇鈣化閉塞根管採用EDTA糊劑導入根管閉塞處進行根管預備，或根管內暫封EDTA一週後再進行根管預備。而B組62例72顆後磨牙，82箇鈣化閉塞根管採用氯亞明配閤根管預備；然後依據X線片及臨床檢查評價根管預備效果。結果：A組83箇鈣化閉塞根管中有72箇根管擴通，預備完好，成功率為86.75%。B組82箇鈣化閉塞根管中僅有18箇根管擴通，成功率為21.95%，且斷針率增加，比較差異有統計學意義（P<0.01）。結論：EDTA糊劑用于鈣化閉塞根管預備效果好，可顯著提高根管預備成功率。
목적：개화폐새근관엄중영향근관치료효과，통과관찰EDTA호제재개화폐새근관예비중적응용，평개기림상료효。방법：선취2009년3월-2012년3월본원아체아수과취진적124례환자，140과후마아，165개개화폐새근관，소유적환자안조수궤수자표법분위A조화B조각62례。A조62례68과후마아83개개화폐새근관채용EDTA호제도입근관폐새처진행근관예비，혹근관내잠봉EDTA일주후재진행근관예비。이B조62례72과후마아，82개개화폐새근관채용록아명배합근관예비；연후의거X선편급림상검사평개근관예비효과。결과：A조83개개화폐새근관중유72개근관확통，예비완호，성공솔위86.75%。B조82개개화폐새근관중부유18개근관확통，성공솔위21.95%，차단침솔증가，비교차이유통계학의의（P<0.01）。결론：EDTA호제용우개화폐새근관예비효과호，가현저제고근관예비성공솔。
Objective:The calcified block root canals have greatly influenced the curative effect to the root canals.To observe the EDTA paste in the application of calcified block root canal preparation,evaluate its clinical efficacy.Method:One hundred and twenty-four patients in our department from March 2009 to March 2012 were selected,140 back molar teeth,165 calcified block root canals and then divide them randomly into the group A and the group B,62 cases in each group.There were 62 cases,68 back molar teeth and 83 calcified block root canals in the group A.The group A was treated with the EDTA paste into root canal occlusion for root canal preparation,or temporary seal root canal EDTA root canal preparation a week later.There were 62 cases,72 back molar teeth and 82 calcified block root canals in the group B.The group B was treated with chloramine into the calcified block root canals and then had a root canal preparation.The preparatory effect of the root canals according to the X-ray and clinical examination were evaluated. Result:Eighty-three calcified block root canal in the group A with 72 root canal expansion,prepared well,the success rate was 86.75%.82 calcified block root canal in the group B only 18 root canal in root canal expansion,the success rate was 21.95%,and the breakage rate increased,the difference was statistically significant(P<0.01).Conclusion:The effect that EDTA paste has been used in the calcified block root canals is very good.It can raise remarkably the successful rate of root canal preparation.
