CAJ | 학술논문

目的观察比较Vitapex糊剂和氢氧化钙糊剂用于有瘘型难治性根尖周炎根管消毒的疗效.方法将80颗有瘘型难治性慢性根尖周炎患牙,在常规根管预备成形后随机分为实验组和对照组,实验组(40颗患牙)采用Vitapex糊剂根管封药消毒,对照组(40颗患牙)采用氢氧化钙糊剂根管封药消毒,分别将Vitapex糊剂、氢氧化钙糊剂导入根管内暂封2周.对两组根管消毒效果进行临床观察和分析.结果实验组有效率(92.50%)与根充率(22.50%)与对照组(有效率为57.50%,根充率为8.00%)比较差异有显著性,且实验组在术后疼痛控制方面优于对照组.结论 Vitapex糊剂根管内封药能够减少有瘘型难治性根尖周炎根管封药消毒的次数,有利于瘘道的尽快愈合.
목적관찰비교Vitapex호제화경양화개호제용우유루형난치성근첨주염근관소독적료효.방법장80과유루형난치성만성근첨주염환아,재상규근관예비성형후수궤분위실험조화대조조,실험조(40과환아)채용Vitapex호제근관봉약소독,대조조(40과환아)채용경양화개호제근관봉약소독,분별장Vitapex호제、경양화개호제도입근관내잠봉2주.대량조근관소독효과진행림상관찰화분석.결과실험조유효솔(92.50%)여근충솔(22.50%)여대조조(유효솔위57.50%,근충솔위8.00%)비교차이유현저성,차실험조재술후동통공제방면우우대조조.결론 Vitapex호제근관내봉약능구감소유루형난치성근첨주염근관봉약소독적차수,유리우루도적진쾌유합.
Objective To investigate the clinical effect of Vitapex paste and calcium hydroxide paste on re-fractory periapical periodontitis with fistula .Methods A total of 80 tooth with apical periodontitis and fistula were ran-domly divided into Vitapex paste goup as the study goup and the calcium hydroxide paste group as the control group . Root canals were disinfected and dressed at interim for one week .The therapeutic effect between them was compared .Re-sults The effective ratio and root filling rate of the study group were 92.50%and 22.50%respectively.And the control group were 57.50%and 8.00%respectively.The effect of postoperative pain control of Vitapex paste group was superior to control group.The difference between two groups was statistically significant (P<0.05).Conclusion Vitapex paste has a better therapeutic effect on refractory periapical periodontitis and is worth popularizing .