摘要
目的:比较碘仿氧化锌糊剂、抗生素糊剂和Vitapex糊剂治疗乳牙根尖周病的有效性及安全性。方法:按照随机数字表法将2016年1月-2017年1月笔者医院口腔科收治的90例乳牙根尖周病患儿分为A、B、C三组,每组30例。A、B、C三组患儿乳牙分别采用碘仿氧化锌糊剂、抗生素糊剂和Vitapex糊剂进行填充根管治疗,治疗后随访1年,观察治疗后及随访1年时三组的临床疗效,比较治疗前及治疗后1个月、3个月三组的VAS疼痛评分,采用O-PAI分级标准评价治疗前及治疗后1个月三组的根尖周指数,观察三组的根充反应发生情况。结果:治疗后,三组患儿总有效率比较,差异无统计学意义(F=0.856,P=0.117),随访1年后,A组的总有效率均明显低于B组、C组(χ~2=6.779、6.115,P=0.028、0.032),B组与C组的总有效率比较,差异无统计学意义(χ~2=0.742,P=0.226);治疗后3个月,A组的VAS疼痛评分均明显高于B组、C组(t=2.330、2.581,P=0.033、0.027),B组与C组的VAS疼痛评分比较差异无统计学意义(t=0.887,P=0.135);治疗后1个月,A组的根尖周指数分级均明显高于B组、C组(Z=2.117、2.619,P=0.043、0.028),B组与C组的根尖周指数分级比较差异无统计学意义(Z=0.451,P=0.360)。A组的根充反应发生率均明显高于B组、C组(χ~2=5.943、5.943,P=0.039、0.039),B组与C组的根充反应发生率比较,差异无统计学意义(χ~2=0.553,P=0.412)。结论:抗生素糊剂及Vitapex糊剂治疗乳牙根尖周病的有效性及安全性优于碘仿氧化锌糊剂,抗生素糊剂与Vitapex糊剂疗效相当。
Objective To compare the effectiveness and safety between iodoform zinc oxide cataplasm, antibioticcataplasm and Vitapexcataplasm in treatment of deciduous teethperiapical periodontitis. Methods 90 cases of children patients with deciduous teethperiapical periodontitis which was divided into group A, B, C according torandom number table in the department of stomatology of our hospital during 2016.1-2017.1, 30 cases in each group. The children patients were carried out fll root canal treatment by iodoform zinc oxide cataplasm, antibioticcataplasm and Vitapexcataplasm in group A, B, C, respectively. All the children patients were followed-up for one year. The clinical effcacy was observed in three groups after treatment and in the 1st year after following-up. The VAS pain grade was compared between three groups before treatment and in the 1st , 3rd month after treatment. The periapical index was evaluated byO-PAIgrading standard in three groups before treatment and in the 1st month after treatment. The occurrence of root flling reaction was observed in three groups. Results After treatment,there was no statistical signifcance on total effective rate between three groups（F=0.856, P=0.117）. In the 1st year after following-up, the total effective rate of group A was signifcantly lower than that of group B and C（χ ^2=6.779, 6.115, P=0.028, 0.032）, there was no statistical signifcance on total effective rate between group B and C（χ ^2=0.742, P=0.226）. In the 3rd month after treatment, theVAS pain grade of group A was signifcantly higher than that of group B and C（t=2.330, 2.581, P=0.033, 0.027）, there was no statistical signifcance on VAS pain grade between group B and C（t=0.887, P=0.135）. In the 1st month after treatment, the periapical index grade of group A was signifcantly lower than that of group B and C（Z=2.117, 2.619, P=0.043, 0.028）, there was no statistical signifcance on periapical index grade between group B and C（Z=0.451, P=0.360）. the occurrence rate of root flling reaction of group A was signifcantly higher than that of group B and C（χ ^2=5.943, 5.943, P=0.039, 0.039）, there was no statistical signifcance on occurrence rate of root flling reaction between group B and C（χ ^2=0.553, P=0.412）. Conclusion The effectiveness and safety of antibioticcataplasm and Vitapexcataplasm was better than that of iodoform zinc oxide cataplasm,antibioticcataplasm and Vitapexcataplasm was indistinguishable.
作者
余道信
程梦
YU Dao-xin;CHENG Meng(Department of Stomatology,Wuhan Excellent Hospital,Wuhan 430023,Hubei,China)
出处
《中国美容医学》
CAS
2018年第10期103-106,共4页
Chinese Journal of Aesthetic Medicine
关键词
乳牙
根尖周病
碘仿氧化锌糊剂
抗生素糊剂
VITAPEX糊剂
deciduous teeth
periapical periodontitis
iodoform zinc oxide cataplasm
antibioticcataplasm
vitapexcataplasm
