Abstract：Objective: To observe the recent application effect of a new bioceramics material iRoot SP in minimally invasive root canal therapy and the long-term periodontal pain and periodontal health status. Methods: A total of 116 patients undergoing minimally invasive root canal treatment admitted to Chengde Stomatological Hospital from January 2020 to February 2022 were divided into AH-PLUS group and iRoot SP group by random number table method, with 58 patients in each group. The root canal filling in the AH-PLUS group was filled with AH-PLUS paste, while the root canal filling in the iRoot SP group was filled with a new bioceramical material iRoot SP. Both groups were observed 7 days after treatment and followed up for 6 months. The short-term curative effect 7 days after surgery and the success rate of treatment 6 months after surgery were analyzed. Periodontal probing depth (PD), gingival crevicular bleeding index (BI), gingival index (GI), and plaque index (PLI) were used to evaluate the patients' periodontal health before and 7 days after surgery. Visual simulation scores were used to evaluate the patients' postoperative pain at 1, 3, 5, and 7 days after surgery. According to the Mohd Sulong criteria, the patients' emergency response was evaluated during the postoperative observation period, and the oral medicine treatment satisfaction Evaluation scale was used to evaluate the patients' treatment satisfaction at 7 days after the operation. Results: Compared with the AH-PLUS group, the total effective rate at 7 days after surgery and the success rate at 6 months after surgery in the iRoot SP group were significantly increased, with statistical significance (94.83%vs77.59%, χ2=6.202, P=0.013, 94.83%vs75.86%, χ2=8.340, P=0.013). Compared with before operation, PD, scores of BI, GI and PLI of the two groups were significantly decreased after treatment, and the differences in PD, scores of BI, GI and PLI between the two groups were statistically significant (P<0.05). On 1, 3, 5 and 7 days after surgery, the score of pain of the two groups showed a gradually decreasing trend, and the score of pain of the iRoot SP group were lower than those of the AH-PLUS group at different time points (P<0.05). Compared with the H-PLUS group, the emergency response rate of the iRoot SP group was significantly decreased during postoperative observation, with statistical significance (5.17%vs17.24%, χ2=4.245, P=0.013). Compared with the H-PLUS group, the total satisfaction rate of the iRoot SP group was significantly increased at 7 days after operation, with statistical significance (93.10%vs74.14%, χ2=74.14, P=0.013). Conclusion: Compared with AH-PLUS paste, iRoot SP, a novel bioceramical material, had a better effect on root canal filling in patients with minimally invasive root canal treatment, and was worthy of clinical promotion.
杨占宝, 岳琳, 董力, 任冰洁. 新型生物陶瓷材料iRoot SP在微创根管治疗中的应用效果及其对患者牙周健康的影响[J]. 河北医学, 2023, 29(10): 1704-1709.
YANG Zhanbao, YUE Lin, DONG Li, et al. Effectiveness of iRoot SP a Novel Bioceramic Material in Minimally Invasive Root Canal Therapy and Its Impact on Patients' Periodontal Health. HeBei Med, 2023, 29(10): 1704-1709.
2023, Vol. 29 
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