摘要目的: 对比单支锉系统Wave one Gold与ProTaper机用镍钛锉在一次性根管治疗中的应用效果。方法: 将2021年7月至2023年7月于本院接受一次性根管治疗的150例患者依据所用根管预备器械分为研究组(n=77,单支锉系统Wave one Gold)和对照组(n=73,ProTaper机用镍钛锉)。对比两组一次根管预备成功率、根管预备时间、根管填充效果;比较两组术后24h、48h的疼痛情况,评价两组的满意度。结果: 研究组的一次根管预备成功率高于对照组,根管预备时间短于对照组(P<0.05);研究组的根管恰填率高于对照组(P<0.05);术后24h、48h,相较于对照组,研究组的视觉模拟评分法(VAS)评分降低(P<0.05);相较于对照组,研究组的根管预备、填充、治疗满意度升高(P<0.05)。结论: 在一次性根管治疗中应用单支锉系统Wave one Gold,相比于ProTaper机用镍钛锉的效果更明显,可有效提升一次性根管预备成功率及根管填充效果,缩短根管预备时间,减轻术后疼痛。
Abstract：Objective: To compare the clinical efficacy of the single-file system WaveOne Gold and ProTaper nickel-titanium rotary instruments in one-visit root canal therapy (RCT). Methods: A total of 150 patients who underwent one-visit RCT at our hospital from July 2021 to July 2023 were divided into two groups based on the root canal preparation instruments used: the study group (n=77, WaveOne Gold single-file system) and the control group (n=73, ProTaper nickel-titanium rotary instruments). The success rate of one-visit root canal preparation, root canal preparation time, root canal filling quality, postoperative pain at 24h and 48 h, and patient satisfaction were compared between the two groups. Results: The study group exhibited a higher success rate of one-visit root canal preparation and shorter root canal preparation time compared to the control group (P<0.05). The rate of optimal root canal filling was also higher in the study group (P<0.05). At 24h and 48 h postoperatively, the visual analog scale (VAS) scores in the study group were significantly lower than those in the control group (P<0.05). Additionally, patient satisfaction with root canal preparation, filling, and overall treatment was higher in the study group compared to the control group (P<0.05). Conclusion: Compared to ProTaper nickel-titanium rotary instruments, the WaveOne Gold single-file system demonstrates superior efficacy in one-visit RCT. It significantly improves the success rate of one-visit root canal preparation, enhances root canal filling quality, reduces preparation time, and alleviates postoperative pain.
[1] Corbella S,Walter C,Tsesis I.Effectiveness of root resection techniques compared with root canal retreatment or apical surgery for the treatment of apical periodontitis and tooth survival:a systematic review[J].Int Endod,2023,56(3):487-498. [2] Ahmad MZ,Sadaf D,Merdad KA,et al.Calcium hydroxide as an intracanal medication for postoperative pain during primary root canal therapy:a systematic review and meta-analysis with trial sequential analysis of randomised controlled trials[J].Evid Based Dent Pract,2022,22(1):101680. [3] Florez Ariza JE,Aristizabal Elejalde D,Rodrigez Cardenas YA,et al.Adaptation of a single-cone in prepared teeth with two reciprocating systems[J].Iran Endod,2022,17(1):27-34. [4] Challagulla A,Chandrappa V,Akurathi R,et al.Evaluation of root canal cleaning efficacy of selfadjusting files,protaper rotary,and manual K-files in primary teeth - an in vitro comparative study[J].Indian Dent Res,2023,34(1):65-68. [5] 张筱娅,林华洁,孟伟涛,等.四种镍钛单支锉预备弯曲根管的成形效果比较[J].郑州大学学报(医学版),2024,59(1):91-95. [6] 童方丽,朱亚利,谢成婕,等.两种镍钛器械疲劳循环抗性的研究[J].口腔医学研究,2021,37(9):810-813. [7] 王颖艺,王成坤,马昂,等.三种单只成形镍钛器械对模拟弯曲根管预备效果的评价[J].吉林大学学报(医学版),2022,48(6):1422-1428. [8] Remya M,Singh P,Varughese A,et al.Comparative evaluation of root canal centering ability of protaper,mtwo,waveone,and reciproc using cone-beam computed tomography:in vitro study[J].Contemp Dent Pract,2022,23(6):589-592. [9] 葛晓甜,宋颖韬,仪红,等.机用单根锉WaveOne Gold与ProTaper Next镍钛器械对重度弯曲根管的预备效果评价[J].中国医刊,2021,56(3):325-328. [10] 钱苏辉,马新亮,韩立显.单支锉系统在后牙一次性根管治疗中的应用探讨[J].口腔材料器械杂志,2021,30(1):28-33.
2025, Vol. 31 
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