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河北医学  2021, Vol. 27 Issue (4): 551-555    DOI: 10.3969/j.issn.1006-6233.2021.04.06
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不同根充糊剂根管充填对冠修复隐裂性牙髓病患者咀嚼功能的影响
王健1, 沈铭2, 刘洋3
1.上海交通大学医学院附属苏州九龙医院口腔科, 江苏 苏州 215000
2.江苏省口腔医院种植修复科, 江苏 南京 210029
3.江苏省江阴市人民医院口腔科, 江苏 江阴 214400
Effect of Different Root Canal Fillings on Masticatory Function of Patients with Dehiscence Pulp Disease after Crown Restoration
WANG Jian, et al
Suzhou Jiulong Hospital, Shanghai Jiaotong University School of Medicine, Jiangsu Suzhou 215000, China
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摘要 目的: 对比分析Cortisomol糊剂、Vitapex糊剂与氧化锌丁香油糊剂根管充填对冠修复隐裂性牙髓病患者咀嚼功能影响。方法: 选取2017年10月至2018年8月我院收治的106例隐裂性牙髓病患者(第一磨牙区患牙共125颗)作为本次研究对象,按照随机抽样法分为A组38例(患牙共43颗)、B组37例(患牙共42颗)、C组31例(患牙共35颗);A组采用冠修复联合Cortisomol糊剂根管充填、B组采用Vitapex糊剂根管充填、C组采用氧化锌丁香油糊剂根管充填。观察三组患者治疗后临床治疗效果,治疗前治疗各时点疼痛情况、治疗前后咀嚼功能与基牙相关指标。结果: 三组患者在显效、有效、无效指标比较,差异具有统计学意义(P<0.05);治疗总有效率三组比较,差异具有统计学意义(P<0.05);A组与B、C组两两比较,差异具有统计学意义(P<0.05)。治疗各时点疼痛评分经过重复测量方差分析显示,在时点因素、时点交互因素、组别因素中,差异具有统计学意义(P<0.05);在治疗1d、3d、5d、7d时点A组与B、C组两两比较,差异具有统计学意义(P<0.05)。治疗后三组患者咀嚼功能、语言功能、固定情况、美观程度与治疗前比较,差异具有统计学意义(P<0.05);治疗前单因素方差显示,差异无统计学意义(P>0.05);治疗后单因素方差显示,三组咀嚼功能比较差异有统计学意义(P<0.05),三组的语言功能、固定情况、美观程度比较,差异无统计学意义(P>0.05);A组咀嚼功能、语言功能、固定情况、美观程度与B、C组两两比较,差异无统计学意义(P>0.05)。结论: 冠修复联合Cortisomol糊剂对隐裂性牙髓病患者治疗效果及咀嚼功能的恢复好于冠修复联合Vitapex糊剂与氧化锌丁香油糊剂治疗。
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关键词 冠修复Cortisomol糊剂Vitapex糊剂氧化锌丁香油糊剂隐裂性牙髓病    
AbstractObjective: To compare and analyze the effects of cortisomol paste, vitapex paste and zinc oxide clove oil paste root canal filling on the masticatory function of patients with cracked pulp disease.Methods: A total of 106 patients with dehiscence pulp disease (125 teeth in the first molar area) admitted to our hospital from October 2017 to August 2018 were selected as the research objects, and they were divided into group A according to random sampling method 38 Cases (43 teeth in total), 37 cases in group B (42 teeth in total), 31 cases in group C (35 teeth in total); group A used crown restoration combined with Cortisomol paste root canal filling, group B used Vitapex Root canal filling with paste, group C was filled with zinc oxide clove oil paste. Observe the clinical treatment effects of the three groups of patients after treatment, pain at various points before treatment, masticatory function before and after treatment, and related indexes of abutment teeth. Results: The difference between the three groups of patients in markedly effective, effective, and ineffective indicators was statistically significant (P<0.05); the total effective rate of treatment was compared between the three groups, and the difference was statistically significant (P<0.05); Group A and Group B, C Pairwise comparison, the difference was statistically significant (P<0.05). Pain scores at each point of treatment were analyzed by repeated measures analysis of variance, and the difference was statistically significant in time-point factors, time-point interaction factors, and group factors (P<0.05); at the time points of treatment 1d, 3d, 5d, and 7d group A compared with groups B and C, the difference was statistically significant (P<0.05). After treatment, the differences in chewing function, language function, immobilization, and aesthetics of the three groups of patients were statistically significant (P<0.05) compared with those before treatment (P<0.05); the single-factor variance before treatment showed no statistical significance (P>0.05); One-way variance after treatment showed that there was a statistically significant difference in chewing function between the three groups (P<0.05), and there was no statistically significant difference in language function, fixation, and aesthetics of the three groups (P>0.05); group A chewing There were no statistically significant differences in function, language function, fixation, and aesthetics between groups B and C (P>0.05). Conclusion: The treatment effect of crown restoration combined with Cortisomol paste in the treatment of dehiscence pulp disease and the recovery of masticatory function is better than the treatment of crown restoration combined with Vitapex paste and zinc oxide clove oil paste.
Key wordsCrown repair    Cortisomol paste    Vitapex paste    Zinc-butadiene oil paste    Dehiscence pulp disease
    
基金资助:国家自然科学基金项目,(编号:81670966)
通讯作者: 沈 铭   
引用本文:   
王健, 沈铭, 刘洋. 不同根充糊剂根管充填对冠修复隐裂性牙髓病患者咀嚼功能的影响[J]. 河北医学, 2021, 27(4): 551-555.
WANG Jian, et al. Effect of Different Root Canal Fillings on Masticatory Function of Patients with Dehiscence Pulp Disease after Crown Restoration. HeBei Med, 2021, 27(4): 551-555.
链接本文:  
http://www.hbyxzzs.cn/CN/10.3969/j.issn.1006-6233.2021.04.06     或     http://www.hbyxzzs.cn/CN/Y2021/V27/I4/551
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