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Effectiveness of iRoot SP a Novel Bioceramic Material in Minimally Invasive Root Canal Therapy and Its Impact on Patients' Periodontal Health |
YANG Zhanbao, YUE Lin, DONG Li, et al |
Chengde Stomatological Hospital, Hebei Chengde 067000, China |
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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.
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[1] 仇晓慧,张福裕,徐海.不同充填技术对iRoot SP充填根管的根尖封闭性能的影响[J].中国医师杂志,2020,22(5):723-726,723-730,730. [2] 颜莉,刘杨,古丽尼尕·扎克尔,等.生物陶瓷材料在慢性根尖周炎根管治疗中的应用效果[J].中国临床医生杂志,2021,49(12):1477-1480. [3] 程莉,宝立荣.热牙胶垂直加压法与iRoot SP冷侧法行C形根管充填治疗牙体牙髓病的效果对比观察[J].广西医学,2018,40(1):92-93. [4] 俞立英.临床口腔医学[M].上海:复旦大学出版社,2008.91-96. [5] 李志伟,李劼,刘艳,等.不同终末冲洗方案对根管封闭剂与根管壁牙本质润湿性能的影响[J].牙体牙髓牙周病学杂志,2018,28(5):270-275. [6] 舒怡,罗业姣.热牙胶充填技术联合不同封闭剂在根管充填治疗中的疗效评价[J].上海口腔医学,2018,27(6):645-648. [7] Meirinhos J,Martins J,Pereira B,et al.Prevalence of apical periodontitis and its association with previous root canal treatment,root canal filling length and type of coronal restoration - a cross-sectional study[J].Int Endod,2020,53(4):573-584. [8] 马骏,叶茂昌,陈梅梅,等.iRoot SP根充糊剂在外伤性露髓前牙一次性根管治疗中的应用效果[J].安徽医学,2018,39(11):1367-1370. [9] 杜田丰,吴来迪,唐学智,等.硅酸钙基根管封闭材料对牙本质小管内粪肠球菌生物膜的影响[J].中华口腔医学杂志,2019,54(10):656-661. [10] 尹秋蓉,张旭凤,吴芸菲.热牙胶垂直加压法与iRoot SP冷侧压法行C形根管充填治疗恒牙根尖周炎疗效及对疼痛和预后的影响[J].河北医学,2022,28(6):983-988. [11] 谢镇焕,蔡冬萍,杨雪超.iRoot SP和iRoot BP Plus的根尖封闭能力的体外比较[J].口腔医学研究,2022,38(11):1076-1081. |
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