临床研究

根管清洗糊剂在老年人后牙钙化阻塞根管中的临床应用

李碧娥 刘琪亮

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【摘要】  【摘要】目的 观察分析根管清洗糊剂在老年人后牙钙化阻塞根管中的临床应用效果。方法 选择2019年4月至2019年12月在我院口腔科接受治疗的老年后牙钙化阻塞病患60例为研究对象,按随机数字法分为对照组和实验组各30例,对照组使用氯亚明溶剂,配合ProTaper镍钛锉对钙化阻塞根管进行疏通治疗;实验组使用根管清洗糊剂,配合ProTaper镍钛锉对钙化阻塞根管进行疏通治疗,以根管是否通畅为指标观察比较两组病患临床治疗效果。

【关键字】  根管清洗糊剂,钙化根管,侵袭性牙周炎

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[Abstract] Objective To observe and analyze the clinical application of root canal cleaning paste in the root canal of the elderly with calcification. Methods Select 60 elderly patients with post-calcium occlusion disease who were treated in the Department of Stomatology of our hospital from April 2019 to December 2019 as the research object.They were divided into a control group and an experimental group of 30 cases according to random number method. The control group Using chlorphenaminesolvent, together with ProTaper nickel-titanium file for dredging treatment of calcified obstructed root canal; theexperimental group used root canal cleaning paste, and ProTaper nickel-titanium file for dredging treatment of calcified obstructed root canal, based on whether the root canal is clear, and observed and compared the clinical treatment effects of the two groups of patients. Results The total effective rate of patients in the experimental group was 93.33%, which was significantly higher than that in the control group, 70.00%, the difference was statistically significant (P<0.05). Conclusion The use of root canal cleaning paste in the treatment of calcification of the posterior teeth of the elderly can effectively improve the clinical treatment effect, savetime, labor and cost,and have the value of clinical promotion and application.

根管钙化是由于牙髓被外界伤害而致的病理变化,其是致使根管预备困难的主要原因之一,同时也增加了牙髓病及根尖周病的治疗困难。有报道指出,牙髓钙化的发生概率会随年龄增长而增加,约十岁左右就有可能出现牙髓钙化,而60岁以上为高发人群,患病概率可达90%以上。老年病患的患牙因年龄的变化和长时间的颈部受损、磨耗、慢性龋坏等刺激,导致根管缩小甚至钙化闭锁,根管内钙化物沉积,根管不能准确地定位和深入,治疗不能顺利进行,为老年人的根管治疗带来了极大的困难,此外,由于老年人特殊的心理和生理特点及口腔情况的复杂性等原因,使老年人后牙钙化阻塞的根管治疗,对口腔医师是很大的挑战,已经成为牙髓病治疗的重点和难点。目前我国即将步入老年社会,老年人口数量庞大,口腔保健意识也逐渐提高,对口腔治疗提出了新的要求。近年来新型根管清洗糊剂逐渐应用于根管治疗术中,不但最大程度的确保了根管治疗的效果,而且还让许多之前无法进行的治疗变为可能,大大提高了此类病例根管治疗的成功率,显示了其独特的不可替代的优势。近年来国内外文献较少对根管清洗糊剂在老年人后牙钙化阻塞根管进行疏通的报道,目前为止暂无该方面的相关性研究。本研究拟以根管清洗糊剂治疗老年后牙钙化阻塞根管,以了解其治疗效果,旨为进一步给临床治疗提供合理依据,现将详情报道如下。

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