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湖北省通山县人民医院口腔科
纸质出版日期:2021,
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[1]岑乐,陈利亚.冠修复与根管同步治疗隐裂牙牙髓病的疗效[J].保健医学研究与实践,2021,18(02):63-66.
Cen Le, Chen Liya. Efficacy of synchronous application of crown restoration and root canal treatment for cracked-tooth syndrome[J]. Health Medicine Research and Practice, 2021,18(2):63-66.
目的探讨冠修复与根管同步治疗隐裂牙牙髓病的疗效。方法选取2018年1月—2019年6月湖北省某医院98例隐裂牙牙髓病患者作为研究对象
采用随机数字表法将患者分成观察组(n=49)和对照组(n=49)
对照组患者采用常规治疗
观察组患者采用冠修复与根管同步治疗
2组患者均持续治疗6个月。比较2组患者的就诊次数、就诊持续时间、治疗效果及2组患者治疗7d时的疼痛情况
比较2组患者治疗前、治疗6个月时的牙齿功能变化。结果观察组患者的就诊次数为(2.41±0.51)次
明显少于对照组的(3.65±0.71)次
治疗时间为(13.24±1.23)d
明显短于对照组的(21.58±2.69)d
差异均有统计学意义(P<0.05)。观察组患者的治疗总有效率为97.96%
明显高于对照组的81.63%
差异有统计学意义(P<0.05)。观察组患者治疗7d时的疼痛发生率为20.41%
明显低于对照组的40.82%
差异有统计学意义(P<0.05)。治疗前
2组患者咬合力、咀嚼效率、牙齿松动度比较
差异均无统计学意义(P>0.05)。治疗治疗6个月时
观察组患者的咬合力、咀嚼效率明显高于对照组
牙齿松动度明显低于对照组
差异均有统计学意义(P<0.05)。结论冠修复与根管同步治疗隐裂牙牙髓病具有明显效果
可明显减少患者就诊次数
缩短就诊持续时间
有效缓解疼痛
改善牙齿功能
具有较高的推广应用价值。
Objective To explore the efficacy of synchronous application of crown restoration and root canal treat-ment for cracked-tooth syndrome. Methods Ninety-eight patients with cracked-tooth syndrome in a hospital in Hubei from January 2018 to June 2019 were selected as the study subjects
and the patients were divided into ob-servation group(n=49) and control group(n=49) using a random number table. The patients in the control group were treated conventionally
and the patients in the observation group were treated with crown restoration and root canal treatment simultaneously
and the treatment for patients in both groups continued for 6 months. The number of visits
treatment time
treatment efficacy and pain at 7 d of treatment were compared between the two groups
and the functional changes of the teeth before and at 6 months of treatment were compared between the two groups. Results The number of visits in the observation group was 2.41±0.51
which was significantly less than that the control group’s 3.65±0.71
and the treatment time was(13.24±1.23)d
which was signifi-cantly shorter than that in the control group(21.58±2.69)d. The differences were statistically significant(P<0.05). The total treatment efficiency of patients in the observation group was 97.96%
which was significantly higher than that of 81.63% in the control group
and the difference was statistically significant(P<0.05). The incidence of pain in the patients of the observation group at 7 d of treatment was 20.41%
which was significantly lower than that of the control group(40.82%)
and the difference was statistically significant(P<0.05). Be-fore treatment
there was no statistically significant difference in the bite force
chewing efficiency
and tooth loosening between the 2 groups(P>0.05). At 6 months of treatment
the bite force and chewing efficiency of the patients in the observation group were significantly higher than those in the control group
and the tooth loos-ening was significantly lower than that in the control group
and the differences were all statistically significant(P<0.05). Conclusion The simultaneous application of crown restoration and root canal treatment for crypto-clastic endodontic disease has obvious effects
which can significantly reduce the number of patient visits
shorten the treatment time
effectively relieve pain and improve tooth function
and has a high value for promotion and application.
冠修复根管治疗同步治疗隐裂牙牙髓病临床疗效
Crown restorationRoot canal treatmentSimultaneous treatmentCracked-tooth syndromeEndodontic diseaseClinical efficacy
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