Vitapex糊剂在根管治疗乳牙慢性根尖周炎中的效果分析

目的:探讨Vitapex糊剂在根管治疗乳牙慢性根尖周炎中的效果。方法:选取200例慢性根尖周炎患儿并随机分为两组,观察组(108例)给予Vitapex糊剂充填,对照组(92例)给予氧化锌碘仿糊剂充填,比较两组治疗后1个月的充填质量、治疗前后的VAS评分及治疗后6个月的远期疗效。结果:治疗后1个月,两组患者的根管充填质量构成比比较有统计学差异(P0.05),观察组根管适充率高于对照组;治疗前两组VAS评分相比,无统计学差异(P0.05);治疗后1周、1个月,两组痛觉减轻且观察组痛觉感受更轻微(P0.05)。治疗后随访6个月,观察组治疗成功104例,成功率96.3%;对照组治疗成功80例,成功率87.0%,观察组治疗成功率高于对照组(P0.05)。结论:Vitapex糊剂填充过程简易,易于填充,对乳牙根尖周炎具有较好的治疗效果,能减轻患儿牙痛,远期疗效较佳。

Analysis of the Effect of Vitapex Paste in the Root Canal for Deciduous Teeth with Chronic Apical Periodontitis

ABSTRACT Objective: To investigate the effect of Vitapex paste in the root canal for deciduous teeth with chronic apical periodon- titis. Methods: 200 children with chronic apical periodontitis were selected and divided into two groups. The observation group(108 cases) was given Vitapex paste. The control group(92 cases) was given Zinc oxide iodoform paste. The effect of Vitapex paste in root canal for deciduous teeth with chronic apical periodontitis was evaluated by filling quality after 1 month'' treatment, the VAS scores before and af- ter treatment, long-term curative effect were compared between two groups. Results: After 1 month'' treatment, the suitable filling rate of observation group was higher than that of the control group(P<0.05). There was no statistical significance in the VAS scores between two groups(P>0.05). After 1 week'' and 1 month'' treatment, the pain feeling were alleviated in two groups and significantly lighter in the ob- servation group(P<0.05). After 6 months'' follow-up, the success rate was 96.3% in the observation group and 87.0% in the control group, the success rate of observation group was higher than that of the control group(P<0.05). Conclusion: The filling process of Vitapex paste was simple and easy, which had a good therapeutic effect on chronic apical periodontitis of deciduous teeth and could relieve the toothache of patients.