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目的:探讨一次性根管填充术在临床上的应用。方法:选取我院2011年5月-2013年5月门诊患有根尖周炎、磨牙牙髓炎或牙髓坏死的患者98例,随机分为治疗组和对照组各49例,治疗组使用一次性根管填充术进行治疗,对照组则使用常规的分次性根管治疗术进行治疗,比较两组患者术后1周复诊的疼痛情况及术后半年两组患者根管治疗的疗效。结果:两种治疗方法均能有效减弱患者术后的短期疼痛,无显著性差异(P>0.05),在术后半年的疗效上,两种治疗方法总有效率无显著性差异,但治疗组半年后患者的治愈率及显效率明显高于对照组。结论:一次性根管填充术能够有效缩短就诊时间、减少病人复诊次数且效果明显高于传统的分次型根管治疗术,值得临床进行推广应用。
Objective: To investigate the clinical application of disposable root canal filling. Methods: A total of 98 patients with periapical periodontitis, pulpitis or pulp necrosis in our hospital from May 2011 to May 2013 were randomly divided into treatment group (49 cases) and control group (49 cases). The treatment group One-time root canal filling was used to treat the patients. The control group was treated with conventional fractionated root canal therapy. The pains of the two groups after one week’s follow-up and the curative effect of root canal after two months were compared between the two groups. Results: Both treatment methods can effectively reduce short-term postoperative pain in patients with no significant difference (P> 0.05). There was no significant difference between the two treatment methods in six months after operation, but the treatment group Six months after the patient’s cure rate and significant efficiency was significantly higher than the control group. CONCLUSION: One-time root canal filling can shorten the time of visiting and reduce the frequency of referral and the effect is obviously higher than the traditional graded root canal therapy, which is worth to be popularized and applied clinically.