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目的探讨给予急性牙髓炎患者一次性根管填充与传统多次根管填充治疗的效果。方法 90例(107颗患牙)急性牙髓炎患者,随机分为观察组(54颗患牙)和对照组(53颗患牙),各45例。对照组给予多次根管填充治疗,观察组给予一次性根管填充治疗。对比分析两组治疗效果。结果观察组近期治疗的总有效率96.3%与对照组98.1%比较差异无统计学意义(P>0.05);观察组远期治疗的总有效率98.1%与对照组94.3%比较差异无统计学意义(P>0.05)。结论在严格掌握根管填充治疗的适应证和禁忌证情况下,给予急性牙髓炎患者一次性根管填充治疗效果较好,可明显减少就诊次数,减轻牙髓症状,降低根管再次感染的几率,且近、远期疗效与多次根管填充治疗相当。
Objective To investigate the effect of one-time root canal filling and traditional multiple root canal filling in patients with acute pulpitis. Methods Ninety patients (107 teeth) with acute pulpitis were randomly divided into observation group (54 teeth) and control group (53 teeth), 45 cases each. The control group received multiple root canal filling, and the observation group received one-time root canal filling. Comparative analysis of two groups of treatment. Results The total effective rate of the short-term treatment in the observation group was 96.3% compared with 98.1% in the control group (P> 0.05). The total effective rate of the long-term treatment in the observation group was 98.1% and 94.3% of the control group, with no significant difference (P> 0.05). Conclusion In the strict control of indications and contraindications of root canal filling treatment, the treatment of acute pulpitis patients with one-time root canal filling is better, which can significantly reduce the number of visits, reduce the symptoms of pulp, reduce the re-infection of the root canal Probability, and near, long-term efficacy and multiple root canal filling treatment quite.