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目的观察与探究微创牙体预备方式对成人早期牙髓病治疗的临床应用效果。方法 90例成人早期牙髓病患者,随机分为对照组和实验组,各45例。对照组患者接受常规根管治疗,实验组患者采用微创牙体预备方式治疗,比较两组患者的治疗效果以及并发症发生情况。结果实验组患者治疗后显效32例,有效12例,无效1例,总有效率为97.8%;对照组患者治疗后显效25例,有效11例,无效9例,总有效率为80.0%。实验组患者治疗总有效率高于对照组,差异具有统计学意义(P<0.05)。实验组患者治疗后,2例患者发生并发症,发生率为4.4%;对照组患者治疗后,6例患者发生并发症,发生率为13.3%,实验组患者并发症发生率低于对照组,差异具有统计学意义(P<0.05)。结论对成人早期牙髓病患者实施微创牙体预备方式,其治疗效果显著,可减轻对牙体组织的损害,具有临床应用价值。
Objective To observe and explore the effect of minimally invasive dental preparation on the treatment of early endodontic diseases in adults. Methods Ninety adult patients with early endodontic disease were randomly divided into control group and experimental group, with 45 cases in each group. Patients in the control group received conventional root canal therapy. Patients in the experimental group were treated with minimally invasive dental preparation. The therapeutic effect and complications of the two groups were compared. Results In the experimental group, 32 cases were markedly effective after treatment, 12 cases were effective and 1 case was ineffective. The total effective rate was 97.8%. In the control group, 25 cases were markedly effective, 11 effective and 9 ineffective. The total effective rate was 80.0%. The total effective rate of treatment group was higher than that of control group, the difference was statistically significant (P <0.05). In the experimental group, complication occurred in 2 patients and the incidence rate was 4.4%. After the treatment in the control group, complications occurred in 6 patients, the incidence rate was 13.3%. The complication rate in the experimental group was lower than that in the control group, The difference was statistically significant (P <0.05). Conclusion The implementation of minimally invasive method of dental preparation in early stage of patients with early endodontic diseases has significant therapeutic effect and can reduce the damage to dental tissues and has clinical value.