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目的研究分析急性牙髓炎使用冷牙胶侧方加压法根管充填及热牙胶垂直加压法根管充填的临床治疗效果。方法 186例急性牙髓炎患者,按照数字表法随机分成对照组和试验组,各93例。对照组患者应用冷牙胶侧方加压法根管充填,试验组患者应用热牙胶垂直加压法根管充填,比较两组患者的临床总有效率、根管充填时间以及疼痛评分。结果试验组患者临床总有效率96.8%高于对照组83.9%,两组比较差异具有统计学意义(P<0.05);试验组患者根管充填时间(68.3±21.4)s低于对照组(159.2±34.8)s,两组比较差异具有统计学意义(P<0.01);试验组患者疼痛评分(2.08±0.95)分低于对照组(5.32±1.28)分,两组比较差异具有统计学意义(P<0.05)。结论急性牙髓炎使用热牙胶垂直加压法根管充填较冷牙胶侧方加压法根管充填具有提高治疗有效率、减少治疗时间、降低患者疼痛程度等优势,可作为急性牙髓炎根管充填治疗的首选方法 ,具有广泛的临床应用前景。
Objective To study the clinical effect of root canal filling of cold pulpitis treated by lateral compression with cold teethers and vertical compression with hot teethers. Methods A total of 186 patients with acute pulpitis were randomly divided into control group and test group according to digital table method, each with 93 cases. The patients in the control group were treated by lateral compression with cold teethers. The patients in the test group were treated with vertical compression with hot teethers. The total effective rate, filling time and pain score of the two groups were compared. Results The total clinical effective rate in trial group was 96.8% higher than that in control group (83.9%), the difference was statistically significant (P <0.05). The root canal filling time was 68.3 ± 21.4 s in trial group was lower than that in control group ± 34.8) s, the difference between the two groups was statistically significant (P <0.01). The score of pain in trial group (2.08 ± 0.95) was lower than that of control group (5.32 ± 1.28), the difference was statistically significant P <0.05). Conclusions Acute pulpitis using hot teethers vertical compression method of root canal filling colder lateral canal compression method of root canal filling has the advantages of improving treatment efficiency, reducing treatment time and reducing the degree of pain in patients, can be used as acute pulp The preferred method of root canal filling treatment has a wide range of clinical applications.