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目的:探讨碧兰根充糊剂加牙胶尖1次根充法根充前牙的临床观察。方法:选择120颗前牙患有急性牙髓炎、慢性牙髓炎、慢性根尖周炎、牙髓坏死,采用碧兰根充糊剂加牙胶尖1次根充法根充患牙。观察术后1周的疼痛程度及2年后的临床情况,评价疗效。结果:术后1周,出现Ⅰ级疼痛3例,Ⅱ级疼痛2例。随访观察2年后碧兰根充糊剂加牙胶尖1次根充法根充前牙显效115例、有效4例、无效1例,成功率99.1%。结论:碧兰根充糊剂加牙胶尖是安全性高、毒性小、无刺激、稳定性强、生物相容性高、密封性能好,并具广谱、持久杀灭、抑制根管内及根尖部残留细菌作用,是目前前牙根管治疗1次根充法的有效材料。
Objective: To investigate the clinical observation of 1-time root filling with Gellan gum plus gingivitis root. Methods: A total of 120 anterior teeth patients suffering from acute pulpitis, chronic pulpitis, chronic apical periodontitis and pulp necrosis were selected. The degree of pain after 1 week and the clinical situation after 2 years were observed to evaluate the curative effect. Results: One week after operation, there were 3 grade Ⅰ pain and 2 grade Ⅱ pain. Follow-up observation of 2 years after the Ballantine gutta-percha plus gum root 1 root filling method of anterior root canal markedly effective in 115 cases, 4 cases, 1 case, the success rate of 99.1%. Conclusion: The Ballantine paste plus gutta-percha point is safe, less toxic, non-irritating, with strong stability, high biocompatibility and good sealing performance. And root tip residual bacteria, root canal treatment is an effective method of root filling.