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      臨床研究

      根管清洗糊劑在老年人后牙鈣化阻塞根管中的臨床應用

      李碧娥 劉琪亮

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      【摘要】  【摘要】目的 觀察分析根管清洗糊劑在老年人后牙鈣化阻塞根管中的臨床應用效果。方法 選擇2019年4月至2019年12月在我院口腔科接受治療的老年后牙鈣化阻塞病患60例為研究對象,按隨機數字法分為對照組和實驗組各30例,對照組使用氯亞明溶劑,配合ProTaper鎳鈦銼對鈣化阻塞根管進行疏通治療;實驗組使用根管清洗糊劑,配合ProTaper鎳鈦銼對鈣化阻塞根管進行疏通治療,以根管是否通暢為指標觀察比較兩組病患臨床治療效果。

      【關鍵字】  根管清洗糊劑,鈣化根管,侵襲性牙周炎

      中圖分類號:文獻標識碼:文章編號:

      [Abstract] Objective To observe and analyze the clinical application of root canal cleaning paste in the root canal of the elderly with calcification. Methods Select 60 elderly patients with post-calcium occlusion disease who were treated in the Department of Stomatology of our hospital from April 2019 to December 2019 as the research object.They were divided into a control group and an experimental group of 30 cases according to random number method. The control group Using chlorphenaminesolvent, together with ProTaper nickel-titanium file for dredging treatment of calcified obstructed root canal; theexperimental group used root canal cleaning paste, and ProTaper nickel-titanium file for dredging treatment of calcified obstructed root canal, based on whether the root canal is clear, and observed and compared the clinical treatment effects of the two groups of patients. Results The total effective rate of patients in the experimental group was 93.33%, which was significantly higher than that in the control group, 70.00%, the difference was statistically significant (P<0.05). Conclusion The use of root canal cleaning paste in the treatment of calcification of the posterior teeth of the elderly can effectively improve the clinical treatment effect, savetime, labor and cost,and have the value of clinical promotion and application.

      根管鈣化是由于牙髓被外界傷害而致的病理變化,其是致使根管預備困難的主要原因之一,同時也增加了牙髓病及根尖周病的治療困難。有報道指出,牙髓鈣化的發生概率會隨年齡增長而增加,約十歲左右就有可能出現牙髓鈣化,而60歲以上為高發人群,患病概率可達90%以上。老年病患的患牙因年齡的變化和長時間的頸部受損、磨耗、慢性齲壞等刺激,導致根管縮小甚至鈣化閉鎖,根管內鈣化物沉積,根管不能準確地定位和深入,治療不能順利進行,為老年人的根管治療帶來了極大的困難,此外,由于老年人特殊的心理和生理特點及口腔情況的復雜性等原因,使老年人后牙鈣化阻塞的根管治療,對口腔醫師是很大的挑戰,已經成為牙髓病治療的重點和難點。目前我國即將步入老年社會,老年人口數量龐大,口腔保健意識也逐漸提高,對口腔治療提出了新的要求。近年來新型根管清洗糊劑逐漸應用于根管治療術中,不但最大程度的確保了根管治療的效果,而且還讓許多之前無法進行的治療變為可能,大大提高了此類病例根管治療的成功率,顯示了其獨特的不可替代的優勢。近年來國內外文獻較少對根管清洗糊劑在老年人后牙鈣化阻塞根管進行疏通的報道,目前為止暫無該方面的相關性研究。本研究擬以根管清洗糊劑治療老年后牙鈣化阻塞根管,以了解其治療效果,旨為進一步給臨床治療提供合理依據,現將詳情報道如下。

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