| 刘一娜,吴富强,洪玉娥,丁珂.三种根管治疗方法的临床效果评价[J].口腔材料器械杂志,2026,35(3):188-192. |
| 三种根管治疗方法的临床效果评价 |
| Evaluation of the Clinical Effects of Three Root Canal Therapy Methods |
| 投稿时间：2025-04-02 修订日期：2025-05-16 |
| DOI：10.11752/j.kqcl.2026.03.12 |
| 中文关键词: 根管治疗 iRoot SP糊剂 AH-plus糊剂 疼痛程度 龈沟液 |
| 英文关键词:Root canal treatment iRoot SP root canal sealer AH-plus Degree of pain Gingival crevicular fluid |
| 基金项目:荆门市科学技术局一般科技计划项目(编号:2024YFYB012) |
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| 中文摘要: |
| 目的 探讨三种根管治疗方法的应用价值，为临床诊疗提供依据。方法 回顾性选取2021年4月至2023年5月于我院接受根管填充治疗的114例患者的临床资料，根据治疗方法分为三组：冷侧加压组以环氧树脂（AH-plus）糊剂冷侧加压填充，垂直加压组采用AH-plus糊剂热牙胶垂直加压填充，单尖法组采用iRoot SP糊剂单尖法填充。对比分析三组患者的填充效果、疼痛程度（VAS评分）、手术前后龈沟液指标[P物质（SP）、前列腺素E2（PGE2）]、咀嚼功能指标、牙周相关指标及术后并发症发生情况。结果 垂直加压组填充优良率为97.44%，高于冷侧加压组的80.00%和单尖法组的80.49%（P<0.05）；术后1 d VAS评分，单尖法组<冷侧加压组<垂直加压组（P<0.05）；术后1 d龈沟液SP、PGE2水平，单尖法组<冷侧加压组<垂直加压组（P<0.05）；术后3个月、6个月三组牙龈指数、根尖周指数比较，差异无统计学意义（P>0.05）；三组术后并发症发生率比较，差异无统计学意义（P>0.05）。结论 三种根尖充填方案均具有较好的近中期效果和安全性，AH-plus糊剂热牙胶垂直加压术填充效果较好，而iRoot SP糊剂在减轻患者早期疼痛方面效果更加突出。 |
| 英文摘要: |
| Objective To explore the application value of different root canal treatment methods and provide evidence for clinical diagnosis and treatment. Methods The clinical data of 114 patients who underwent root canal therapy in our hospital from April 2021 to May 2023 were retrospectively selected. These patients were categorized into three groups based on the treatment method. The cold lateral pressure group underwent epoxy resin（AH-plus） paste with cold lateral pressure filling technique, the vertical pressure group underwent AH-plus paste with hot gutta-percha vertical pressure filling technique; and the single-cone obturation technique group underwent iRoot SP paste with single-cone obturation technique. The filling effects, pain levels（VAS scores）, postoperative complications were compared among the three groups, as well as gingival crevicular fluid indicators [substance P（SP）, prostaglandin E2（PGE2）], chewing function indicators, and periodontal-related indicators before and after surgery. Results The excellent and good filling rates in the vertical pressure group were 97.44%, which were higher than those in the cold lateral pressure group（80.00%） and the single-cone technique group（80.49%）(P<0.05). On postoperative day 1, the VAS score in the single-cone technique group<cold lateral pressure group<vertical pressure group（P<0.05）. On postoperative day 1, the levels of SP and PGE2 in gingival crevicular fluid in the single-cone technique group<cold lateral pressure group, <vertical pressure group（P<0.05）. There were no statistically significant differences in gingival index and periapical index among the three groups at postoperative months 3 and 6（P>0.05）. There were no statistically significant differences in the incidence of postoperative complications among the three groups（P>0.05）. Conclusion All three root canal filling schemes demonstrate good short-and medium-term effects and safety. AH-plus paste with hot gutta-percha vertical pressure filling technique yields better filling results, while iRoot SP paste with single-point technique is more effective in alleviating early pain in patients. |
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