“根尖诱导成型术联合根尖屏障术”治疗成年患者根尖开敞慢性根尖周炎的疗效研究

doi:10.13701/j.cnki.kqyxyj.2022.10.008

口腔医学研究 ›› 2022, Vol. 38 ›› Issue (10): 941-945.DOI: 10.13701/j.cnki.kqyxyj.2022.10.008

“根尖诱导成型术联合根尖屏障术”治疗成年患者根尖开敞慢性根尖周炎的疗效研究

刘婷, 黄叶全, 杨卫东, 王文梅, 朱雅男^*

南京大学医学院附属口腔医院南京市口腔医院牙体牙髓病科江苏南京 210008

收稿日期:2022-05-15 出版日期:2022-10-28 发布日期:2022-10-20
通讯作者: *朱雅男,E-mail:zh-yanan@163.com
作者简介:刘婷(1990~ ),女,安徽人,硕士,主治医师,主要从事牙体牙髓疾病的临床研究和基础研究。
基金资助:
江苏省自然科学基金(编号:BK20190134);南京市卫生科技发展专项资金项目计划(编号:YKK18127);南京大学医学院附属口腔医院3456骨干人才资助项目(编号:0222C116、0222R203)

Effect of "Apical Induction Combined with Apical Barrier Therapy" on Adult Patients with Open Apical Root and Chronic Apical Periapical Inflammation

LIU Ting, HUANG Yequan, YANG Weidong, WANG Wenmei, ZHU Yanan^*

Department of Endodontics, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing 210008, China

Received:2022-05-15 Online:2022-10-28 Published:2022-10-20

摘要/Abstract

摘要： 目的: 评价“根尖诱导成型术联合根尖屏障术”治疗成年患者根尖开敞慢性根尖周炎的临床疗效。方法: 根据临床随机对照研究原则,将29例成人根尖开敞慢性根尖周炎患者随机纳入研究组与对照组。研究组15颗患牙行根尖诱导成型术联合根尖屏障术,即采用Vitapex连续封药3月,待根尖形成钙化屏障后,再经根管iRoot BP Plus封闭根尖。对照组15颗患牙直接实施根尖屏障术,采用iRoot BP Plus封闭根尖。观察两组术后根管充填情况、根尖周指数(old-periapical index, O-PAI)、根尖透射区面积、根管下段1/3操作时间和临床疗效。结果: 研究组15颗患牙均恰填,对照组15颗患牙10颗恰填,5颗超填。研究组术后12个月的O-PAI、根尖透射区面积、根管下段1/3操作时间明显低于对照组(P<0.05)。而12个月随访成功率,研究组显著高于对照组(P<0.05)。结论: 采用“根尖诱导成型术联合根尖屏障术”治疗成年根尖开敞慢性根尖周炎的患牙,降低了O-PAI指数和根尖透射区面积,提高了成功率,且操作相对简单,可用于临床推广。

关键词: 根尖诱导成型术, 根尖屏障, 根管治疗, iRoot BP Plus

Abstract: Objective: To evaluate the clinical efficacy of "apical induction combined with apical barrier therapy" in the treatment of adult patients with open apical root and chronic apical periapical inflammation. Methods: Sixty patients with open apical root and chronic periapical periodontitis who were admitted to our hospital were selected and randomly divided into the experimental group and control group. The experimental group of 15 teeth were treated with apical induction, ie, vitapex continuous sealing was used. And iRoot BP Plus apical barrier was performed after calcification barrier was formed in the apical tip. In the control group, 15 patients received conventional iRoot BP Plus apical barrier surgery, and the postoperative old-periapical index (O-PAI), operation time of 1/3 lower root canal segment, and average efficacy were observed in the two groups. Results: Fifteen patients had correct-filling in the experimental group, while in the control group, 10 patients had correct-filling and 5 patients had overfilling. The O-PAI and periapical lesion area of experimental group 12 months after operation was lower than that of control group (P<0.05). The operation time of 1/3 lower root canal segment in the experimental group was shorter than that in the control group (P<0.05). The success rate of 12 months’ follow-up in the experimental group was higher than that in the control group (P<0.05). Conclusion: The application of "apical induction combined with apical barrier" in the treatment of adult open chronic periapical periodontitis improved the O-PAI, periapical lesion area, and success rate for 12 months, and the operation was relatively simple, which can be used for clinical promotion.

Key words: apical induction, apical barrier, root canal treatment, iRoot BP Plus

刘婷, 黄叶全, 杨卫东, 王文梅, 朱雅男. “根尖诱导成型术联合根尖屏障术”治疗成年患者根尖开敞慢性根尖周炎的疗效研究[J]. 口腔医学研究, 2022, 38(10): 941-945.

LIU Ting, HUANG Yequan, YANG Weidong, WANG Wenmei, ZHU Yanan. Effect of "Apical Induction Combined with Apical Barrier Therapy" on Adult Patients with Open Apical Root and Chronic Apical Periapical Inflammation[J]. Journal of Oral Science Research, 2022, 38(10): 941-945.

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“根尖诱导成型术联合根尖屏障术”治疗成年患者根尖开敞慢性根尖周炎的疗效研究

Effect of "Apical Induction Combined with Apical Barrier Therapy" on Adult Patients with Open Apical Root and Chronic Apical Periapical Inflammation

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