机用镍钛器械用于乳磨牙根管治疗临床效果评价

doi:10.13701/j.cnki.kqyxyj.2018.09.023

口腔医学研究 ›› 2018, Vol. 34 ›› Issue (9): 1016-1018.DOI: 10.13701/j.cnki.kqyxyj.2018.09.023

机用镍钛器械用于乳磨牙根管治疗临床效果评价

马晓伟

沈阳市儿童医院口腔科辽宁沈阳 110032

收稿日期:2018-03-06 出版日期:2018-09-28 发布日期:2018-09-25
作者简介:马晓伟(1982~ )，女,辽宁沈阳人,硕士,主治医师,主要从事儿童口腔科的临床治疗工作,电话：13897906108。

Clinical Evaluation of NiTi Rotary Instrument in Root Canal Therapy of Primary Molars.

MA Xiao-wei.

Department of Pediatric Dentistry, Shenyang Children’s Hospital, Shenyang 110032, China.

Received:2018-03-06 Online:2018-09-28 Published:2018-09-25

摘要/Abstract

摘要： 目的: 探讨机用镍钛器械与手用不锈钢器械用于乳磨牙根管治疗中的临床疗效。方法: 选择2016年1月~2018年1月于沈阳市儿童医院口腔科行下颌第二乳磨牙根管治疗的患儿90例(90颗牙)为研究对象。应用两种器械进行根管预备,随机分为试验组和对照组,每组各45颗,试验组采用ProTaper机用镍钛器械,对照组采用手用不锈钢K锉。比较两种器械根管预备的时间,根充质量及预备后疼痛等临床疗效。结果: 试验组根管预备时间明显短于对照组;根管恰填率高于对照组;根管预备后疼痛发生率明显低于对照组。差异均有统计学意义(P<0.05)。结论: 在乳磨牙根管治疗中应用ProTaper机用镍钛器械缩短了治疗时间,提高了根充质量,缓解了预备后疼痛的发生,临床值得推荐应用。

关键词: 机用镍钛器械, 乳磨牙, 根管治疗

Abstract: Objective: To explore the clinical effects of NiTi rotary instruments and manual stainless steel instruments in root canal therapy of primary molars. Methods: Ninety children (90 teeth) who received root canal therapy in their mandibular primary second molars in the Department of Pediatric Dentistry, Shenyang Children’s Hospital, from January 2016 to January 2018 were selected. The primary molars were randomly divided into two groups, the experimental group and the control group, with 45 molars in each group. ProTaper NiTi Rotary instruments were used in the experimental group and manual stainless steel K-files were used in the control group. The time of root canal preparation, the quality of root filling, and the pain after preparation were compared. Results: In contrast to control group, the experimental group had shorter root canal preparation time, higher root canal filling rate, and lower incidence of pain after root canal preparation (P<0.05). Conclusion: The clinical application of ProTaper NiTi Rotary instruments in primary molar root canal therapy is worth of recommendation.

Key words: NiTi rotary instrument, Primary molar, Root canal therapy

马晓伟. 机用镍钛器械用于乳磨牙根管治疗临床效果评价[J]. 口腔医学研究, 2018, 34(9): 1016-1018.

MA Xiao-wei.. Clinical Evaluation of NiTi Rotary Instrument in Root Canal Therapy of Primary Molars.[J]. Journal of Oral Science Research, 2018, 34(9): 1016-1018.

参考文献

[1] George S, Anandaraj S, Issac JS, et al. Rotary endodontics in primary teeth-A review [J] . Saudi Dent J,2016,28(1)∶12-17
[2] 杜池,罗晓冰,张复兰,等.两种镍钛机动器械应用于磨牙根管治疗术一次法的近期疗效[J] .口腔医学研究,2016,32(12)∶1316-1318
[3] 于小青,刘宇飞,郭世博,等.5种机用镍钛锉预备根管成形能力的比较研究[J] .口腔医学研究,2017,33(3)∶286-289
[4] 樊明文.牙体牙髓病学[M] .第4版.北京:人民卫生出版社,2012.316-317
[5] Negm MM. Effect of intracanal use of nonsteroidal anti-inflammatory agents on post treatment endodontic pain [J] . Oral Surg Oral Med Oral Pathol,1994, 77(5)∶507-513
[6] Kirchhoff AL, Fariniuk LF, Mello I. Apical extrusion of debris in flat-oval root canals after using different instrumentation system [J] . Endond, 2015, 41(2)∶237-241
[7] Jeevanandan G. Kedo-S paediatric rotary files for root canal preparation in primary teeth-case report [J] . Clin Diagn Res, 2017, 11(3)∶3-5
[8] Vierya JP. Instrumentation time efficiency of rotary hand instrumentation performed on vital and vital and necrotic human primary teeth: A randomized clinical trial [J] . Dentistry, 2014, 4(4)∶214
[9] Pathak S. In vitro comparison of K-files, Mtwo and WaveOne in cleaning efficacy and instrumentation time in primary molar [J] . Chrismed J Health Res, 2016, 3(1)∶60-64
[10] Katge F, Patil D, Poojari M, et al. Comparison of instrumentation time and cleaning efficacy of manual instrumentation, rotary systems and reciprocating systems in primary teeth: an vitro study [J] . Indian Soc Pedod Prev Dent, 2014, 32∶311-316
[11] Musale PK,Mujawar SA. Evaluation of the efficacy of rotary versus hand files in root canal preparation of primary teeth in vitro using CBCT [J] . Eur Arch Paediatr Dent,2014,15(2)∶113-120
[12] Govindaraju L,Jeevanandan G, Subramanian E. Clinical evaluation of quality of obturation and instrumentation time using two modified rotary file systems with manual instrumentation in primary teeth [J] . J Clin Dia Res, 2017, 11(9)∶55-58

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机用镍钛器械用于乳磨牙根管治疗临床效果评价

Clinical Evaluation of NiTi Rotary Instrument in Root Canal Therapy of Primary Molars.

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