孕期急性牙髓炎过渡性根管治疗对妊娠结局影响的回顾性研究

doi:10.13701/j.cnki.kqyxyj.2026.10.008

口腔医学研究 ›› 2026, Vol. 42 ›› Issue (10): 872-876.DOI: 10.13701/j.cnki.kqyxyj.2026.10.008

孕期急性牙髓炎过渡性根管治疗对妊娠结局影响的回顾性研究

苏超南^1,2, 杨湘晖^1*

1.湖北省妇幼保健院口腔科(湖北省妇女儿童医院) 湖北武汉 430079;
2.贵阳市口腔医院儿童口腔科贵州贵阳 550000

收稿日期:2025-11-21 发布日期:2026-10-23
通讯作者: * 杨湘晖,E-mail:389936944@qq.com
作者简介:苏超南(1989~ ),女,河南濮阳人,硕士,医师,研究方向:腭裂形成的机制的研究。

Retrospective Study on Effect of Transitional Root Canal Treatment for Acute Pulpitis during Pregnancy on Pregnancy Outcomes

SU Chaonan^1,2, YANG Xianghui^1*

1. Department of Stomatology, Hubei Maternal and Child Health Hospital, Wuhan 430079, China;
2. Department of Pediatric Dentistry, Guiyang Stomatological Hospital, Guiyang 550000, China

Received:2025-11-21 Published:2026-10-23

摘要/Abstract

摘要： 目的: 评估孕期急性牙髓炎的过渡性根管治疗的安全性以及调查口腔医生和孕妇对孕期过渡性根管治疗安全性的认知情况。方法: 收集2021~2024年接诊的孕期急性牙髓炎病例的临床资料,电话回访记录治疗后孕妇的1周内疼痛缓解情况及最终的妊娠结局,评估孕期过渡性根管治疗的安全性。开展2025年2~3月份在妇幼专科医院建档的孕妇的孕期口腔问题的线下问卷调查,同时开展非妇幼专科医院的口腔内科及口腔综合科医生对孕期急性牙髓炎过渡性根管治疗的线上问卷调查。结果: 50例进行过渡性根管治疗的孕妇均无不良妊娠结局,49例患者疼痛1周内完全解除,1例疼痛缓解。103名不同建档孕妇填写了调查问卷,85.19%的孕妇认为根管治疗会对胎儿产生影响。60名口腔医生参与了线上调查问卷。61.67%的口腔医生倾向于推脱孕期牙髓炎的过渡性根管治疗。35%的口腔医生选择不进行根管治疗。结论: 该研究未发现过渡性根管治疗对妊娠结局产生的不良影响,非妇幼医院口腔科医生及孕妇对孕期急性牙髓炎过渡性根管治疗的安全性仍有疑虑;我们应加强非妇幼医院口腔医生孕期急性牙髓炎的专项培训,同时应当积极开展孕期急性牙髓炎治疗的安全性的健康教育。

关键词: 急性牙髓炎, 孕期, 妊娠结局

Abstract: Objective: To evaluate the safety of transitional root canal therapy for acute pulpitis during pregnancy and investigate the perceptions regarding its safety among dental practitioners and pregnant women. Methods: The study was conducted among pregnant women with acute pulpitis between 2021 and 2024. The pain relief and pregnancy outcomes after transitional root canal therapy were recorded by follow-up phone calls. A questionnaire survey was conducted in April 2025 among pregnant women enrolled in Maternal and Child Health Hospitals to evaluate their knowledge of prenatal oral health. Meanwhile, an online survey was administered among general dentists in non-Maternal and Child Health Hospitals regarding their clinical decision-making for transitional root canal therapy in pregnant patients. Results: All 50 cases receiving transitional root canal therapy demonstrated favorable pregnancy outcomes without complications. Complete pain resolution was achieved in 49 cases, with pain relief observed in 1 remaining case. Among 103 surveyed pregnant women, 85.19% expressed concerns about potential fetal impacts from root canal treatment. Of 60 surveyed dentists, 61.67% exhibited hesitation in performing transitional root canal therapy during pregnancy. 35% of dental practitioners refused to perform root canal therapy. Conclusion: No adverse effects of transitional root canal treatment on pregnancy outcomes was found. However, significant safety concerns persist among both general dental practitioners and pregnant populations. These findings highlight the necessity for targeted training programs in pregnancy-related endodontic management for dentists and emphasize the importance of health education about acute pulpitis during gestation.

Key words: acute pulpitis, pregnancy, pregnancy outcomes

苏超南, 杨湘晖. 孕期急性牙髓炎过渡性根管治疗对妊娠结局影响的回顾性研究[J]. 口腔医学研究, 2026, 42(10): 872-876.

SU Chaonan, YANG Xianghui. Retrospective Study on Effect of Transitional Root Canal Treatment for Acute Pulpitis during Pregnancy on Pregnancy Outcomes[J]. Journal of Oral Science Research, 2026, 42(10): 872-876.

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孕期急性牙髓炎过渡性根管治疗对妊娠结局影响的回顾性研究

Retrospective Study on Effect of Transitional Root Canal Treatment for Acute Pulpitis during Pregnancy on Pregnancy Outcomes

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