中国实用口腔科杂志

中国实用口腔科杂志

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ApexCal和Vitapex治疗有窦型慢性根尖周脓肿临床效果比较研究

元佩燕，许浩彦，卢炜莹，徐平平   

  1. 南方医科大学口腔医院牙体牙髓科，广东  广州  510000
  • 出版日期:2019-09-15 发布日期:2019-10-25
  • 基金资助:

    南方医科大学口腔医院科研培育计划项目（PY2018020）

  • Online:2019-09-15 Published:2019-10-25

摘要：

目的　探讨根管消毒药物ApexCal和Vitapex治疗有窦型慢性根尖周脓肿的临床效果。方法　选取2012年2月至2017年10月于南方医科大学口腔医院牙体牙髓科就诊的有窦型慢性根尖周脓肿患者108例，共计患牙108颗。将所有患者随机均分为ApexCal组和Vitapex组，ApexCal组使用ApexCal糊剂行根管内封药，Vitapex组使用Vitapex糊剂行根管内封药。患者于封药2周后复诊，对两组的临床疗效进行评定。结果　ApexCal组和Vitapex组患者临床疗效比较，差异无统计学意义（P > 0.05）；两组不同性别、不同牙位患者临床疗效比较，差异无统计学意义（P > 0.05）。结论　根管消毒药物ApexCal和Vitapex治疗有窦型慢性根尖周脓肿均具有较好的临床效果，且不受性别和牙位的影响。

关键词: ApexCal, Vitapex, 有窦型慢性根尖周脓肿, 根管消毒, 疗效

Abstract:

Objective　To investigate the clinical effect of root canal disinfection drugs-ApexCal and Vitapex -in the treatment of chronic periapical abscess with sinus. Methods　A total of 108 patients （108 teeth） who suffered from chronic periapical abscess with sinus from February 2012 to October 2017 were selected in the Department of Endodontics，Stomatological Hospital，Southern Medical University. All patients were randomly divided into ApexCal group and Vitapex group. ApexCal group was treated with ApexCal paste for root canal sealing，while Vitapex group received root canal sealing with Vitapex paste. The patients visited the hospital after 2 weeks of drug sealing，and the clinical efficacy of the two groups was evaluated. Results　There was no significant difference in clinical efficacy between ApexCal group and Vitapex group（P > 0.05）. There was no statistically significant difference in clinical efficacy between the two groups of patients with different genders or different tooth positions（P > 0.05）. Conclusion　ApexCal and Vitapex have a good effect as root canal disinfection drugs in the treatment of sinusoidal chronic periapical abscess，regardless of gender or tooth position.

Key words: ApexCal, Vitapex, chronic periapical abscess with sinus, root canal disinfection, effect