中国实用口腔科杂志

中国实用口腔科杂志 ›› 2010, Vol. 3 ›› Issue (01): 47-48.

• 论著 • 上一篇    下一篇

根尖刮治术与根尖倒充填术治疗慢性根尖周炎疗效比较

  

  1. 大连市中医医院口腔科，辽宁  大连  116013
  • 收稿日期:2009-11-10 修回日期:2009-12-20 出版日期:2010-01-15 发布日期:2010-05-13

  • Received:2009-11-10 Revised:2009-12-20 Online:2010-01-15 Published:2010-05-13

摘要：

目的    观察、比较根尖刮治术与根尖倒充填术治疗慢性根尖周炎的疗效。 方法    将2005年3月至2008年8月在大连市中医医院口腔科就诊的常规根管治疗失败或无法处理的患者58例（患牙58颗），随机分为根尖刮治组和根尖倒充填组，每组29颗牙，分别进行根尖刮治和根尖倒充填。术后1年复查，根据临床检查和X线片进行疗效评价。 结果    刮治组1年成功率为58.33%，倒充填组1年成功率为84.62%，两组成功率差异有统计学意义（P＜0.05）。 结论    对常规根管治疗疗效不佳的慢性根尖周炎疗患牙，采用根尖倒充填术可取得较好疗效。

关键词: 根管治疗, 根尖刮治, 根尖倒充填

Abstract:

Objective    To evaluate and compare the outcome of periapical curettage and retrograde filling. Methods            Fifty-eight affected teeth were chosen for surgical endodontic treatment from March 2005 to August 2008 in the Department of Stomatology， Dalian Chinese Medical Hospital， of which 29 teeth underwent periapical curettage and the others were treated by root-end resection，retrograde preparation and filling. A radiography was taken after surgery and was compared with those taken at 12 months. Results    The success rate for periapical curettage was 58.33% after 12 months，while the success rate for retrograde filling was 84.62% after 12 months. The difference in success rate between the two groups was statistically significant. Conclusion    Retrograde filling is a good choice of treatment when the teeth can not be treated appropriately by nonsurgical treatment.

Key words: root canal therapy； , periapical curettage； , retrograde filling