生物陶瓷iroot bp PLUS在局限性急性牙髓炎行活髓保存术患者中的应用效果
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摘要
目的探讨生物陶瓷iroot bp PLUS在局限性急性牙髓炎行活髓保存术患者中的应用效果。方法选择牙髓炎患者110例患牙192颗。按照简单随机法将其分成观察组及对照组各96颗。对照组使用氢氧化钙糊剂,观察组采取生物陶瓷iroot bp PLUS进行冠髓切断。观察比较2组疗效、患牙修复情况及满意情况。结果观察组第1天、第7天时临床疗效优于对照组(P<0.05),2组3个月时临床疗效差异无统计学意义(P>0.05)。观察组复诊疼痛等级明显优于对照组(P<0.05)。观察组牙龈状况、继发龋和牙体折裂均优于对照组(P<0.05),2组边缘染色、边缘完整性、修复体折裂差异均无统计学意义(P>0.05)。结论生物陶瓷iroot bp PLUS在局限性急性牙髓炎行活髓保存术患者中的填充效果更优,牙体缺损可取得满意的修复效果,疼痛恢复更优,值得临床推广。
Objective To investigate the application effect of bioceramic iroot bp PLUS on patients with localized acute pulpitis undergoing vital pulp preservation.Methods A total of 192 offending teeth of 110 patients with pulpitis were selected.According to the simple random method,they were divided into observation group and control group,96 in each group.The control group was coated with calcium hydroxide paste,and the observation group was treated with bioceramic iroot bp PLUS for coronary resection.The efficacy,the restoration of the affected tooth and satisfaction of the two groups were observed and compared.Results The clinical efficacy of the observation group was better than that of the control group on the first day and the seventh day(P<0.05).There was no significant difference in the clinical efficacy between the two groups at 3 months(P>0.05).The pain level of further consultation of the observation group was significantly better than that of the control group(P<0.05).The gingival condition,secondary caries and tooth fracture in the observation group were better than in the control group(P<0.05).There was no significant difference in edge staining,marginal integrity and prosthesis fracture between the two groups(P>0.05).Conclusion The bioceramic iroot bp PLUS has better filling effect in patients with localized acute pulpitis who undergoing pulp preservation,and the tooth defect can achieve satisfactory repair effect and the pain recovery is better,which is worthy of clinical promotion.
Objective To investigate the application effect of bioceramic iroot bp PLUS on patients with localized acute pulpitis undergoing vital pulp preservation.Methods A total of 192 offending teeth of 110 patients with pulpitis were selected.According to the simple random method,they were divided into observation group and control group,96 in each group.The control group was coated with calcium hydroxide paste,and the observation group was treated with bioceramic iroot bp PLUS for coronary resection.The efficacy,the restoration of the affected tooth and satisfaction of the two groups were observed and compared.Results The clinical efficacy of the observation group was better than that of the control group on the first day and the seventh day(P<0.05).There was no significant difference in the clinical efficacy between the two groups at 3 months(P>0.05).The pain level of further consultation of the observation group was significantly better than that of the control group(P<0.05).The gingival condition,secondary caries and tooth fracture in the observation group were better than in the control group(P<0.05).There was no significant difference in edge staining,marginal integrity and prosthesis fracture between the two groups(P>0.05).Conclusion The bioceramic iroot bp PLUS has better filling effect in patients with localized acute pulpitis who undergoing pulp preservation,and the tooth defect can achieve satisfactory repair effect and the pain recovery is better,which is worthy of clinical promotion.
引文
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[2]尹普广,李湛洁,辛志强.小型嵌体化贴面修复前牙切角缺损固位效果的比较研究[J].河北医科大学学报,2016,37(11):1340-1343.
[3]曹桂珍,吕文芳,李亚芹,等.改良铸瓷高嵌体用于后牙根管治疗后牙体修复的临床研究[J].口腔医学,2017,37(8):712-716.
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[5] Tian J,Zhang Y,Lai Z,et al.Ion release,microstructural,and biological properties of iRoot BP Plus and ProRoot MTA exposed to an acidic environment[J].J Endod,2017,43(1):163-168.
[6] Zhou W,Zheng Q,Tan X,et al.Comparison of mineral trioxide aggregate and iRoot BP Plus root repair material as root-end filling materials in endodontic microsurgery:A prospective randomized controlled study[J].J Endod,2017,43(1):1-6.
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[9]李贞.纤维根管桩牙体修复的临床现状与护理配合分析[J].实用医技杂志,2017,24(8):926-927.
[10]刘珊,张洁,朱玲新,等.iRoot BP Plus对小鼠炎性骨破坏作用的研究[J].口腔医学研究,2016,32(2):113-116.
[11]王静,李秀娥,奚擎,等.iRootSP和AHPlus糊剂用于根管治疗效果的Meta分析[J].中国实用口腔科杂志,2017,10(9):544-549.
[12]于梦琪,侯本祥.生物陶瓷材料iRoot BP Plus在显微根尖手术中应用的疗效分析[J].北京口腔医学,2016,24(2):87-91.
[13]张宁,李鑫,苗雷英,等.生物根管封闭剂iRoot SP在根管根尖封闭中的应用评价[J].上海口腔医学,2017,26(4):395-398.
[14] Shi S,Bao ZF,Liu Y,et al.Comparison of in vivo dental pulp responses to capping with iRoot BP Plus and mineral trioxide aggregate[J].Int Endod J,2016,49(2):154-160.
[15]ncel Torun Z,Torun D,Demirkaya K,et al.Effects of iRoot BP and white mineral trioxide aggregate on cell viability and the expression of genes associated with mineralization[J].Int Endod J,2015,48(10):986-993.
[16]熊亚芳,雷志敏.生物陶瓷iRoot BP plus和MTA形成根尖屏障的临床疗效对比[J].广西医科大学学报,2017,34(1):124-126.
[17]薛黛,龚中坚,朱金晓,等.固定矫治对正畸治疗青少年生活质量的影响[J].现代医学,2016,44(11):1576-1580.
[18]梅雪,谢俐萍,金幼虹,等.iRoot BP Plus直接盖髓后比格犬牙髓的反应性变化[J].口腔医学研究,2016,32(12):1234-1239.
[2]尹普广,李湛洁,辛志强.小型嵌体化贴面修复前牙切角缺损固位效果的比较研究[J].河北医科大学学报,2016,37(11):1340-1343.
[3]曹桂珍,吕文芳,李亚芹,等.改良铸瓷高嵌体用于后牙根管治疗后牙体修复的临床研究[J].口腔医学,2017,37(8):712-716.
[4]曹桂珍,郭大伟,李亚芹,等.全瓷高嵌体用于根管治疗后牙牙体修复的临床观察[J].口腔颌面修复学杂志,2017,18(2):87-92.
[5] Tian J,Zhang Y,Lai Z,et al.Ion release,microstructural,and biological properties of iRoot BP Plus and ProRoot MTA exposed to an acidic environment[J].J Endod,2017,43(1):163-168.
[6] Zhou W,Zheng Q,Tan X,et al.Comparison of mineral trioxide aggregate and iRoot BP Plus root repair material as root-end filling materials in endodontic microsurgery:A prospective randomized controlled study[J].J Endod,2017,43(1):1-6.
[7]樊明文.牙体牙髓病学[M].3版.北京:人民卫生出版社,2008:297.
[8]吴昱.根管治疗后牙体修复的方式及应用效果分析[J/CD].全科口腔医学电子杂志,2017,4(12):56-57.
[9]李贞.纤维根管桩牙体修复的临床现状与护理配合分析[J].实用医技杂志,2017,24(8):926-927.
[10]刘珊,张洁,朱玲新,等.iRoot BP Plus对小鼠炎性骨破坏作用的研究[J].口腔医学研究,2016,32(2):113-116.
[11]王静,李秀娥,奚擎,等.iRootSP和AHPlus糊剂用于根管治疗效果的Meta分析[J].中国实用口腔科杂志,2017,10(9):544-549.
[12]于梦琪,侯本祥.生物陶瓷材料iRoot BP Plus在显微根尖手术中应用的疗效分析[J].北京口腔医学,2016,24(2):87-91.
[13]张宁,李鑫,苗雷英,等.生物根管封闭剂iRoot SP在根管根尖封闭中的应用评价[J].上海口腔医学,2017,26(4):395-398.
[14] Shi S,Bao ZF,Liu Y,et al.Comparison of in vivo dental pulp responses to capping with iRoot BP Plus and mineral trioxide aggregate[J].Int Endod J,2016,49(2):154-160.
[15]ncel Torun Z,Torun D,Demirkaya K,et al.Effects of iRoot BP and white mineral trioxide aggregate on cell viability and the expression of genes associated with mineralization[J].Int Endod J,2015,48(10):986-993.
[16]熊亚芳,雷志敏.生物陶瓷iRoot BP plus和MTA形成根尖屏障的临床疗效对比[J].广西医科大学学报,2017,34(1):124-126.
[17]薛黛,龚中坚,朱金晓,等.固定矫治对正畸治疗青少年生活质量的影响[J].现代医学,2016,44(11):1576-1580.
[18]梅雪,谢俐萍,金幼虹,等.iRoot BP Plus直接盖髓后比格犬牙髓的反应性变化[J].口腔医学研究,2016,32(12):1234-1239.