中国组织工程研究

中国组织工程研究 ›› 2017, Vol. 21 ›› Issue (6): 893-898.doi: 10.3969/j.issn.2095-4344.2017.06.013

• 组织工程口腔材料 tissue-engineered oral materials • 上一篇    下一篇

三种不同运动模式镍钛器械联合热牙胶在一次法根管治疗中的临床评价

万  娜，王新迎，齐  鲁，闫  磊，马俊玥，尹艳娇，高文辉，吴佩玲
  

  1. 新疆医科大学第二附属医院口腔科，新疆维吾尔自治区乌鲁木齐市  830063
  • 收稿日期:2017-01-11 出版日期:2017-02-28 发布日期:2017-03-16
  • 通讯作者: 吴佩玲，硕士，主任医师，教授，博士生导师，新疆医科大学第二附属医院口腔科，新疆维吾尔自治区乌鲁木齐市 830063
  • 作者简介:万娜，女，1991年生，河南省人，汉族，新疆医科大学在读硕士，医师，主要从事口腔牙体牙髓病学研究。
  • 基金资助:

    新疆维吾尔自治区自然科学基金资助项目(2015211C111)

Clinical evaluation of nickel-titanium mechanical instruments in three different movement patterns combined with warm vertical compaction in the single-visit endodontic treatment

Wan Na, Wang Xin-ying, Qi Lu, Yan Lei, Ma Jun-yue, Yin Yan-jiao, Gao Wen-hui, Wu Pei-ling
  

  1. Department of Stomatology, the Second Affiliated Hospital of Xinjiang Medical University, Urumqi 830063, Xinjiang Uygur Autonomous Region, China
  • Received:2017-01-11 Online:2017-02-28 Published:2017-03-16
  • Contact: Wu Pei-ling, Master, Chief physician, Professor, Doctoral supervisor, Department of Stomatology, the Second Affiliated Hospital of Xinjiang Medical University, Urumqi 830063, Xinjiang Uygur Autonomous Region, China
  • About author:Wan Na, Studying for master’s degree, Physician, Department of Stomatology, the Second Affiliated Hospital of Xinjiang Medical University, Urumqi 830063, Xinjiang Uygur Autonomous Region, China
  • Supported by:

    the Natural Science Foundation of Xinjiang Uygur Autonomous Region, No. 2015211C111

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321

被引次数

8

摘要：

文章快速阅读：

 

文题释义：
传统与新型镍钛器械的比较：传统器械操作繁琐，费时费力，术中易出现器械分离，术后疼痛反应重；新型的镍钛器械在材质、设计及运动模式等都做出改良，更适合于临床应用，达到更好的预期目标。基于一次法根管治疗及热牙胶垂直加压充填技术受到临床医生的青睐，将不同镍钛器械运用于一次法根管治疗中比较其临床效果，也可为一次法根管治疗服务，具有临床价值。
一次法根管治疗：即将根管预备、根管清理消毒和根管充填在一次治疗内完成，可减少患者就诊次数，避免根管封药期间微渗漏的发生。近年来随着根管治疗技术的不断提高，根管冲洗液种类的完善和超声技术的运用，此技术日益被更多口腔医生所接受。

背景：一次法根管治疗的已受到临床医生的广泛认可，新型的镍钛器械可以提高工作效率，提高治疗效果与舒适度，符合患者的心理需求，同时也可以有效地减轻医生的工作负担。
目的：评价3种不同运动模式镍钛器械联合热牙胶充填技术在一次法根管治疗中的临床疗效。
方法：将375例诊断为牙髓坏死或根尖周炎的患者，375颗患牙，随机分为3组：WaveOne往复运动组，ProTaper连续旋转运动组和Twisted File Adaptive自适应运动组，均采用冠向下法进行根管预备，给予超声荡洗后，予以连续波热牙胶垂直加压充填。
结果与结论：3组根管预备时间差异有显著性意义(P < 0.001)，其中WaveOne往复运动组用时最短，ProTaper连续旋转运动组用时最长。3组根管适充率无显著性意义(P > 0.05)。术后24和72 h，3组疼痛率差异有显著性意义(P < 0.05)。术后7 d，3组疼痛率差异无显著性意义(P > 0.05)。说明相比较而言使用WaveOne进行根管预备效率最高，成形效果好，而Twisted File Adaptive镍钛器械可显著降低术后疼痛。
ORCID: 0000-0001-9637-1997(万娜)

关键词: 生物材料, 口腔生物材料, 镍钛器械, 一次法根管治疗, 根管预备, 镍钛器械, 超声荡洗, WaveOne, 热牙胶垂直加压充填技术, 感染根管, 新疆维吾尔自治区自然科学基金

Abstract:

BACKGROUND: One-visit root treatment has been widely acknowledged by clinicians. The novel nickel-titanium instruments can improve the work efficiency, treatment efficacy and comfort, which not only meet the patients’ psychological requirements, but also alleviate the doctors’ workload.
OBJECTIVE: To evaluate the clinical evaluation of the nickel-titanium mechanical instruments in three different movement patterns combined with warm vertical compaction in the single-visit endodontic treatment.
METHODS: 375 affected teeth from 375 patients with pulp necrosis and periapical periodontitis were randomly allotted to three groups: WaveOne reciprocating, ProTaper rotary and Twisted File Adaptive groups. All the canals of teeth were instrumented with a crown-down technique combined with ultrasonic irrigation, and then subjected to the root canal filling using warm vertical compaction.
RESULTS AND CONCLUSION: The root canal preparation time differed significantly among groups (P < 0.001), which was the shortest in the WaveOne group, and longest in the ProTaper group. There was no significant difference in the canal obturation among groups (P > 0.05). The postoperative pain showed significant difference among groups at 24 and 72 hours (P < 0.05). At 7 days postoperatively, there was no significant difference in pain among groups (P > 0.05). These results indicate that the WaveOne can significantly improve the canal preparation and shows good molding effect; while the Twisted File Adaptive significantly reduces postoperative pain. 

Key words: Root Canal Therapy, Biocompatible Materials, Tissue Engineering

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