| 摘要: |
| 目的 比较3种根管充填材料在一次法根管治疗中的临床疗效。方法 将362例牙髓炎患者(425颗患牙)随机分为3组:A组(120例/121颗患牙)以氧化锌丁香油为封闭剂,B组(121例/151颗患牙)以Cortisomol为封闭剂,C组(121例/153颗患牙)以2Seal easymiX为封闭剂,分别加牙胶尖进行冷侧压充填。观察并比较3组根管充填后疼痛发生率及1年的治疗成功率。结果 A、B、C组患牙术后疼痛发生率分别为15.7%(19/121)、5.3%(8/151)、6.5%(10/153),A组患牙术后疼痛发生率高于B组和C组(P<0.05或0.01),B组与C组比较差异无统计学意义；术后1年复查,A、B、C组治疗成功率分别为94.0%(110/117)、96.5%(137/142)、97.9%(142/145),差异无统计学意义。结论 在一次法根管治疗中,3种根管充填材料术后1年疗效均较好,其中Cortisomol和2Seal easymiX可以减少术后疼痛,是理想的根管充填材料。 |
| 关键词: 根管充填 根管充填材料 氧化锌丁香油糊剂 cortisomol 2Seal easymiX |
| DOI： |
| 投稿时间：2013-07-22修订日期：2013-08-30 |
| 基金项目: |
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| Three kinds of root canal sealers in one-visit root canal therapy: a comparison of clinical outcomes |
| XU Dong-mei*,WANG Qi-bao |
(Department of Endodontics, Jinan Stomatological Hospital, Jinan 250001, Shandong, China
*Corresponding author.) |
| Abstract: |
| Objective To evaluate the clinical outcomes of three different sealers for one-visit root canal therapy. Methods A total of 362 patients/425 teeth diagnosed as pulpitis were randomly divided into three groups: group A, including 120 patients/121 teeth, treated with zinc oxide engenol(ZOE); group B, including 121 patients/151 teeth, treated with Cortisomol; and group C, including 121 patients/153 teeth, treated with 2Seal easymiX. All the teeth were filled with gutta percha by cold lateral condensation. The post-treatment pain and the one-year successful rate were observed. Results The incidence rate of post-treatment pain in group A (15.7%\[19/121\]) were significantly higher than those in group B (5.3%\[8/151\] , P<0.01) and group C (6.5%\[10/153\], P<0.05); and there was no significant difference between group B and C. The one-year successful rates were not significantly different between group A (94.0%\[110/117\]), B (96.5%\[137/142\]) and C (97.9%\[142/145\]). Conclusion The three kinds of root canal sealers can all achieve satisfactory one-year successful rate in one-visit root canal therapy; moreover, Cortisomol and 2Seal easymiX can also reduce post-treatment pain, making them ideal root canal sealers. |
| Key words: root canal obturation root canal filling materials zinc oxide engenol cortisomol 2Seal easymiX |
