| 买布拜木·买买提依明,帕尔哈提·阿布肚热合曼,麦麦提依明·哈力克,玛衣努尔·艾赛提,陈晓涛.一次性根管治疗联合冠修复对隐裂性牙髓病患者的效果及对咀嚼功能的影响[J].,2024,(14):2719-2722 |
| 一次性根管治疗联合冠修复对隐裂性牙髓病患者的效果及对咀嚼功能的影响 |
| The Effect of One-time Root Canal Therapy Combined with Crown Restoration on Patients with Cryptorchidism and Its Impact on Chewing Function |
| 投稿时间：2023-12-13 修订日期：2023-12-31 |
| DOI：10.13241/j.cnki.pmb.2024.14.022 |
| 中文关键词: 一次性根管治疗 冠修复 隐裂性牙髓病 咀嚼功能 |
| 英文关键词: Disposable root canal treatment Coronary restoration Cleft pulp disease Chewing function |
| 基金项目:新疆维吾尔自治区自然科学基金项目（2021D01C161） |
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| 中文摘要: |
| 摘要 目的：探讨对隐裂性牙髓病应用一次性根管治疗联合冠修复治疗的效果及对咀嚼功能的影响。方法：选取我院2018年1月至2023年1月收治的80例隐裂性牙髓病患者，分为观察组与对照组，每组40例。对照组患者多次根管治疗后进行冠修复，观察组患者一次性根管治疗后进行冠修复。治疗3个月后对比两组患者临床疗效，记录治疗成功率，对比治疗前及治疗3个月后两组患者的咀嚼功能、疼痛程度、龈沟液炎症因子及碱性磷酸酶（ALP）表达水平，最后对比其菌斑指数（PLI），出血指数（BI）、探诊深度（PD）相关牙周健康指标变化。结果：观察组总有效率、治疗成功率明显高于对照组（P＜0.05）；治疗后两组患者咀嚼功能评分升高，观察组高于对照组，疼痛程度评分降低，观察组低于对照组（P＜0.05）；治疗后两组患者PD、BI、PLI水平降低，观察组低于对照组（P＜0.05）；治疗后两组患者龈沟液IL-6、CRP、TNF-α、ALP水平降低，观察组低于对照组（P＜0.05）。结论：对隐裂性牙髓病应用一次性根管治疗联合冠修复治疗具有较为显著的效果，且可提升远期治疗成功率，提升咀嚼功能，减轻牙周疼痛程度，降低牙周炎症反应，减轻疾病严重程度，改善牙周健康水平。 |
| 英文摘要: |
| ABSTRACT Objective: To explore the effect of disposable endodontic treatment combined with crown repair and its effect on chewing function. Methods: 80 patients with cryptic cleft dental pulp disease admitted to our hospital from January 2018 to January 2023 were selected and divided into observation group and Matched group, with 40 patients in each group. The Matched group patients underwent crown restoration after multiple root canal treatments, while the observation group patients underwent crown restoration after a single root canal treatment. After 3 months of treatment, the clinical efficacy of the two groups of patients was compared, and record all patients treatment success rates. The chewing function, pain level, inflammatory factors in gingival crevicular fluid, and expression levels of alkaline phosphatase (ALP) were compared between the two groups of patients before and after 3 months of treatment. Finally, their plaque index (PLI) was compared, Changes in periodontal health indicators related to bleeding index (BI) and probing depth of gingival sulcus (PD). Results: The total effective rate and treatment success rate of the observation group were higher than those of the matched group (P<0.05); Post-treatment, the chewing function score of the two groups of patients increased, and the observation group was higher than the matched group. The pain level score decreased, and the observation group was lower than the matched group (P<0.05); Post-treatment, the levels of PD, BI, and PLI in both groups of patients decreased, and the observation group was lower than the matched group (P<0.05); Post-treatment, the two patients had lower levels of IL-6, CRP, TNF-α, and ALP, while the observation group was lower than the matched group(P<0.05). Conclusion: The combination of one-time root canal therapy and crown restoration has a significant therapeutic effect on cracked pulp disease, and can improve the long-term success rate of treatment, enhance chewing function, alleviate periodontal pain, reduce periodontal inflammation, alleviate disease severity, and improve periodontal health. |
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