MTA和iRoot BP plus治疗根尖孔未闭合恒牙根尖周炎的临床疗效分析

doi:10.13591/j.cnki.kqyx.2023.02.005

口腔医学 ›› 2023, Vol. 43 ›› Issue (2): 118-124.doi: 10.13591/j.cnki.kqyx.2023.02.005

MTA和iRoot BP plus治疗根尖孔未闭合恒牙根尖周炎的临床疗效分析

雷港¹,魏昕²,闫明²,周莉丽²,于金华²,王娟²,吴锦涛²()

1 南京医科大学附属口腔医院特诊科,江苏省口腔疾病研究重点实验室,江苏省口腔转化医学工程研究中心,江苏南京(210029)
2 南京医科大学附属口腔医院牙体牙髓科,江苏省口腔疾病研究重点实验室,江苏省口腔转化医学工程研究中心,江苏南京(210029)

修回日期:2022-09-20 出版日期:2023-02-28 发布日期:2023-03-02
通讯作者: 吴锦涛 Tel:(025)69593033,E⁃mail:zyxanadu@163.com
基金资助:
国家自然科学基金(81873707);国家自然科学基金(82170940);江苏省高校优势学科建设工程资助项目(PAPD);江苏省高校优势学科建设工程资助项目(2018-87);南京医科大学研究生教育研究专项(2021YJS-ZD019)

Clinical effects of iRoot BP plus and mineral trioxide aggregate in treatment of apical periodontitis with open apical permanent teeth

LEI Gang¹,WEI Xin²,YAN Ming²,ZHOU Lili²,YU Jinhua²,WANG Juan²,WU Jintao²()

Department of Geriatric Dentistry, The Affiliated Stomatological Hospital of Nanjing Medical University, Jiangsu Province Key Laboratory of Oral Diseases, Jiangsu Province Engineering Research Center of Stomatological Translational Medicine, Nanjing 210029, China

Revised:2022-09-20 Online:2023-02-28 Published:2023-03-02
Contact: WU Jintao Tel:(025)69593033,E⁃mail:zyxanadu@163.com

摘要/Abstract

摘要：

目的探讨和比较生物陶瓷材料无机三氧化矿物凝聚体(mineral trioxide aggregate,MTA)和iRoot BP plus在成年根尖孔未闭合患牙形成根尖屏障中的临床应用效果。方法将200颗根尖孔未闭合恒牙根尖周炎患牙随机分为两组,分别采用MTA和iRoot BP plus制备根尖屏障。比较两种生物陶瓷材料在制备根尖屏障时的操作时间,分析不同根尖孔破坏类型、根尖区病变范围、根尖区充填情况以及患者年龄段对治疗成功率的影响。结果 iRoot BP plus组制备根尖屏障的操作时间比MTA组短,差异有统计学意义(P<0.05);不同根尖孔破坏类型、根尖区病变范围、根尖区充填情况以及患者年龄段对治疗成功率并无显著影响(P>0.05)。结论 MTA和iRoot BP plus在治疗根尖孔未闭合恒牙根尖周炎的临床效果相似,但iRoot BP plus的操作性更好。

关键词: 根尖屏障, 根尖周炎, 根尖孔未闭合, 无机三氧化矿物凝聚体, iRoot BP plus

Abstract:

Objective To analyze and evaluate the clinical application effect of bioceramic material mineral trioxide aggregate and iRoot BP plus on the formation of apical barrier in adult teeth with incomplete apical foramen. Methods A total of 200 permanent teeth with apical periodontitis whose apical foramen were not closed were randomly divided into two groups, and the apical barrier was prepared with MTA and iRoot BP plus, respectively. The operation time of MTA and iRoot BP plus and effects of different types of apical foramen destruction, lesion range of apical area, the filling of apical area and patients' age on the treatment success rate was analyzed and compared. Results The operation time of preparing apical barrier in iRoot BP plus group was shorter than that in MTA group, and the difference was statistically significant (P<0.05). However, different types of apical foramen destruction, lesion scope of apical area, filling of apical area and patients' age had no effect on the treatment success rate of the two groups (P>0.05). Conclusion The clinical effects of MTA and iRoot BP plus in the treatment of apical periodontitis of permanent teeth with unclosed apical foramen are similar, but the operation performance of iRoot BP plus is better.

Key words: apical barrier, apical periodontitis, apical foramen destruction, mineral trioxide aggregate, iRoot BP plus

中图分类号:

R783.1

雷港, 魏昕, 闫明, 周莉丽, 于金华, 王娟, 吴锦涛. MTA和iRoot BP plus治疗根尖孔未闭合恒牙根尖周炎的临床疗效分析[J]. 口腔医学, 2023, 43(2): 118-124.

LEI Gang, WEI Xin, YAN Ming, ZHOU Lili, YU Jinhua, WANG Juan, WU Jintao. Clinical effects of iRoot BP plus and mineral trioxide aggregate in treatment of apical periodontitis with open apical permanent teeth[J]. Stomatology, 2023, 43(2): 118-124.

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参考文献 20

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组别	MTA		iRoot BP plus		P
组别	有效数/ 总数	有效率/%	有效数/ 总数	有效率/%	P
喇叭口状	30/37	81.1	33/39	84.6	0.683
平行状	24/28	85.7	26/30	86.7	1.000
内聚状	21/22	95.5	20/21	95.2	1.000
P		0.329		0.554

根尖透射影最大直径	MTA		iRoot BP plus		P
根尖透射影最大直径	有效数/ 总数	有效率/%	有效数/ 总数	有效率/%	P
≤3 mm	26/29	89.7	26/28	92.9	1.000
3~5 mm	36/41	87.8	34/39	87.2	1.000
≥5 mm	14/18	77.8	19/23	82.6	1.000
P		0.516		0.552

组别	MTA		iRoot BP plus		P
组别	有效数/ 总数	有效率/%	有效数/ 总数	有效率/%	P
超填	18/21	85.7	13/15	86.7	1.000
恰填	57/66	86.4	66/75	88.0	0.771
P		1.000		1.000

组别	MTA		iRoot BP plus		P
组别	有效数/ 总数	有效率/%	有效数/ 总数	有效率/%	P
16~30岁	45/51	88.2	43/48	89.6	0.831
31~45岁	24/28	85.7	26/29	89.7	0.960
46~60岁	6/8	75.0	10/13	76.9	1.000
P		0.522		0.454

MTA和iRoot BP plus治疗根尖孔未闭合恒牙根尖周炎的临床疗效分析

Clinical effects of iRoot BP plus and mineral trioxide aggregate in treatment of apical periodontitis with open apical permanent teeth

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