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

Abstract

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

CLC Number:

R783.1

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.

Figures/Tables 8

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References 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

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

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