根管治疗联合牙周基础治疗对牙周牙髓联合病变的临床效果观察

摘要

目的：观察并分析在牙周牙髓联合病变患者治疗中联合运用根管治疗及牙周基础治疗的临床应用效果。方法150例牙周牙髓联合病变患者，随机分为观察组和对照组，每组75例。观察组患者采取根管治疗及牙周基础治疗的联合治疗方式，对照组患者采取常规治疗方式，对比两组患者的临床治疗效果。结果观察组总有效率98.67%高于对照组82.67%，差异具有统计学意义(P<0.05)。观察组不良反应发生率4.00%低于对照组26.67%，差异具有统计学意义(P<0.05)。观察组患者治疗后牙周炎4例(5.33%)、叩痛1例(1.33%)、牙齿松动2例(2.67%)、患牙保留73例(97.33%)，对照组患者治疗后牙周炎14例(18.67%)、叩痛7例(9.33%)、牙齿松动8例(10.68%)、患牙保留56例(74.67%)，观察组均优于对照组，差异均具有统计学意义(P<0.05)。结论在牙周牙髓联合病变患者的治疗中通过联合应用根管治疗及牙周基础治疗方法能够有效提升临床治疗效果，并且降低患者治疗后的不良反应发生率，该治疗方法安全有效，适合作为牙周牙髓联合病变患者的优选治疗方案加以推广应用。%Objective To observe and analyze clinical application effect of combined periodontal-endodontic lesions patients treated by root canal therapy combined with periodental non-surgical treatment. Methods A total of 150 combined periodontal-endodontic lesions patients were randomly divided into observation group and control group, with 75 cases in each group. The observation group received root canal therapy combined with periodental non-surgical treatment, and the control group received conventional therapy. Clinical treatment effect was compared in two groups. Results The observation group had higher toatal effective rate as 98.67% than 82.67% in the control group, and the difference had statistical significance (P<0.05). The observation group had lower incidence of adverse reactions as 4.00% than 26.67% in the control group, and the difference had statistical significance (P<0.05). The observation group had 4 periodontitis cases (5.33%), 1 sensitive to percussion case (1.33%), 2 gomphiasis cases (2.67%) and 73 teeth retention cases (97.33%) after treatment, while the control group had 14 periodontitis cases (18.67%), 7 sensitive to percussion cases (9.33%), 8 gomphiasis cases (10.68%) and 56 teeth retention cases (74.67%). The observation group had better indexes than the control group, and their differences had statistical significance (P<0.05). Conclusion For the treatment of patients with combined periodontal-endodontic lesions, root canal therapy combined with periodental non-surgical treatment can effectively increase the clinical curative effect, and decrease incidence of adverse reactions of patients after treatment with security and efficacy. So this method can be promoted and applied in patients with combined periodontal-endodontic lesions as an optimized treatment regimen.