比塔派克斯糊剂治疗牙周牙髓联合病损2年随访研究

摘要

目的：研究比塔派克斯糊剂治疗牙周牙髓联合病损的2年临床效果。方法112例牙周牙髓联合病损患者，一共152颗牙，分成2组，分别为对照组（56例75颗牙）与研究组（56例，77颗牙），对照组和研究组都给予牙周基础治疗，对照组患者采用氧化锌甘油糊剂加牙胶尖充填根管治疗，研究组患者采用比塔派克斯糊剂加牙胶尖充填根管治疗。2年后随访两组患者的临床疗效情况。结果研究组的前牙、后牙总有效率分别较对照组前牙、后牙明显升高（P＜0．05）；同时研究组的Ⅰ型、Ⅱ型及Ⅲ型病变总有效率分别较对照组明显升高，且差异均具有统计学意义（P＜0．05）。结论比塔派克斯糊剂加牙胶尖充填根管治疗牙周牙髓联合病损疗效优于对照组，能够很好地促进根尖周及牙周组织的愈合。%Objective To analysis 2 years follow-up clinical effects in endodontic lesion combined periodontal in treatment with Vitapex .Methods 112 patients with periodontal endodontic lesion combined periodontal were randomly divided into control group (56 cases ,75 teeth) and study group(56 cases ,77 teeth) .Treatment of Zinc oxide glycerin paste combined with gutta percha filling root canal was used in control group ,while Vitapex combined with gutta percha filling root canal was used in study group .After 2 years ,the clinical data of the two groups were analysed .Results The total effective rate of anterior and posterior in study group were significant higher than in control group(P<0 .05) .The total effective rate of of I type ,II type and III type lesions in study group were higher than in control group(P<0 .05) .Conclusion Treatment of Vitapex combined with gutta percha filling root canal in endodontic lesion combined periodontal has better clinical effectiveness to promote periapical and periodontal tissue healing than control group .