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一次法与多次法根管治疗后疼痛情况比较
作者:董倩  陈燕 
单位:南京大学医学院附属口腔医院/南京市口腔医院 高级专家诊疗中心, 江苏 南京 210008
关键词:根管充填 疼痛 一次法根管治疗 多次法根管治疗 
分类号:R781.05
出版年·卷·期(页码):2021·49·第三期(269-272)
摘要:

目的:比较一次和多次就诊根管充填后疼痛的发生率。方法:将需施行根管治疗的103例患者随机分成一次法就诊治疗组和多次法就诊治疗组,比较患者根管充填术后24、48 h自我评定及临床评定的疼痛情况,术后6、12个月临床医生评定的治愈情况。结果:一次法就诊治疗组根管充填术后24、48 h自我评定的疼痛发生率分别为49.0%、22.4%,临床评定的疼痛发生率分别为24.5%,18.4%;多次法就诊治疗组根管充填术后24、48 h自我评定的疼痛发生率分别为46.3%、22.2%,临床评定的疼痛发生率分别为24.1%、14.8%,两组术后24、48 h疼痛发生率比较差异均无统计学意义(P>0.05)。两组术后6、12个月的治愈率比较差异无统计学意义(P>0.05)。结论:只要病例选择合适、操作规范、无菌操作把控得当,可以进行一次性根管治疗。

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