60例妊娠期牙髓炎过渡性治疗的疗效评价

doi:10.19439/j.sjos.2018.01.016

上海口腔医学 ›› 2018, Vol. 27 ›› Issue (1): 68-72.doi: 10.19439/j.sjos.2018.01.016

60例妊娠期牙髓炎过渡性治疗的疗效评价

付双, 张艳, 宋文斌

青岛大学口腔医学院,山东青岛 266071

收稿日期:2017-09-07 修回日期:2017-11-01 出版日期:2018-02-25 发布日期:2018-03-05
通讯作者: 宋文斌,E-mail：qingdaowenbin@163.com
作者简介:付双(1991-),女,在读硕士研究生,E-mail：17606399289@163.com

Clinical evaluations of transitional treatment of pulpitis during pregnancy in 60 female patients

FU Shuang, ZHANG Yan, SONG Wen-bin

College of Stomatology, Qingdao University. Qingdao 266071, Shandong Province, China

Received:2017-09-07 Revised:2017-11-01 Online:2018-02-25 Published:2018-03-05

摘要/Abstract

摘要： 目的: 探讨妊娠期牙髓炎过渡性治疗的疗效。方法: 60例妊娠期牙髓炎患者分成孕早、中、晚3组,在心理干预下行STA无痛麻醉、一次性根管预备及Vitapex 糊剂根管充填,观察整个妊娠期间的临床反应,产后再行常规根管充填治疗,评估患牙疗效、妊娠结局及新生儿健康状况。采用SPSS 20.0软件包对数据进行t检验和χ2检验。结果: 60例患者治疗24 h后牙髓炎症状均显著改善,有效率为96.7%。治疗前、后VAS值对比,差异显著（P<0.05）。患者至妊娠终止均未再出现不适症状,产后评估除1例因牙折拔除外,其余患牙59例治疗成功,成功率为98.3%。在孕早、中、晚期治疗均未出现流产等不良妊娠结局,新生儿健康情况均良好,出生胎龄、体重、畸形、新生儿并发症在3个治疗时期无显著差异（P>0.05）。结论: 妊娠期牙髓炎过渡性治疗是一种安全、有效的治疗方法,值得推广。

关键词: 妊娠, 牙髓炎, 心理干预, 一次性根管预备

Abstract: PURPOSE: The present study was aimed to clinically evaluate transitional treatment of pulpitis during pregnancy. METHODS: Sixty pregnant women with pulpitis were divided into the first, second and third trimester. They were anesthetized locally using STA system combined with psychological intervention during treatment. The teeth were given one-appointment root canal preparation and filled with vitapex pasta. Normal obturation of the root canal was conducted after delivery. The effects of dental treatment, pregnancy outcomes and neonatal health status were observed. Data of the survey were analyzed by SPSS 20.0 software package, including Student,s t test and chi-square test. RESULTS: The symptoms of pulpitis were significantly improved 24h after treatment,and the effective rate was 96.7%. The difference of VAS before and after treatment was statistically significant (P<0.05). Patients had no discomfort till the end of pregnancy,and the success rate was 98.3%. No adverse pregnancy outcomes were observed after treatment during different periods of pregnancy. Neonatal health was good. Significant differences were not found in birth gestational age, body weight, malformations, and neonatal complications between three treatment periods (P>0.05). CONCLUSIONS: Transitional treatment of pulpitis during pregnancy is a safe and effective procedure and worthy of wide use clinically.

Key words: Pregnancy, Pulpitis, Psychological intervention, One-appointment root canal preparation

中图分类号:

R781.31

付双, 张艳, 宋文斌. 60例妊娠期牙髓炎过渡性治疗的疗效评价[J]. 上海口腔医学, 2018, 27(1): 68-72.

FU Shuang, ZHANG Yan, SONG Wen-bin. Clinical evaluations of transitional treatment of pulpitis during pregnancy in 60 female patients[J]. Shanghai Journal of Stomatology, 2018, 27(1): 68-72.

参考文献

[1] Kloetzel MK, Huebner CE, Milgrom P.Referrals for dental care during pregnancy[J]. J Midwifery Womens Health, 2011, 56(2): 110-117.
[2] Allston AA. Improving women's health and perinatal outcomes: the impact of oral dise-ases [OL]. Baltimore, Md.: Women's and Children's Health Policy Center, 2002[2007-08-01]. http://www.jhsph.edu/wchpc/publications/.
[3] 王新民, 张敏, 万兰, 等. 3129名孕妇口腔健康状况的调查和分析[J]. 临床口腔医学杂志, 2000, 16(3): 180-181.
[4] 岳松龄. 中国人患龋情况的初步分析[J]. 中华口腔医学杂志, 1980, 15(1): 3-3.
[5] Hilgers KK, Douglass J, Mathieu GP.Adolescent pregnancy: a review of dental treatment guidelines[J]. Pediatr Dent, 2003, 25(5): 459-467.
[6] New York State Department of Health. Oral Health Care during pregnancy and early childhood: practice guidelines [OL]. Albany, NY: New York State Department of Health, 2006[2015-04-13]. https://www.health.ny.gov/publications/0824.pdf.
[7] 田如意. 高龄孕产妇妊娠与分娩临床特征的分析[J].世界临床医学, 2016, 10(9): 157-158.
[8] Armfield JM.Towards a better understanding of dental anxiety and fear: cognitions vs experiences[J]. Eur J Oral Sci, 2010, 118(3): 259-264.
[9] 逢爱慧, 李明, 朱声荣, 等. 急性牙髓炎应用无痛局麻仪进行牙周膜麻醉的临床评价[J]. 临床口腔医学杂志, 2006, 22(10): 614-615.
[10] Heft MW, Parker SR.An experimental basis for revising the graphic rating scale f-or pain[J]. Pain, 1984, 19(2): 153-161.
[11] Hagai A, Diav-Citrin O, Shechtman S.Pregnancy outcome after in utero exposure to local anesthetics as part of dental treatment: a prospective comparative cohort study[J]. J Am Dent Assoc, 2015, 146(8): 572-580.
[12] Ram D, Kassirer J.Assessment of a palatal approach-anterior superior alveolar (P-ASA) nerve block with the Wand in aediatric dental patients[J]. Int J Paediatr Dent, 2006, 16(5): 348-351.
[13] Malamed SF.The periodontal ligament (PDL) iniection: an alternative to inferior alveolar nerve block[J]. Oral Surg Oral Med Oral Pathol, 1982, 53(2): 117-121.
[14] 王嘉德, 高学军. 牙体牙髓病学 [M]. 北京: 人民卫生出版社, 2006: 355, 377-379, 411.
[15] 胡晓颖, 曹文霞. 牙髓摘除术对急性牙髓炎的止痛效果分析[J]. 实用医院临床杂志, 2005, 2(4): 29-30.
[16] 路文阁, 李雨琴. 手感法和电测法确定根管工作长度的研究[J]. 现代口腔医学杂志, 2002, 16(1): 43-45.
[17] EIAyouti A, Dima E, Ohmer J, et al.Consistency of apex locator function: a clinical study[J]. J Endod, 2009, 35(2): 179-181.
[18] 李姝慧, 邱志远. 妊娠期牙髓炎一次性根管预备的疗效观察[J]. 国际口腔医学杂志, 2012, 39(1): 43-45.
[19] Michalowicz BS, DiAngelis AJ, Novak MJ, et al. Examining the safety of dental treatment in pregnant women[J]. J Am Dent Assoc, 2008, 139(6): 685-695.
[20] 刘欧. 氢氧化钙糊剂治疗妊娠期牙髓炎的疗效观察[J]. 现代医药卫生, 2004, 20(17): 1752-1752.
[21] Task Force on Periodontal Treatment of Pregnant Women, American Academy of Periodontology. American Academy of Periodontology statement regarding periodontal management of the pregnant patient[J]. J Periodontol, 2004, 75(3): 495.
[22] 何平, Keiichi Sasaki, Kostas Zygogiannis, 等. 妊娠期口腔疾病患者的治疗[J].国际口腔医学杂志,2014,41(5): 500-509.
[23] 武洁, 朱维建, 牟洁, 等.3117例孕妇口腔科门诊初诊病例统计分析[J]. 口腔医学研究, 2008, 24(1): 85-87.
[24] 程传花, 李青. 孕妇急性牙髓炎的临床治疗探讨[J]. 中国社区医师(医学专业),2012, 14(22): 159-160.
[25] Berkowitz RJ.Mutans Streptococci: acquisition and transmission[J]. Pediatr Dent,2006, 28(2): 106-109.
[26] California Dental Association Foundation. Oral health during pregnancy and early childhood: evidence-based guidelines for health professionals [J]. J Calif Dent Assoc, 2010, 38(6): 391-403, 405-440.

60例妊娠期牙髓炎过渡性治疗的疗效评价

Clinical evaluations of transitional treatment of pulpitis during pregnancy in 60 female patients

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 10

编辑推荐

Metrics

本文评价

[1]	江煜, 石磊, 蔡佳. 超声冲洗结合氯己定在牙髓炎根管治疗中的应用效果评价[J]. 上海口腔医学, 2024, 33(2): 170-174.
[2]	夏佳琳, 曾奕玮, 赵小妹, 侯黎莉. 心理干预对头颈部恶性肿瘤患者负性情绪及生活质量影响的meta分析[J]. 上海口腔医学, 2022, 31(3): 330-336.
[3]	舒怡, 罗业姣. 热牙胶充填技术联合不同封闭剂在根管充填治疗中的疗效评价[J]. 上海口腔医学, 2018, 27(6): 645-648.
[4]	冉幸, 俞明. 上海市嘉定区家庭医师对妊娠期口腔疾病治疗的调查分析[J]. 上海口腔医学, 2018, 27(5): 504-507.
[5]	石运芝，靳松，郑慧慧，秦汉，宋国华，秦树存. 富氢水减轻丝线诱导的SD大鼠妊娠牙龈炎[J]. 上海口腔医学, 2018, 27(3): 252-256.
[6]	刘建, 施存山. 2种夜间急诊处理急性牙髓炎方法的临床疗效比较[J]. 上海口腔医学, 2017, 26(6): 669-671.
[7]	郑茜，张利华，黄丽，王光平，袁小平，徐晓梅. 不同心理干预对不同人格患者正畸疼痛的缓解效果评价[J]. 上海口腔医学, 2016, 25(1): 91-96.
[8]	唐彧, 杜嵘. 术前口腔宣教对急性牙髓炎患者焦虑心理的影响[J]. 上海口腔医学, 2015, 24(4): 483-485.
[9]	陈琳, 陆海霞, 魏天佑, 冯希平. 上海妊娠期女性牙周健康状况的多因素分析[J]. 上海口腔医学, 2014, 23(4): 452-456.
[10]	周新文, 王立新, 刘希云. 笑气/氧气吸入镇静技术在急性牙髓炎治疗中的应用[J]. 上海口腔医学, 2013, 22(6): 702-704.