iRoot BP plus 与MTA根尖屏障术治疗年轻恒牙慢性根尖周炎的疗效比较

doi:10.19439/j.sjos.2024.03.008

上海口腔医学 ›› 2024, Vol. 33 ›› Issue (3): 260-264.doi: 10.19439/j.sjos.2024.03.008

iRoot BP plus 与MTA根尖屏障术治疗年轻恒牙慢性根尖周炎的疗效比较

孙艳妮¹, 赵蕾², 刘伟², 殷晓萍¹

1.青岛大学附属青岛市海慈医院（青岛市中医医院）口腔科, 山东青岛 266000;
2.康复大学青岛中心医院（青岛市中心医院）口腔科,山东青岛 266042

收稿日期:2022-05-09 修回日期:2023-08-04 出版日期:2024-06-25 发布日期:2024-07-11
通讯作者: 殷晓萍,E-mail：yinxiaoping197809@163.com
作者简介:孙艳妮（1983-）,女,本科,主治医师,E-mail：13685320077@163.com
基金资助:
山东省自然科学基金面上项目(ZR202103030420)

Comparison of the effects of using iRoot BP plus and MTA apical barrier surgery in young permanent teeth with chronic apical periodontitis

SUN Yan-ni¹, ZHAO Lei², LIU Wei², YIN Xiao-ping¹

1. Department of Stomatology, Qingdao Hiser Hospital, Affiliated to Qingdao University(Qingdao Traditional Chinese Medicine Hospital). Qingdao 266000;
2. Department of Stomatology, Qingdao Central Hospital, University of Health and Rehabilitation Science. Qingdao 266042, Shandong Province, China

Received:2022-05-09 Revised:2023-08-04 Online:2024-06-25 Published:2024-07-11

摘要/Abstract

摘要： 目的：探讨iRoot BP plus 与MTA根尖屏障术治疗年轻恒牙慢性根尖周炎的效果。方法：将122例年轻恒牙慢性根尖周炎患者随机分为试验组（n=61,患牙61颗）和对照组（n=61,患牙61颗）,试验组行iRoot BP plus 根尖屏障术,对照组行MTA根尖屏障术,比较2组患者术后3、6、9、12个月的旧根尖周指数（old periapical index,O-PAI）、根尖透射区面积、疗效、治疗次数、炎症因子水平。采用SPSS 19.0软件包对数据进行统计学分析。结果：术后12个月,试验组和对照组的O-PAI评级为（1.48±0.36）、（1.71±0.42）,根尖透射区面积为（0.51±0.14）、（1.09±0.31）,2组O-PAI评级和根尖透射区面积相比差异显著（P<0.05）。术后3、6、12个月,2组患者的O-PAI评级逐渐降低（P<0.05）,根尖透射区面积逐渐减少（P<0.05）。术后12个月,试验组和对照组的成功率为98.36%、88.52%,组间差异显著（P<0.05）。试验组和对照组患者的治疗次数为（3.64±0.58）、（4.72±0.61）次,组间差异显著（P<0.05）。术后3个月,试验组和对照组患者的血清hs-CRP水平为（6.89±1.13）、（7.25±1.40） mg/L,与治疗前相比差异显著（P<0.05）;治疗3个月后,试验组和对照组患者的血清IL-6水平为（82.04±19.62）、（87.52±20.85） mg/L,与治疗前相比差异显著（P<0.05）。2组患者治疗前、后的血清IL-6、hs-CRP水平组间相比,差异无显著性（P>0.05）。结论：iRoot BP plus 根尖屏障术治疗年轻恒牙慢性根尖周炎有助于降低O-PAI指数,减少术后就诊次数,术后成功率更高。

关键词: 根尖屏障术, iRoot BP plus, MTA, 年轻恒牙, 根尖周炎

Abstract: PURPOSE: To explore the effect of using iRoot BP plus and MTA apical barrier surgery in young permanent teeth with chronic apical periodontitis. METHODS: A total of 122 patients with chronic periapical periodontitis with open root tips of permanent teeth were randomly divided into experimental group (n=61, 61 teeth) and a control group (n=61, 61 teeth). Patients in the experimental group received iRoot BP plus plus apical barrier surgery, while those in the control group received MTA apical barrier surgery. The old periapical index (O-PAI), apical transmission area, efficacy, treatment times, and inflammatory factor levels of the two groups of patients were compared at 3, 6, 9, and 12 months after surgery. SPSS 19.0 software package was used for statistical analysis. RESULTS: At 12 months after surgery, the O-PAI ratings of the experimental group and the control group were (1.48±0.36) and (1.71±0.42), respectively, and the apical transmission area was (0.51± 0.14) and (1.09±0.31). There was a significant difference in the O-PAI ratings and apical transmission area between the two groups(P<0.05). At 3 months, 6 months, and 12 months after surgery, the O-PAI scores of patients in both groups gradually decreased (P<0.05). After 12 months of treatment, the success rates of the experimental group and the control group were 98.36% and 88.52%, respectively, with significant difference between the two groups (P<0.05). The treatment frequency of patients in the experimental group and the control group was (3.64±0.58) times and (4.72±0.61) times, respectively, with a significant difference between the two groups(P<0.05). After 3 months of treatment, the serum hs-CRP levels in the experimental group and the control group were (6.89±1.13) mg/L and (7.25±1.40) mg/L, respectively, with a significant difference compared to pre-treatment(P<0.05). After 3 months of treatment, the serum IL-6 levels in the experimental group and the control group were (82.04±19.62) mg/L and (87.52±20.85) mg/L, respectively, with significant differences compared to pre-treatment (P<0.05). There was no significant difference in serum IL-6 and hs-CRP levels between the two groups before and after treatment(P>0.05). CONCLUSIONS: iRoot BP plus apical barrier surgery for the treatment of chronic apical periodontitis with open permanent teeth can reduce the O-PAI index, decrease the number of postoperative visits, and have a higher postoperative success rate.

Key words: Apical barrier surgery, iRoot BP plus, MTA, Young permanent teeth, Periapical periodontitis

中图分类号:

R781.34

孙艳妮, 赵蕾, 刘伟, 殷晓萍. iRoot BP plus 与MTA根尖屏障术治疗年轻恒牙慢性根尖周炎的疗效比较[J]. 上海口腔医学, 2024, 33(3): 260-264.

SUN Yan-ni, ZHAO Lei, LIU Wei, YIN Xiao-ping. Comparison of the effects of using iRoot BP plus and MTA apical barrier surgery in young permanent teeth with chronic apical periodontitis[J]. Shanghai Journal of Stomatology, 2024, 33(3): 260-264.

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iRoot BP plus 与MTA根尖屏障术治疗年轻恒牙慢性根尖周炎的疗效比较

Comparison of the effects of using iRoot BP plus and MTA apical barrier surgery in young permanent teeth with chronic apical periodontitis

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