根尖周炎根管治疗后不同疗效患者的临床特征比较OA
Comparison of Clinical Characteristics of Patients with Different Therapeutic Effects after Root Canal Treatment for Periapical Periodontitis
目的 探讨根尖周炎根管治疗后不同疗效患者的临床特征,为临床评估疗效提供参考.方法 回顾性分析根尖周炎患者282 例,所有患者均行根管治疗,随访 3 年,根据疗效情况分为疗效不良组(70 例)、疗效良好组(212 例).比较两组患者临床资料[年龄、性别、牙位(前牙、后牙)、根充数量(单根管、双根管、多根管)、根充质量(完善、不完善)、术前是否有瘘管、术前是否存在牙龈肿胀、是否存在继发龋、是否存在冠渗漏、是否再治疗、是否器械折断、低密度影范围(<5mm、>5mm)];通过多因素Logistic 回归分析根尖周炎患者根管治疗后疗效不良的危险因素.结果 两组年龄、性别、根充数量、术前瘘管、术前牙龈肿胀、低密度影范围差异无统计学意义(P>0.05);疗效不良组后牙牙位、根充质量不完善、继发龋、冠渗漏、再治疗、器械折断比例均高于疗效良好组(P<0.05);多因素 Logistic 回归分析显示,后牙牙位、根充质量不完善、继发龋、冠渗漏、再治疗、器械折断是根尖周炎患者根管治疗后疗效不良的独立危险因素(P<0.05).结论 根尖周炎患者根管治疗后疗效受后牙牙位、根充质量不完善、继发龋、冠渗漏、再治疗、器械折断影响,临床应密切监测.
Objective To explore the clinical characteristics of patients with different therapeutic outcomes after root canal treatment for periapical periodontitis,in order to provide a reference for clinical evaluation of therapeutic efficacy.Methods A retrospective analysis was conducted on 282 patients with periapical periodontitis admitted to our hospital from December 2019 to December 2022.All patients underwent root canal treatment and were followed up for 3 years.According to the therapeutic effect,they were divided into the poor therapeutic effect group(70 cases)and the good therapeutic effect group(212 cases).The clinical data of the two groups of patients were compared[age,gender,tooth position(anterior teeth,posterior teeth),number of root fillings(single root canal,double root canal,multiple root canals),quality of root fillings(complete,incomplete),whether there was fistula before surgery,whether there was gingival swelling before surgery,whether there was secondary caries,whether there was crown leakage,whether there was re-treatment,whether there was instrument fracture,and the range of low-density shadow(<5mm,>5mm)];The risk factors for poor therapeutic effect after root canal treatment in patients with apical periodontitis were analyzed through multivariate Logistic regression.Results The age,gender,number of root fillings,preoperative fistula,preoperative gingival swelling,and the range of low-density shadow were comparable between the two groups(P>0.05);The proportions of posterior tooth position,incomplete root filling quality,secondary caries,crown leakage,re-treatment and instrument fracture in the poor therapeutic effect group were all higher than those in the good therapeutic effect group(P<0.05).Multivariate Logistic regression analysis showed that posterior tooth position,incomplete root filling quality,secondary caries,crown leakage,re-treatment,and instrument fracture were independent risk factors for poor therapeutic effect after root canal treatment in patients with periapical periodontitis(P<0.05).A risk prediction model was established.Conclusion The therapeutic effect of root canal treatment in patients with periapical periodontitis is affected by the position of posterior teeth,incomplete root filling quality,secondary caries,crown leakage,re-treatment,and instrument breakage.Close clinical monitoring should be carried out.
程虹;王广华;郭凯杰
焦作市人民医院口腔科,河南 焦作 454000焦作市人民医院口腔科,河南 焦作 454000焦作市人民医院口腔科,河南 焦作 454000
医药卫生
根尖周炎根管治疗疗效根充质量
Periapical InflammationPeriapical TreatmentEfficacyQuality of Root Filling
《哈尔滨医药》 2026 (2)
25-28,4
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