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郭阳, 谢晓华, 裴路. 半导体激光照射预防和缓解牙髓炎急性反应[J]. 中国公共卫生, 2007, 23(8): 972-973. DOI: 10.11847/zgggws2007-23-08-39
引用本文: 郭阳, 谢晓华, 裴路. 半导体激光照射预防和缓解牙髓炎急性反应[J]. 中国公共卫生, 2007, 23(8): 972-973. DOI: 10.11847/zgggws2007-23-08-39
GUO Yang, XIE Xiao-hua, PEI Lu. Intervention effect of semiconductor laser on endodontic interappointment emergencies[J]. Chinese Journal of Public Health, 2007, 23(8): 972-973. DOI: 10.11847/zgggws2007-23-08-39
Citation: GUO Yang, XIE Xiao-hua, PEI Lu. Intervention effect of semiconductor laser on endodontic interappointment emergencies[J]. Chinese Journal of Public Health, 2007, 23(8): 972-973. DOI: 10.11847/zgggws2007-23-08-39

半导体激光照射预防和缓解牙髓炎急性反应

Intervention effect of semiconductor laser on endodontic interappointment emergencies

  • 摘要: 目的 观察半导体激光照射预防及缓解根管治疗急性反应(endodontic interappointment EIAE)的效果.方法 选取需进行根管治疗的患有牙髓炎及根尖周炎的牙病患者304例,随机分为2组,在进行根管预备及樟脑酚棉捻开放后,其中1组(155例)应用半导体激光在牙体外辐射根尖区,另1组不作处置,24h后观察记录患者主观症状和体征,比较2组根管治疗急性反应发生率.另选取根管充填后发生急性反应的牙病患者175例,随机分为2组,1组(96例)应用半导体激光在牙体外辐射根尖区;另1组(79例)给予口服甲硝唑及先锋Ⅳ,24h后观察记录患者主观症状和体征,比较2组缓解根管治疗急性反应效果.结果 304例牙病患者中,应用半导体激光照射组的急性反应发生率为4.52%,未照射组为10.74%,2组差异有统计学意义(P<0.05);175例根管填充后发生急性反应的患者中,半导体激光照射组的EIAE缓解效果明显好于药物治疗组,2组差异有统计学意义(P<0.05).结论 半导体激光照射可有效预防和缓解根管治疗急性反应.

     

    Abstract: Objective Toanalyze the inter vention effect of semiconductor laser on endodontic interappointment emer gencies(EIA E).Methods 304 teeth which required root canal therapy for apical periodontitis(acuteor chronic)or pulp necrosis were randomly divided into 2 groups.In the first group(n=155),the root canals were filled with CP after root canal preparation.A nd in the other goup(n=149),the apical points outside the teeth were irr adiated with semiconductor laser after the root canals were filled with CP.In addition,175 teeth suffering from EIA E after obturation were investigated and divided into 2 groups.One group(n=96)was irradiated by semiconductor laser on the apical points outside the teeth.T he pat ients whose teeth in the other group(n=79)were informed totake medicine(Ar ilin and Cephalosporin).A nd 4 hours later,the sy mptom and clinical examination of all the patients wer e recorded.Results The rate of 304 EIA E after root canal pr eparatione was 4.52% in the group irradiated with semiconductor laser and 101 74% in the other group(P<0.05).The therapy effcct of semiconductor laser was better than that of taking medicine on EIAE(P<0.05).Conclusion Semiconductor laser can decrease EIA E,and it could be used for the treatment of EIAE.

     

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