Effect of machanical nickel-titanium file combined with ultrasonic irrigation on C-shaped root canal preparation and filling quality in patients with chronic pulpitis
CHEN Wenli1 ZHOU Zhou2 XIAO Ping3
1.Department of Stomatology, Suzhou Municipal Hospital North District, Jiangsu Province, Suzhou 215000, China;
2.Department of Stomatology, Taicang City Hospital of Traditional Chinese Medicine, Jiangsu Province, Suzhou 215434, China;
3.Department of Stomatology, Taicang Port District Hospital, Jiangsu Province, Suzhou 215437, China
Abstract:Objective To investigate the effect of mechanical nickel-titanium file combined with ultrasonic irrigation on the preparation and filling quality of C-shaped root canals in patient with chronic pulpitis (CP). Methods A total of 89 CP patients admitted to Suzhou Municipal Hospital from February 2019 to February 2022 were selected and they were divided into observation group (44 cases) and control group (45 cases) by random number table method. The observation group was given machine-made nickel-titanium file to prepare the root canal with ultrasonic irrigation, while the control group was given machine-made nickel-titanium file to prepare the root canal with a syringe irrigation. One week after the patients underwent root canal treatment, the preparation of the C-shaped root canal and the pain after root canal preparation were compared between the two groups. Results There was no significant difference in the effect of good shape between the observation group and the control group (P>0.05). After root canal preparation, the pain response rate of the observation group was lower than that of the control group (P<0.05). The time of root canal preparation, filling, and flushing in the observation group were shorter than those in the control group (P<0.05). The filling success rate of the observation group was higher than that of the control group (P<0.05). Conclusion The mechanical nickel-titanium file combined with ultrasonic irrigation can improve the good rate of preparation, improve the pain after preparation, shorten the treatment time of root canal, and improve the filling quality.
[1] Zanini M,Meyer E,Simon S. Pulp Inflammation Diagnosis from Clinical to Inflammatory Mediators:A Systematic Review [J]. J Endod,2017,43(7):1033-1051.
[2] Lu Y,Wu N,Ma B,et al. Effect of Root Canal Therapy Combined with Full Crown Restoration on the Level of Inflammatory Factors and Chewing Function in Patients with Cracked Teeth and Chronic Pulpitis [J]. Evid Based Complement Alternat Med,2021,2021:3299349.
[3] 周文,齐罡.口腔显微镜根管治疗老年慢性牙髓炎的临床研究[J].医药论坛杂志,2021,42(18):111-114.
[4] Top■uo■lu HS,Demirbuga S,Top■uo■lu G. Evaluation of apically extruded debris during the removal of canal filling material using three different Ni-Ti systems and hand files in teeth with simulated apical root resorption [J]. Int Endod J,2020,53(3):403-409.
[5] Moreira RN,Pinto EB,Galo R,et al. Passive ultrasonic irrigation in root canal:systematic review and meta-analysis [J]. Acta Odontol Scand,2019,77(1):55-60.
[6] 史彦.复方冰硼冲洗液超声冲洗根管的效果评价[D].南昌:南昌大学,2020.
[7] Martin Trope,Gilberto J. Debelian.根管治疗临床指南[M].北京:人民军医出版社,2008:62-65.
[8] Sindhu BS,Shechtman O,Tuckey L. Validity,reliability,and responsiveness of a digital version of the visual analog sc- ale [J]. J Hand Ther,2011,24(4):356-364.
[9] 李琳琳,窦祈,王晓蕾.根管冲洗剂联合次氯酸钠超声荡洗根管治疗难治性根尖周炎感染的抗菌性和清洁效果[J].中华保健医学杂志,2020,22(3):190-192.
[10] 李彦君,吴薇.不同方案治疗下颌第二磨牙C形根管慢性根尖周炎的临床对比[J].当代医学,2021,27(27):113- 114.
[11] 杨萌,曾长玉,刘高成,等.乳牙机用镍钛锉结合超声荡洗用于乳磨牙根管治疗中的临床效果研究[J].实用口腔医学杂志,2022,38(1):107-110.
[12] 曹华琴.老年慢性根尖周炎根管治疗前超声根管冲洗联合根尖疏通的效果观察[J].基层医学论坛,2021,25(13):1786-1788.
[13] Nagendrababu V,Jayaraman J,Suresh A,et al. Effectiveness of ultrasonically activated irrigation on root canal disinfection:a systematic review of in vitro studies [J]. Clin Oral Investig,2018,22(2):655-670.
[14] 陈秋迎.机用镍钛器械与超声根管冲洗应用于慢性根尖周炎患者根管治疗对术后疼痛及预后的影响[J].医学理论与实践,2021,34(19):3399-3401.
[15] 刘艳红.镍钛机用器械联合超声冲洗对 慢性根尖周炎根管内毒素的清除效果[J].中国保健营养,2019,29(8):324.
[16] 孔玲玲.机用镍钛器械联合超声下不同冲洗液对慢性根尖周炎根管内毒素的清除效果[J].医学理论与实践,2020,33(5):784,804.
[17] 赵树玲,邸春蕾,焦正凯.超声冲洗技术应用于牙髓炎一次性根管治疗的临床疗效观察[J].蚌埠医学院学报,2021,46(1):44-45,49.
[18] 李彦君,吴薇.不同方案治疗下颌第二磨牙C形根管慢性根尖周炎的临床对比[J].当代医学,2021,27(27):113- 114.
[19] 薄磊.镍钛机用器械联合超声冲洗对慢性根尖周炎根管内毒素的清除效果[J].医学信息,2022,35(7):131-133.
[20] Plotino G,Grande NM,Mercade M,et al. Efficacy of sonic and ultrasonic irrigation devices in the removal of debris from canal irregularities in artificial root canals [J]. J Appl Oral Sci,2019,27:e20180045.
[21] Haupt F,Meinel M,Gunawardana A,et al. Effectiveness of different activated irrigation techniques on debris and smear layer removal from curved root canals:a SEM evaluation [J]. Aust Endod J,2020,46(1):40-46.
[22] 郝秀芬,关彤.根管超声荡洗对根管治疗术后疼痛程度的影响[J].山西医药杂志,2021,50(3):406-407.
[23] 刘琳,李文辉,吕洁,等.超声根管间断荡洗在牙髓血运重建中的临床应用[J].中国医师杂志,2021,23(6):859-863.
[24] 宋天娇.一次性根管治疗与多次根管治疗牙体牙髓病的临床效果比较[J].中国医药科学,2023,13(4):161-164, 177.
[25] 邹芳,赵璐,胡蓉.机用镍钛器械与超声根管荡洗联合应用对有瘘型慢性根尖周炎的疗效[J].河北医药,2022, 44(15):2333-2335,2339.
[26] 王秀芳,陈文琴.三种镍钛器械预备根管后牙本质微裂纹的研究[J].中国医药科学,2022,12(10):9-12,55.
[27] 陈文琴,刘明,王秀芳.不同新型机用镍钛器械根管预备对牙本质微裂形成的影响[J].中国当代医药,2023, 30(11):127-131.
[28] 邵皎皎,张旗.被动超声冲洗对弯曲根管的碎屑清理能力和根管形态的影响[J].上海口腔医学,2022,31(1):6-11.