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目的比较2%戊二醛氧化锌糊剂与干髓剂和氢氧化钙治疗成人早期牙髓病的效果。方法严格按照指定的纳入标准选择成人早期牙髓病患者各50例,将2%戊二醛氧化锌糊剂(观察组)、干髓剂(对照A组)、氢氧化钙(对照B组)分别用于治疗成人早期牙髓病。术后随访1~2年,观察患者治疗后的治疗效果和满意程度。结果观察组治疗后48例未出现主观冷热刺激症状、检查未见牙折及根尖炎,总有效率为96%。对照A组治疗后35例未出现主观症状,总有效率为70%。对照B组治疗后46例未出现主观症状,总有效率为88%。结论应用2%戊二醛氧化锌糊剂治疗成人早期牙髓病,可以有效的控制炎症,保存更多的健康牙体组织,有利于延长牙齿寿命,值得研究和应用。
Objective To compare the efficacy of 2% glutaraldehyde zinc oxide paste with dry pulp and calcium hydroxide in the treatment of early endodontic disease in adults. Methods Fifty adult patients with early endodontic disease were selected strictly according to the prescribed inclusion criteria, and 2% glutaraldehyde zinc oxide paste (observation group), dry marrow agent (control group A), calcium hydroxide (control group B) Respectively for the treatment of early endodontics in adults. The patients were followed up for 1 to 2 years to observe the therapeutic effect and satisfaction of patients after treatment. Results In the observation group, there were no subjective symptoms of cold and heat stimulation in 48 cases. No teeth and apical inflammation were found in the observation group. The total effective rate was 96%. Control group A 35 cases did not appear subjective symptoms after treatment, the total effective rate was 70%. 46 cases in control group B did not have subjective symptoms after treatment, the total effective rate was 88%. Conclusions The application of 2% glutaraldehyde zinc oxide paste in early stage of adult patients with endodontic diseases can effectively control the inflammation, save more healthy tooth tissues and prolong the life of the teeth, which deserves to be studied and applied.