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砷性根尖周炎,是因为用亚砷酸作牙髓失活时,病人延期复诊所致。我们采用碘伏治疗砷性根尖周炎38例,收到了明显效果。现介绍如下。 临床资料 1.经临床诊断为砷性根尖周炎38例,男22例,女16例;后磨牙17例,前磨牙21例;年龄在16～61岁;延期复诊时间在2～10天。 2.药物采用含碘浓度为3000PPM的碘伏(广州庆丰药械厂),以碘伏原液为100％,用去离子水将其稀释至12.5％和25％备用。 3.治疗方法:按根管治疗步骤,首先去除冠髓、用12.5％碘伏液冲洗髓腔,然后拔除根髓、扩大根管,将12.5％碘伏液冲洗根管,最后用棉捻吸干根管,用25％碘伏棉捻作根管封药,封药1～2次,每次3～5天。 4.疗效标准:经碘伏作根管封药(1～2次)后,疼痛消失,符合根充者为成功;经封药后仍疼痛或叩痛和咬(?)痛加重,封药超过2次,不能作根充者,出现任一项都为失败。
Arsenic periapical periodontitis, because of the use of arsenious acid for inactivation of the pulp, the patient due to delay referral. We use iodophor arsenical apical periodontitis 38 cases, received a significant effect. Now introduced as follows. Clinical data 1. Clinical diagnosis of apical periapical 38 cases, 22 males and 16 females; post-molar in 17 cases, premolar teeth in 21 cases; aged 16 to 61 years; delayed referral time of 2 to 10 days. 2. Drug iodine (iodine (Guangzhou Qingfeng Pharmaceutical Factory) with iodine concentration of 3000PPM was used. The solution was diluted to 12.5% with deionized water and 25% with iodophor stock solution. 3. Treatment: according to the root canal treatment steps, first remove the coronal marrow, with 12.5% iodophor flushing the medullary cavity, and then remove the root marrow, expand the root canal, 12.5% iodophor solution rinse the root canal, and finally cotton twisting Dry root canal, with 25% iodophor cotton twist for root canal sealing drugs, Sealing 1 or 2 times, each 3 to 5 days. 4. Efficacy standards: After iodophor for root canal sealing drugs (1 or 2 times), the pain disappeared, in line with the root filling were successful; after the drug is still painful or percussion pain and bite (?) Pain, sealant More than 2 times, can not be a root cause, any one of them failed.