根管术、牙周及调𬌗联合治疗逆行性牙髓炎的效果

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Abstract Objective To investigate combined effect of root canal surgery, periodontal and occlusal adjustment in treatment of retrograde pulpitis.Methods A total of 112 patients with retrograde pulpitis who were admitted to Fushun Hospital of Chinese Medicine from April 15, 2018 to June 18, 2019 were selected as study subjects.They were divideded into study group and control group according to random number table method, with 56 cases in each group.The study group adopted the combined treatment of root canal therapy, periodontal therapy and occlusal adjustment, while the control group adopted root canal therapy.The levels of tumor necrosis factor-α (TNF-α), interleukin-2 (IL-2),tooth mobility score, percussion pain score and the total incidence of adverse reactions were compared between the two groups.Results The levels of TNF-α and IL-2 in the two groups after treatment were lower than those before treatment, and the differences were statistically significant (P＜0.05).The levels of TNF-α and IL-2 in the study group were lower than those in the control group after treatment, and the differences were statistically significant (P＜0.05).After treatment, the scores of tooth mobility score and percussion pain in both groups were lower than those before treatment,and the differences were statistically significant (P＜0.05).After treatment, the scores of tooth mobility score and percussion pain in the study group were lower than those in the control group, and the differences were statistically significant (P＜0.05).Comparison of the total incidence of adverse reactions between the two groups, the difference was not statistically significant (P＞0.05).Conclusion Application of combination of root canal surgery, periodontal and occlusal adjustment in treatment of patients with retrograde pulpitis can effectively reduce the degree of tooth loosening, relieve pain and improve the curative effect.

Key words： Root canal surgery Periodontal and occlusal adjustment therapy Loosening degree Percussion pain degree Inflammatory factor level Retrograde pulpitis

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LI Kun. Combined effect of root canal surgery, periodontal and occlusal adjustment in treatment of retrograde pulpitis[J]. 中国当代医药, 2021, 28(8): 122-125.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I8/122

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