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目的观察运用2%戊二醛制剂治疗成人早期牙髓病的临床疗效。方法严格按照制定的纳入标准选择成人早期牙髓病患者87例,将2%戊二醛制剂取代多聚甲醛制剂应用于成人早期牙髓病。术后随访1~2年,观察患者治疗后的全身反应、主观症状和对治疗效果、治疗周期及治疗费用的满意程度。结果①87例患者均未出现全身不良反应。②81例未出现主观冷热刺激及自发性疼痛症状、检查未见牙折及根尖炎,总有效率为93%,其中6例1~1.5年内转为根尖炎,占总人数的7%。③满意率调查结果,87例患者中,81例患者对治疗效果、治疗周期及治疗费都感到满意,满意率为93%。结论应用2%戊二醛氧化锌糊剂进行早期牙髓炎的治疗,可以有效的控制炎症,更多的保护健康的牙体组织且操作简便,减少患者复诊次数,降低患者的治疗费用和痛苦,有利于延长牙齿的寿命,值得研究和推广。
Objective To observe the clinical efficacy of 2% glutaraldehyde in the treatment of early endodontic disease in adults. Methods 87 patients with early-stage endodontic diseases were selected strictly according to the established inclusion criteria, and 2% glutaraldehyde preparations instead of paraformaldehyde preparations were applied to early-stage adult patients with endodontic diseases. The patients were followed up for 1 to 2 years. The patients’ body reactions, subjective symptoms and satisfaction with the treatment effect, treatment cycle and treatment cost were observed. Results ① There were no systemic adverse reactions in 87 patients. ② There were no subjective symptoms of cold and heat stimulation and spontaneous pain in 81 cases. There was no tooth and apiceurosis in the test. The total effective rate was 93%. Six of them were converted to apical amniotic inflammation within 1 to 1.5 years, accounting for 7% of the total. . Satisfaction rate survey results, 87 patients, 81 patients were satisfied with the treatment effect, treatment cycle and treatment costs, the satisfaction rate was 93%. Conclusions The treatment of early pulpitis with 2% glutaraldehyde zinc oxide paste can effectively control the inflammation, protect more healthy tooth tissue and has the advantages of simple operation, reducing the number of referrals and reducing the treatment cost and suffering of the patients , Is conducive to prolong the life of the teeth, it is worth to study and promote.