乳牙Vitapex糊剂根管充填的临床疗效观察

目的探讨碘仿氢氧化钙（Vitapex）糊剂在乳牙根管充填的临床疗效。方法选择该院口腔科2009年6月—2011年12月治疗的根尖周病患儿87例,分为观察组（n=44）与对照组（n=43）,观察组采用Vitapex糊剂充填根管,对照组采用氧化锌丁香油糊剂充填根管,观察两组患儿术后1周的疼痛情况以及半年后的临床疗效。结果术后1周观察组与对照组的疼痛发生率分别为5.36%、19.29%。两组比较差异有统计学意义（P〈0.05）。观察组与对照组的手术成功率分别为96.43%、92.98%。两组比较差异无统计学意义（P〉0.05）。结论 Vitapex糊剂用于乳牙根管充填疗效较好,疼痛较轻,优于氧化锌丁香油糊剂。

Clinical analysis of two kinds of root canal filling paste filling deciduous teeth root canal

Objective To explore the clinical efficacy of calcium hydroxide iodoform paste（Vitapex） used for root canal filling of primary teeth.Methods Total 87 children（113 teeth）with periapical periodontitis admitted to our hospital were randomly divided into observation group and control group.The observation group was treated with Vitapex paste in root canal filling and the control group was used with zinc oxide eugenol paste in root canal filling.Pain in a week and clinical efficacy half an year after treatment were observed in two group.Results In a week,the rate of pain of the observation group was significantly lower than that of the control group（5.36% Vs.19.29%,P 〈0.05）.There was on significant difference of the success rate of surgery between the two groups（96.43% Vs.92.98%,P 〈0.05）.Conclusion Vitapex paste used for primary teeth root canal filing is effective with less pain,which is better than zinc oxide eugenol paste.