摘要
Abstract
Objective:To explore the curative effect of iRoot SP paste single-tip method and AH-Plus paste warm gutta-percha vertical compression in root canal filling for periapical diseases.Methods:A total of 124 patients undergoing root canal filling for periapical diseases in the hospital were randomly divided into iRoot SP group(62 cases,71 teeth,iRoot SP paste single-tip method)and the AH-Plus group(62 cases,74 teeth,AH-Plus paste warm gutta-percha vertical compression)between June 2023 and September 2025.All patients were followed up for 3 months after treatment.The curative effect,occur-rence of percussion pain and occlusal pain,periodontal condition,root filling tightness,osteoprotegerin(OPG)in gingival crev-icular fluid and receptor activator of nuclear factor-kappa B ligand(RANKL)in the two groups were compared.Results:After 3 months of follow-up,there was no difference in curative effect between the two groups(P>0.05),the incidence of percus-sion pain and occlusal pain in iRoot SP group was lower than that in AH-Plus group(P<0.05).After 3 months of follow-up,plaque index and sulcus bleeding index in iRoot SP group were lower than those in AH-Plus group(P<0.05).OPG level in iRoot SP group was higher than that in AH-Plus group,while RANKL level was lower than that in AH-Plus group(P<0.05).Conclusion:The curative effect of both iRoot SP paste single-tip method and AH-Plus paste warm gutta-percha vertical com-pression for root canal filling is good in periapical diseases.However,the former can more effectively relieve percussion pain and occlusal pain,improve periodontal condition,OPG and RANKL levels.关键词
iRoot SP/AH-Plus/根尖周病/根管充填Key words
iRoot SP/AH-Plus/Periapical disease/Root canal filling分类
医药卫生
