Clinical effect evaluation of modern root canal therapy for pulpitis in flying personnel
10.3760/cma.j.cn113854-20211021-00153
- VernacularTitle:应用现代根管治疗术治疗飞行人员牙髓炎的临床疗效评价
- Author:
Li DING
1
;
Guangyan HUI
1
;
Guangsheng WU
1
;
Yafei WANG
1
;
Ling LI
1
Author Information
1. 海军青岛特勤疗养中心口腔科 266071
- Publication Type:Journal Article
- Keywords:
Pulpitis;
Root canal therapy;
Treatment outcome;
Flying personnel
- From:
Chinese Journal of Aerospace Medicine
2022;33(1):29-34
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the clinical effect of modern root canal therapy on pulpitis in flying personnel.Methods:A total of 229 patients who were diagnosed as pulpitis from March of 2018 to April of 2020 were divided into 2 groups alternately according to the order of treatment. One hundred and fifteen patients in the study group that received modern root canal therapy and 114 patients in the control group that received the conventional root canal therapy. The clinical symptoms (red and swollen gums, pain and chewing discomfort) score, visual analogue scale (VAS) and masticatory ability score were respectively investigated before treatment and 2 weeks after treatment. The quality of life (QOL) score was investigated before treatment and 1 month after treatment. The total effective rate was evaluated 2 weeks after treatment and the incidences of adverse reactions (local swelling, root canal obstruction and occlusive pain) were analyzed. The recurrence rates by 6-month treatment and the treatment results were compared between 2 groups.Results:The total effective rate of the study group was 93.04%, which was higher than that of the control group (84.21%), and the difference between the 2 groups was statistically significant ( χ2=4.438, P=0.035). There were no differences on clinical symptoms score, QOL score, VAS, inflammatory index and masticatory ability score between 2 groups before treatment (all P>0.05). The clinical symptoms score, VAS, the levels of interleukin-6 (IL-6) and interleukin-8 (IL-8) in the study group after treatment were lower than those of the control group, but the masticatory ability score and QOL score were higher than those of the control group after treatment. The differences between the 2 groups were statistically significant ( t=8.229-46.504, all P=0.001). The incidence of adverse reactions and recurrence rate in the study group was 7.83% and 5.22% respectively, which was lower than that of the control group (17.54% and 13.16%, respectively, χ2=4.881, 4.334, P=0.027, 0.037). Conclusions:The modern root canal therapy has better clinical effect on the treatment of pulpitis. It can shorten the treatment courses, reduce the inflammation response, pain degree, adverse reactions and recurrence rate, improve the curative rate and the life of teeth of flying personnel, and reduce the adverse factors in high altitude flight.
