Clinical effects of vertical compression with hot dental cement versus IROOT SP single-cone technique for filling oval root canals
10.3760/cma.j.cn341190-20240226-00194
- VernacularTitle:热牙胶垂直加压法与根管封闭糊剂单尖法在椭圆形根管充填治疗中的应用效果比较
- Author:
Lingyan YU
1
;
Huijuan WANG
Author Information
1. 嘉兴市妇幼保健院口腔科,嘉兴 314000
- Keywords:
Dental pulp diseases;
Root canal obturation;
Root canal filling materials;
Quality of life;
Comparative effectiveness research
- From:
Chinese Journal of Primary Medicine and Pharmacy
2024;31(10):1441-1445
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical effects of vertical compression with hot dental cement versus IROOT SP single-cone technique for filling oval root canals. Methods:One hundred endodontic patients (100 affected teeth) who underwent oval root canal filling treatment at Jiaxing Maternity and Child Health Care Hospital between July 2022 and July 2023 were included in this study. A randomized controlled clinical research method was used. These patients were divided into an observation group ( n = 50) and a control group ( n = 50) using the random number table method. The control group underwent oval root canal filling using vertical compression with hot dental cement, while the observation group used the IROOT SP single-cone technique for their fillings. Clinical efficacy, clinical indicators, quality of life outcomes, and the incidence of adverse reactions were compared between the two groups. Results:The rate of successful filling in the observation group was significantly higher than that in the control group [90.00% (45/50) vs. 64.00% (32/50), χ2 = 9.54, P < 0.05]. The rate of overfilling in the observation group was significantly lower than that in the control group [2.00% (1/50) vs. 16.00% (8/50), χ2 = 4.40, P < 0.05]. The percentage of residual filling material (buccal-lingual and mesial-distal) and the operation time in the observation group were (0.23 ± 0.12)%, (0.37 ± 0.12)%, and (236.52 ± 27.12) seconds, respectively, all of which were significantly lower than those in the control group [(0.28 ± 0.12)%, (0.45 ± 0.16)%, and (284.56 ± 28.15) seconds, t = 2.08, 2.83, 8.69, all P < 0.05]. After 3 months of treatment, the Oral Health-Related Quality of Life score and the Numerical Rating Scale (NRS) score in the observation group were (9.96 ± 0.23) points and (1.23 ± 0.05) points, respectively, both of which were significantly lower than those in the control group [(25.65 ± 4.52) points, (4.56 ± 1.01) points, t = 24.51, 23.29, both P < 0.001]. The incidence of adverse reactions in the observation group was significantly lower than that in the control group [2.00% (1/50) vs. 30.00% (15/50), χ2 = 14.58, P < 0.001]. Conclusion:The IROOT SP single-cone technique demonstrates better clinical efficacy, more effectively alleviates clinical indicators, improves patients' quality of life, and reduces the occurrence of adverse reactions compared with vertical compression with hot dental cement.
