WaveOne Gold镍钛锉与手用不锈钢K锉对根尖牙周炎患者根管预备及术后疼痛的影响

doi:10.3969/j.issn.1006-6233.2025.07.029

摘要
图/表
参考文献
相关文章 (6)

全文: PDF (1203 KB) HTML (1 KB)
输出: BibTeX | EndNote (RIS)

摘要 目的: 对比WaveOne Gold镍钛锉与手用不锈钢K锉对根尖牙周炎患者根管预备的效果及术后疼痛的影响。方法: 将2021年10月至2023年10月于本院行根管治疗的130例患者依据临床指征对应的器械选择分为镍钛锉组(n=66,WaveOne Gold镍钛锉)和K锉组(n=64,手用不锈钢K锉)。比较两组的一次根管预备成功率、根管预备时间;评价两组的根管填充效果及术后7d的疼痛情况。结果: 镍钛锉组的一次根管预备成功率高于K锉组,根管预备时间短于K锉组(P<0.05);镍钛锉组的根管恰填率高于K锉组(P<0.05);术后7d,镍钛锉组的视觉模拟评分法(VAS)评分低于K锉组(P<0.05)。结论: 相比于手用不锈钢K锉,WaveOne Gold镍钛锉应用于根尖牙周炎患者根管预备的效果更佳,可有效提升一次性根管预备成功率,缩短根管预备时间,提升根管填充效果,减轻术后疼痛。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	朱秀娟
	刘刚
	周亚楠
	陈珍珍
	李冰润

关键词 ：根管预备, 镍钛锉, K锉, 填充效果, 术后疼痛

Abstract：Objective: To compare the influence of WaveOne Gold nickel-titanium file and hand stainless steel K file on root canal preparation and postoperative pain in patients with apical periodontitis. Methods: Totally 130 patients who received root canal therapy in the hospital from October 2021 to October 2023 were classified into nickel-titanium file group (n=66, WaveOne Gold nickel-titanium file) and K file group (n=64, hand stainless steel K file) according to the instrument selection corresponding to clinical indications. The success rate of one-time root canal preparation and root canal preparation time were compared between groups. The effect of root canal filling and pain status at 7 days after surgery were evaluated. Results: The success rate of one-time root canal preparation in the nickel-titanium file group was higher than that in the K file group, and the root canal preparation time was shorter (P<0.05). The root canal accurate filling rate in the nickel-titanium file group was higher compared with that in the K file group (P<0.05). The visual analogue scale (VAS) score at 7 days after surgery was lower in the nickel-titanium file group than that in the K file group (P<0.05). Conclusion: Compared with hand stainless steel K file, WaveOne Gold nickel-titanium file is more effective in root canal preparation for patients with apical periodontitis, and the latter one can more effectively improve the success rate of one-time root canal preparation, shorten the root canal preparation time, enhance the root canal filling effect, and relieve the postoperative pain.

Key words： Root canal preparation Nickel-titanium file K file Filling effect Postoperative pain

基金资助:安徽省自然科学基础研究计划项目,(编号:2020JM-394)

通讯作者: 刘刚

引用本文:

朱秀娟, 刘刚, 周亚楠, 陈珍珍, 李冰润. WaveOne Gold镍钛锉与手用不锈钢K锉对根尖牙周炎患者根管预备及术后疼痛的影响[J]. 河北医学, 2025, 31(7): 1211-1215.
ZHU Xiujuan, LIU Gang, ZHOU Ya'nan, et al. Influences of WaveOne Gold Nickel-Titanium File and Hand Stainless Steel K File on Root Canal Preparation and Postoperative Pain in Patients with Apical Periodontitis. HeBei Med, 2025, 31(7): 1211-1215.

链接本文:

http://www.hbyxzzs.cn/CN/10.3969/j.issn.1006-6233.2025.07.029 或 http://www.hbyxzzs.cn/CN/Y2025/V31/I7/1211

[1] Dal-Fabbro R,Yu M,Mei L,et al.Synthetic high-density lipoprotein (sHDL):a bioinspired nanotherapeutics for managing periapical bone inflammation[J].Int Oral Sci,2024,16(1):50-60.
[2] Corbella S,Walter C,Tsesis I.Effectiveness of root resection techniques compared with root canal retreatment or apical surgery for the treatment of apical periodontitis and tooth survival:A systematic review[J].Int Endod,2023,56(3):487-498.
[3] Ahmad MZ,Sadaf D,Merdad KA,et al.Calcium hydroxide as an intracanal medication for postoperative pain during primary root canal therapy:a systematic review and meta-analysis with trial sequential analysis of randomised controlled trials[J].Evid Based Dent Pract,2022,22(1):101680.
[4] Valle AD,Dotto L,Morgental RD,et al.Influence of root canal preparation on formation of dentinal microcracks:a systematic review[J].Braz Dent,2020,31(3):201-220.
[5] Baruwa AO,Chasqueira F,Arantes-Oliveira S,et al.Comparative analysis of endodontic 0.15 stainless-steel K-files:exploring design,composition,and mechanical performance[J].Dent Basel,2024,12(2):29-39.
[6] Braga VM,Limoeiro AG,Marceliano-Alves MF,et al.Efficacy of wave one gold and prodesign RT systems in removing filling material:a micro-CT analysis[J].Acta Odontol Latinoam,2024,37(1):34-39.
[7] 葛久禹.根管治疗学[M].第2版.南京:江苏科学技术出版社,2008.168-172.
[8] 杨静文,贾平一,邱立新,等.视觉模拟评分法在前牙种植美学评价中应用的可行性分析[J].中华口腔医学杂志,2021,56(4):324-328.
[9] 张帆,陈晓燕,阿迪力·麦木提敏,等.不同镍钛器械对长椭圆形根管清理能力的研究[J].西北国防医学杂志,2020,41(4):225-229.
[10] 张筱娅,林华洁,孟伟涛,等.四种镍钛单支锉预备弯曲根管的成形效果比较[J].郑州大学学报(医学版),2024,59(1):91-95.
[11] 王颖艺,王成坤,马昂,等.三种单只成形镍钛器械对模拟弯曲根管预备效果的评价[J].吉林大学学报(医学版),2022,48(6):1422-1428.
[12] 张培娟,王娜娜,朱青,等.两种根管疏通法对乳磨牙窦道型根尖周炎的疗效观察[J].中国医药导报,2024,21(17):85-87.
[13] 张斌,贾明玉,樊睿,等.新型往复运动单支锉根管预备对牙本质微裂的影响[J].上海口腔医学,2023,32(1):1-5.
[14] 葛晓甜,宋颖韬,仪红,等.机用单根锉WaveOne Gold与ProTaper Next镍钛器械对重度弯曲根管的预备效果评价[J].中国医刊,2021,56(3):325-328.
[15] 钱苏辉,马新亮,韩立显.单支锉系统在后牙一次性根管治疗中的应用探讨[J].口腔材料器械杂志,2021,30(1):28-33.