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| Effect of Cold Lateral Condensation and Warm Vertical Condensation on NRS Score Masticatory Function and Complications in the Treatment of Pulpitis and Periapical Disease |
| XIA Honghong, LIU Wenjing, QIN Kun, et al |
| Hefei Second People's Hospital, Anhui Hefei 230011, China |
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Abstract Objective: To observe the effects of cold lateral condensation (CLC) and warm vertical condensation (WVC) on scores of Numerical Rating Scale (NRS), masticatory function and complications in pulposis and periapical disease. Methods: A total of 115 patients with pulposis and periapical disease treated in the hospital were enrolled between January 2021 and December 2023. According to different filling materials, they were divided into a control group (55 cases, CLC) and an experimental group (60 cases, WVC). The clinical effect and filling effect after treatment, scores of NRS, bite force, masticatory function and periodontal status [gingival index (GI), sulcus bleeding index (SBI)] before and after treatment, and the occurrence of complications were compared between the two groups. Results: After treatment, total clinical response rate in the experimental group was higher than that in the control group (96.67% vs 83.74%, P<0.05). After treatment, proportion of appropriate filling in the experimental group was higher than that in the control group (91.67% vs 65.45%, P<0.05), and difference value of NRS score before and after treatment was greater than that in control group (2.54±0.41 points vs 1.38±0.56 points, P<0.05). After treatment, difference values in scores of bite force and masticatory function in the experimental group were greater than those in the control group (49.22±7.79lbs, 10.86±1.05 points vs 26.53±3.61lbs, 5.34±0.59 points, P<0.05), and difference values in scores of GI and SBI were greater than those in control group (1.33±0.15 points, 1.04±0.13 points vs 1.05±0.14 points, 0.88±0.08 points, P<0.05). After treatment, incidence of complications in the experimental group was lower than that in the control group (P<0.05). Conclusion: Compared with CLC, WVC can improve clinical curative effect and root canal filling effect, relieve pain, promote the recovery of dental practicability and periodontal status in patients with pulposis and periapical disease, which has low incidence of complications.
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2024, Vol. 30 
