Menéndez-Nieto Isabel, Cervera-Ballester Juan, Maestre-Ferrín Laura, Blaya-Tárraga Juan Antonio, Peñarrocha-Oltra David, Peñarrocha-Diago Miguel
Stomatology Department, Faculty of Medicine and Dentistry, University of Valencia, Valencia, Spain.
Private Dentistry Practice, Tordesillas, Valladolid, Spain.
J Endod. 2016 Nov;42(11):1583-1587. doi: 10.1016/j.joen.2016.08.005. Epub 2016 Sep 14.
Adequate bleeding control is essential for the success of periapical surgery. The aim of this study was to evaluate the effects of 2 hemostatic agents on the outcome of periapical surgery and their relationship with patient and teeth parameters.
A prospective study was designed with 2 randomized parallel groups, depending on the hemostatic agent used: gauze impregnated in epinephrine (epinephrine group) and aluminum chloride (aluminum chloride group). The analysis of the hemorrhage control was judged before and after the application of the hemostatic agents by the surgeon, and 2 examiners independently recorded it as adequate (complete hemorrhage control) or inadequate (incomplete hemorrhage control).
Ninety-nine patients with a periradicular lesion were enrolled in this study and divided into 2 groups: gauze impregnated in epinephrine in 48 patients (epinephrine group) or aluminum chloride in 51 (aluminum chloride group). In epinephrine group adequate hemostasis was achieved in 25 cases, and in aluminum chloride group it was achieved in 37 cases (P < .05).
The outcome was better in the aluminum chloride group than in the gauze impregnated in epinephrine group.
充分的出血控制对于根尖手术的成功至关重要。本研究的目的是评估两种止血剂对根尖手术结果的影响及其与患者和牙齿参数的关系。
设计了一项前瞻性研究，根据使用的止血剂分为2个随机平行组：浸有肾上腺素的纱布（肾上腺素组）和氯化铝（氯化铝组）。外科医生在应用止血剂前后判断出血控制情况，2名检查人员独立将其记录为充分（完全控制出血）或不充分（不完全控制出血）。
本研究纳入了99例根尖周病变患者，分为2组：48例患者使用浸有肾上腺素的纱布（肾上腺素组），51例患者使用氯化铝（氯化铝组）。肾上腺素组25例实现了充分止血，氯化铝组37例实现了充分止血（P <.05）。
氯化铝组的结果优于浸有肾上腺素的纱布组。
