Xiong Bogang, Hou Xiujuan, Xia Tianyong, Liu Yuna
Department of Stomatology, Beijing Hospital of Integrated Traditional Chinese and Western Medicine Beijing, China.
Department of Repair, Affiliated Yantai Stomatological Hospital, Binzhou Medical University Yantai, Shandong, China.
Am J Transl Res. 2024 Nov 15;16(11):6804-6811. doi: 10.62347/OIPP9045. eCollection 2024.
To compare the efficacy of single-visit root canal therapy (RCT) and traditional multi-visit RCT for chronic apical periodontitis in anterior teeth.
A retrospective analysis was conducted on 106 patients with sinus-type anterior chronic apical periodontitis who underwent root canal treatment during March 2020 and April 2023 at Beijing Hospital of Integrated traditional Chinese and Western Medicine. The patients were divided into an observation group (55 cases, single-visit RCT) and a control group (51 cases, traditional multi-visit RCT) according to different treatment methods.
There were no significant differences in the sinus tract healing at post-treatment 2 weeks, the pain incidence at post-treatment one month, or clinical composite efficacy at post-treatment 6 months between the two groups (all >0.05). However, after 3 and 6 months of treatment, the apical projection zone was significantly reduced in both groups compared to pre-treatment areas (<0.05), though the difference between groups was not significant (>0.05). The levels of tumor necrosis factor-α (TNF-α) and interleukin-6 (IL-6) in gingival fluid were significantly lower (<0.05) while interleukin-10 (IL-10) levels were significantly higher (all <0.05) in both groups after 6 months of treatment compared to the pre-treatment levels. Again, no significant differences were found between the two groups (all >0.05). The operation time and treatment cost of observation group were remarkably lower than those in control group (<0.05).
For patients with chronic sinus-type anterior apical periodontitis, a single-visit RCT can achieve similar results as traditional multiple-visit RCT, but with significantly shorter operation time and less medical cost. This approach is recommended for clinical practice.
比较一次性根管治疗（RCT）与传统多次就诊根管治疗对前牙慢性根尖周炎的疗效。
对2020年3月至2023年4月在北京中西医结合医院接受根管治疗的106例窦道型前牙慢性根尖周炎患者进行回顾性分析。根据不同治疗方法将患者分为观察组（55例，一次性根管治疗）和对照组（51例，传统多次就诊根管治疗）。
两组在治疗后2周窦道愈合情况、治疗后1个月疼痛发生率或治疗后6个月临床综合疗效方面均无显著差异（均>0.05）。然而，治疗3个月和6个月后，两组根尖投影区与治疗前相比均显著减小（<0.05），但组间差异不显著（>0.05）。治疗6个月后，两组龈沟液中肿瘤坏死因子-α（TNF-α）和白细胞介素-6（IL-6）水平均显著降低（<0.05），而白细胞介素-10（IL-10）水平均显著升高（均<0.05）。两组之间再次未发现显著差异（均>0.05）。观察组的手术时间和治疗费用明显低于对照组（<0.05）。
对于慢性窦道型前牙根尖周炎患者，一次性根管治疗可取得与传统多次就诊根管治疗相似的效果，但手术时间明显缩短，医疗费用更低。该方法推荐用于临床实践。
