-次性根管治疗联合冠修复对隐裂性牙髓病患者的效果 及对咀嚼功能的影响.

Objective: To explore the effect of disposable endodontic treatment combined with crown repair and its effect on chewing function. Methods: 80 patients with cryptic cleft dental pulp disease admitted to our hospital from January 2018 to January 2023 were selected and divided into observation group and Matched group, with 40 patients in each group. The Matched group patients underwent crown restoration after multiple root canal treatments, while the observation group patients underwent crown restoration after a single root canal treatment. After 3 months of treatment, the clinical efficacy of the two groups of patients was compared, and record all patients treatment success rates. The chewing function, pain level, inflammatory factors in gingival crevicular fluid, and expression levels of alkaline phosphatase (ALP) were compared between the two groups of patients before and after 3 months of treatment. Finally, their plaque index (PLI) was compared, Changes in periodontal health indicators related to bleeding index (BI) and probing depth of gingival sulcus (PD). Results: The total effective rate and treatment success rate of the observation group were higher than those of the matched group (P<0.05); Post-treatment, the chewing function score of the two groups of patients increased, and the observation group was higher than the matched group. The pain level score decreased, and the observation group was lower than the matched group (P<0.05); Post-treatment, the levels of PD, BI, and PLI in both groups of patients decreased, and the observation group was lower than the matched group (P<0.05); Post-treatment, the two patients had lower levels of IL-6, CRP, TNF-α, and ALP, while the observation group was lower than the matched group(P<0.05). Conclusion: The combination of one-time root canal therapy and crown restoration has a significant therapeutic effect on cracked pulp disease, and can improve the long-term success rate of treatment, enhance chewing function, alleviate periodontal pain, reduce periodontal inflammation, alleviate disease severity, and improve periodontal health. [ABSTRACT FROM AUTHOR]