Abstract

Objective To analyze the influence of warm gutta percha obturation and traditional lateral condensation on sulcus bleeding index (SBI), periodontal pocket depth (PD), and gingival index (GI) value of patients with acute pulpitis and periapical periodontitis. Methods 84 cases of acute pulpitis and periapical periodontitis treated in our hospital were randomly divided into two groups, 42 cases in each group. The control group was treated with traditional lateral condensation, while the observation group was treated with warm gutta percha obturation. Compared SBI, PD, and GI value, efficacy, root canal filling time, and periodontal pain of two groups. Results After treatment, SBI, PD, and GI value of the observation group were respectively (1.6±0.5)mm, (4.0±0.4)mm, (1.4±0.3)mm, significantly lower than (2.4±0.5)mm, (5.8±1.0)mm, (2.1±0.4)mm of the control group, with statistically significant differences (P<0.05). The root canal filling time of the observation group was (17.5±4.1)min, significantly shorter than (26.8±5.4)min of the control group, with statistically significant difference (P<0.05). The total efficiency of the observation group was significantly better than that of the control group (95.2% vs.78.6%), periodontal pain improved (2.4% vs.19.0%), with statistically significant differences (P<0.05). Conclusion Warm gutta percha obturation in the treatment of acute pulpitis and periapical periodontitis is better than traditional lateral condensation, which can shorten the root canal filling time of patients, reduce the sulcus bleeding index, relieve periodontal pain. Key words: Warm gutta percha obturation; Traditional lateral condensation; Acute pulpitis; Periapical periodontitis

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