Comparison of the Clinical Results of the Cold Lateral Pressure Method with the Hot Glue Vertical Pressure Method and the Single-tip Method in Root Canal Treatment

Zhang Li; Yan Zhaomin; Yao Yan

doi:10.3969/j.issn.1004-5775.2023.24.002

Abstract：Objective:The effects of using cold lateral pressure method,hot cement vertical pressure method,and single-tip method on the prognosis of endodontically treated patients to further provide a basis for filling selection for clinical treatment of endodontic endodontics.Methods:The clinical data of 140 patients admitted to the hospital for root canal treatment from February 2021 to February 2022 were retrospectively analyzed.After analyzing the patients'clinical history data,they were divided into three groups according to the different methods of filling root canals during endodontic treatment,in which 39 patients were filled with cold lateral pressure method as group A,55 patients were filled with hot glue vertical pressure method as group B,and 46 patients were filled with single-tip method as group C.The root canal filling results,treatment outcomes,serum inflammatory factors,and complications were observed in the three groups of patients.Results:The filling effect in group C was significantly better than that in groups A and B,and the difference was statistically significant(χ2=9.540,P＜0.05).There was no statistically significant difference between the total treatment efficiency of group A,group B and group C(χ2=0.500,P＞0.05).After treatment,IL-4 levels in group C were significantly higher than those in groups A and B,and IL-6 and TNF-α levels were significantly lower than those in groups A and B,and the differences were statistically significant(F=12.770,24.210,6.420,P＜0.05).Complications in patients in groups A,B and C included periodontal pain,apical pain and gingival bleeding,and the difference was not statistically significant in all three groups compared(χ2=4.678,P＞0.05).Conclusion:All three root canal filling methods have better results in treating endodontic diseases,among which the single-tip method of filling root canals can effectively alleviate periodontal inflammatory reactions and provide better filling results.