ABSTRACT
Objective To investigate the clinical efficacies of AH Plus versus Endomethasone for pulp disease in elderly patients udergoing one-time root canal therapy.Methods Clinical data of 83 elderly patients with pulpitis and periapical diseases were retrospectively analyzed.According to fillers,patients were divided into AH Plus group (n =39) and Endomethasone group (n =44).All patients underwent one-time root canal therapy.The pain response at one week after operation and clinical effects at 24 weeks after operation were observed and compared between the two groups.Results At one week after operation,there was no significant difference in the incidence of pain response between AH Plus group and Endomethasone group in patients with pulpitis and periapical diseases respectively(x2 =0.686,P =0.710;x2 =0.102,P =0.950).No significant difference in clinical efficacy was found between AH Plus group and Endomethasone group at 24 weeks after pulpitis surgery(89.5％ or 17/19 vs.85.7％ or 18/21,x2 =0.016,P =0.992).There was no significant difference in clinical efficacy between AH Plus group and Endomethasone group in patients with periapical diseases at 24 weeks after surgery(90.0％ or 18/20 vs.87.0％ or 20/23,x2 =0.307,P =0.858).Conclusions Both the root canal fillers AH Plus and Endomethasone have better clinical efficacy in the elderly undergoing one-time root canal therapy.There is no significant difference in the incidence of pain response and clinical efficacy between the two groups.