Objective: To evaluate the therapeutic efficacy of primary method root canal treatment (ORCT) and multiple root canal treatment (MRCT) for dental cryptocleidosis with endodontic lesions. Methods: 88 patients with fissured teeth with endodontic lesions who were admitted to the hospital between November 2021 and November 2023 were selected, and after randomized numerical table grouping, 44 cases in the experimental group were included in the ORCT treatment, and 44 cases in the reference group were included in the MRCT treatment, and the total effective rate, root canal filling rate, visual analog scale (VAS) score, periodontal indexes, and the complication rate were compared. Results: The total effective rate and root canal filling rate of the experimental group were higher than that of the reference group; after treatment, the VAS score of the experimental group was lower than that of the reference group, and the periodontal indexes were lower than that of the reference group; and the complication rate of the experimental group was lower than that of the reference group (P < 0.05). Conclusion: ORCT can improve the overall efficacy of patients with fissured teeth with endodontic lesions, ensure the filling rate of root canals, significantly reduce pain symptoms, improve a number of periodontal indicators, have high endodontic safety, and have more therapeutic advantages than MRCT.
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