微创根管治疗的术后疼痛:一个随机临床试验
Do-Hyun Kim1, Yoon-Woo Choi1, Sumi Kang1
1Department of Conservative Dentistry and Oral Science Research Center, Microscope Center, College of Dentistry, Yonsei University, 50-1 Yonsei-ro, Sudaemun-gu, Seoul, 03722, Korea.
Odontology
|March 1, 2024
概括
最少侵入性 (MP) 和传统的根管治疗没有显示在术后疼痛的显著差异. 手术前的疼痛,周围疼痛指数和脉状态是影响治疗后疼痛水平的关键因素.
科学领域:
- 牙周内科医院 牙周内科医院 牙周内科医院
- 牙疼痛管理 牙疼痛管理
背景情况:
- 手术后的疼痛是根管治疗后的一个常见问题.
- 与传统方案相比,评估新型的最小侵入性技术对于优化患者的治疗结果至关重要.
研究的目的:
- 为了比较手术后疼痛的最小侵入性 (MP) 和传统的根管治疗 (CP) 协议.
- 确定根管程序后中度至强度疼痛的预后因素.
主要方法:
- 一项涉及170颗牙的随机临床试验比较了MP (TruNatomy,超声波灌,氧化物,基于密封器的堵塞) 与CP (ProTaper Gold,温暖的垂直凝结).
- 术后疼痛使用数值评分尺度 (NRS) 在多个时间点评估,最多在仪器安装后7天和闭塞后1天.
主要成果:
- 在任何评估时间点,MP和CP组之间没有观察到疼痛强度的显著差异.
- 手术前周围疼痛指数 (PAI) 和NRS得分与仪器仪表后的中度/强度疼痛有显著的关联.
- 手术前的脉状况和NRS得分是阻塞后中度/强度疼痛的重要因素.
结论:
- 使用超声波灌和特定的堵塞材料进行的最小侵入性根管治疗,产生与传统方法相比的术后疼痛水平.
- 手术前疼痛的严重程度,近牙状态和脉活力是术后内牙疼痛的重要预测因素.
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