基于玻璃,基于生物陶和基于环氧氨基树脂的生物活性根管密封剂对遮后疼痛的影响:双盲随机受控试验
Ritesh Nagpal1, Sonali Taneja1, Vidhi Kiran Bhalla1
1Department of Conservative Dentistry and Endodontics, ITS Dental College, Ghaziabad, Uttar Pradesh, India.
Journal of conservative dentistry and endodontics
|July 11, 2024
概括
基于酸的根管密封剂,特别是Bio-C Sealer Ion+,与基于环氧树脂的密封剂相比,显著减少了术后疼痛和止痛需求. 这一发现突出了生物陶材料在改善根管治疗后患者舒适度方面的潜力.
科学领域:
- 牙周内科医院 牙周内科医院 牙周内科医院
- 牙科材料科学 牙科材料科学
- 疼痛管理 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.
- 根管密封剂的选择可能会影响患者的治疗结果和疼痛程度.
- 基于酸的密封剂比传统的基于环氧树脂的密封剂具有潜在的优势.
研究的目的:
- 为了比较两种基于酸盐的密封剂 (Bio-C Sealer Ion+和Nishika Canal Sealer BG) 与基于环氧树脂的密封剂 (AH Plus) 的有效性.
- 评估这些密封剂在一次性根管治疗后对术后疼痛和止痛药消耗的影响.
主要方法:
- 九十名患有症状不可逆转的乳头炎或顶性牙周炎的患者接受了一次性根管治疗.
- 牙被使用生物-C密封剂离子+,尼希卡运河密封剂BG或AH Plus.
- 在多个时间点使用视觉模拟量表 (VAS) 评估术后疼痛,并记录了止痛药的摄入量.
主要成果:
- 在所有时间间隔中,Bio-C Sealer Ion+表现出最低的疼痛评分和止痛剂摄入量.
- 这两种基于酸的密封剂在6小时和24小时后,与基于环氧树脂的密封剂相比,导致疼痛明显降低.
- 随着时间的推移,所有组的疼痛水平和止痛药需求都在随着时间的推移而下降,在48小时以后没有显著差异.
结论:
- 基于酸的密封剂与基于环氧树脂的密封剂相比,与手术后疼痛和止痛药的使用减少有关.
- 在最大限度地减少疼痛和镇痛要求方面,Bio-C Sealer Ion+似乎是最有效的.
- 这些发现表明,根管密封剂的材料特性在术后患者舒适性中起着至关重要的作用.
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