评估术后的疼痛在内再治疗与牙周围炎使用臭氧化2%的赫西丁和0.1%的丁胺应用:一个随机临床试验
Nidhi Sinha1,2, Geeta Asthana2, Girish Parmar2
1Department of Conservative Dentistry and Endodontics, Pacific Dental College and Hospital, Udaipur, Rajasthan, India.
Journal of conservative dentistry and endodontics
|July 11, 2024
概括
一次性非手术性牙周再治疗,使用臭氧化八胺和赫西丁与酸盐显著降低了术后疼痛. 这种方法提供了一个有希望的选择,用于管理症状的牙牙周炎.
科学领域:
- 牙周内科医院 牙周内科医院 牙周内科医院
- 牙科药理学 牙科药理学
背景情况:
- 有症状的牙牙周炎往往需要进行非手术性内牙修复治疗.
- 评估一次性非手术内牙治疗 (SV NSER) 后的术后疼痛对于患者的舒适性和治疗评估至关重要.
研究的目的:
- 为了比较不同灌剂在经过SV NSER后治疗术后疼痛 (PP) 的疗效.
- 调查2%的赫西丁 (CHX),0.1%的氧化 (OCT) 含有或不含臭氧和5.25%的甲 (NaOCl) 对PP的影响.
主要方法:
- 一个随机的,前性的,双盲临床试验,涉及132名患有症状牙炎的患者,需要SV NSER.
- 患者被分为六组,接受不同的灌剂组合 (CHX,OCT,臭氧,NaOCl) 与超声波动.
- 术后疼痛使用视觉模拟尺度 (VAS) 在多个时间点评估,最长为7天.
主要成果:
- 没有患者相关的变量显著影响了术后疼痛.
- 在0.1%的臭氧化酸盐 (OOCTH) 和2%的臭氧化酸盐 (OCHXH) 组中,VAS得分在统计学上显著降低.
- 在6小时内,在2%的臭氧化CHX没有NaOCl (OCHX) 组中观察到最高的VAS得分,其次是0.1%的臭氧化OCT没有NaOCl (OOCT).
结论:
- 一次性非手术性牙周再处理,使用臭氧化丁或赫西丁与酸盐灌一起,有效地减少术后疼痛.
- 这些发现表明,臭氧化灌剂,特别是含有低酸的臭氧化灌剂,在症状性顶端牙周炎的SV NSER中为疼痛管理提供了优越的方法.
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