闭塞缩减对症状和无症状牙的术后疼痛的影响
Aysenur Kamacı Esen1, Fatma Furuncuoğlu2, Fatima Betul Basturk3
1Department of Endodontics, Sakarya University, Sakarya, Türkiye. a.kamaci@windowslive.com.
Acta odontologica Scandinavica
|June 11, 2025
概括
单次访问的根管治疗与封闭性减少没有显著影响症状或无症状牙的术后疼痛. 疼痛水平通常很低,并且随着时间的推移,症状患者的疼痛水平会降低.
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.
- 在根管治疗期间,有时会进行闭塞缩小,以控制闭塞力.
研究的目的:
- 为了比较一次性根运河治疗后的术后疼痛强度,有或没有闭塞性减少.
- 为了评估症状和无症状牙的疼痛.
主要方法:
- 一个前性,单盲,随机的临床试验,涉及140名接受一次性根管治疗的患者.
- 患者被分配到具有或没有闭塞性减少的组.
- 疼痛被评估使用口头评分表在治疗后的1,3,7天.
主要成果:
- 整体而言,手术后疼痛强度很低.
- 与无症状患者相比,有症状的患者在第一天报告疼痛明显增加 (p < 0.008).
- 与没有减少的无症状患者 (p <0.011) 相比,在第3天具有闭塞性减少的症状患者显示疼痛发生率增加.
结论:
- 单次访问的根管治疗与封闭性减少并没有显著影响症状或无症状的术后疼痛.
- 在有症状的患者中,疼痛发生率随着时间的推移而下降.
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