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三种不同的尖端牙对牙术后疼痛的作用:一个前性临床研究
Fei Zhai1, Haiying Zhang1, Chen Zhang2
1Department of Endodontics, Beijing Stomatological Hospital, Capital Medical University, No. 9 Fanjiacun Road, Beijing, Fengtai District, 100070, China.
Head & face medicine
|July 21, 2025
概括
通过在有症状的病例中将顶顶端距离顶顶孔 (AF) 短0.5毫米,而在无症状病例中则短1.0毫米,从而优化根管准备,可显著减少术后疼痛并提高患者舒适度.
科学领域:
- 牙周内科医院 牙周内科医院 牙周内科医院
- 牙科手术 牙科手术
- 疼痛管理 疼痛管理
背景情况:
- 根管制备的顶端端对于最小化术后疼痛至关重要.
- 根管制备的最佳终结点仍在争论中.
- 无法逆转的胸膜炎在治疗术后疼痛方面存在挑战.
研究的目的:
- 评估三种不同的顶端对手术后疼痛的影响.
- 为了评估不同深度的尖端制剂在牙中具有不可逆转的脉炎的疗效.
- 为了确定最佳的顶端终点,以减少根管治疗后的疼痛.
主要方法:
- 一项前性临床研究,涉及128名患有不可逆转的脉炎的患者.
- 根运河准备,在顶孔 (AF) 进行顶端末,短0.5毫米或短1.0毫米.
- 疼痛强度用9个时间点的11点数值评分表 (NRS-11) 测量;数据用重复测量ANOVA分析.
主要成果:
- 对于无症状的不可逆转的胸膜炎,在AF的1.0毫米之外,与AF相比,在72小时内显著减少了疼痛.
- 对于中度的手术前疼痛,距离AF0.5毫米短的AF显示疼痛得分始终较低,并在1周内完全消除疼痛.
- 对于轻度的手术前疼痛,距离AF不足0.5毫米,导致较少的患者在24小时后报告疼痛增加.
结论:
- 在有症状的不可逆转脉时,将顶端距离AF短0.5毫米,在无症状的情况下短1.0毫米,在减轻疼痛方面最有效.
- 根据脉状况量身定制顶端准备深度,优化了患者的舒适度.
- 基于脉状况的个性化内牙护理可以改善根管治疗的结果.
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