在一次性牙中使用不同仪器进行根管准备后的术后疼痛:系统性审查和元分析
Kavalipurapu Venkata Teja1, Kaligotla Apoorva Vasundhara2, Gianrico Spagnuolo3
1Department of Conservative Dentistry & Endodontics, Mamata Institute of Dental Sciences, Hyderabad, Telangana, India.
Clinical and experimental dental research
|July 24, 2025
概括
机械仪器,特别是旋转- (NiTi) 系统,与手工方法相比,在初级牙切除术后显著减少术后疼痛. 这种方法也减少了治疗时间,保护了重要的母牙.
科学领域:
- 牙周内科医院 牙周内科医院 牙周内科医院
- 儿科牙科 儿科牙科
背景情况:
- 经手术后的疼痛是主要牙的肺切除术后的一个常见问题.
- 有效的疼痛管理对于成功治疗和患者舒适至关重要.
研究的目的:
- 系统地审查和元分析各种仪器系统在减少手术后的疼痛后的初级牙切除术后的有效性.
- 为了比较手动与机械仪器仪表技术的减痛效果.
主要方法:
- 按照PRISMA指南进行系统审查和元分析.
- 使用MeSH术语进行全面的数据库搜索,包括到2024年11月的研究.
- 使用Cochrane偏差风险 (RoB 2) 工具进行质量评估和偏差风险评估.
主要成果:
- 包含11项研究进行了定性评估,其中7项正在进行定量元分析.
- 与手动系统相比,机械仪器仪表系统显示出优越的整体疼痛减轻效果.
- 在手术后6小时和12小时观察到统计学上显著的疼痛减轻 (p < 0.01).
结论:
- 旋转- (NiTi) 仪器仪表系统在减少手术后的疼痛方面更有效.
- 机械仪器的好处不仅仅是治疗时间的缩短,还包括减少疼痛的发生率,支持其用于保存母牙.
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