工作长度确定方法对根管治疗后的术后疼痛的影响:系统性审查和元分析
Gaurav Kumar1, Sumit Mohan1, Butta Viswanath1
1Dental Institute, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.
Journal of dental anesthesia and pain medicine
|August 11, 2025
概括
使用电子顶部定位器同时确定工作长度可能会减少根管治疗疼痛. 然而,由于当前研究的显著异质性,需要更多高质量的研究.
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
背景情况:
- 手术后的疼痛是根管治疗后的一个常见并发症.
- 准确的工作长度的确定对于成功的内牙治疗至关重要.
研究的目的:
- 系统地审查和评估不同工作长度确定方法对根管治疗后术后疼痛的影响.
- 为了比较同步与单独的工作长度确定技术.
主要方法:
- 对随机临床试验的三个电子数据库进行了系统的文献搜索.
- 数据提取和偏差风险评估由两个审稿人独立进行.
- 一个随机效应模型元分析被用于定量合成.
主要成果:
- 在定性审查中包括了七项研究,在元分析中包括了三项研究.
- 使用集成电子顶部定位器同时确定工作长度显示,在减少术后疼痛方面具有潜在的优势.
- 在包括的研究中观察到大量的异质性,限制了最终的结论.
结论:
- 集成的电子顶部定位器用于同时确定工作长度可能会减少手术后的疼痛.
- 进一步进行高质量的随机临床试验,采用大样本大小和标准化方案,对于证实这些发现至关重要.
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