在接受切除术的患者中,术后疼痛和愈合:技术的比较研究
Sneha A Patil1, Sunita Shivanand2, Rukhsar Rizwan3
1Department of Conservative Dentistry and Endodontics, KLE VK Institute of Dental Sciences, KLE Academy of Higher Education and Research, Belgaum, Karnataka, India.
Journal of pharmacy & bioallied sciences
|October 30, 2025
概括
使用矿物三氧化聚合物 (MTA) 逆行填充的子切除术显著减少疼痛,并与没有填充的手术相比改善骨愈合. 这种外科手术技术提高了患者在内牙科再治疗中的结果.
科学领域:
- 牙内膜外科手术 牙内膜外科手术
- 在口腔外科手术.
- 恢复性牙科 恢复性牙科
背景情况:
- 子切除术是根管治疗失败后的外科重新治疗.
- 手术后的结果取决于手术技术,如带或不带逆行填充的根末切除.
- 优化切除术技术对于患者的康复和愈合至关重要.
研究的目的:
- 使用两种技术,比较手术后的疼痛和修复率.
- 为了确定MTA反向填充与没有填充的有效性.
- 确定最佳的切除术方法,以改善患者的治疗结果.
主要方法:
- 100名接受切除术的患者被随机分为两组.
- 组A:根末切除与MTA逆行填充. 组B:根末切除,没有填充.
- 通过VAS评估疼痛;在六个月内通过X射线评估愈合.
主要成果:
- 组A报告24小时7天后疼痛明显减少 (P<0.05).
- 放射分析显示,A组的骨再生速度更快.
- 在六个月后观察到治愈的统计学上显著差异 (P < 0.01).
结论:
- 使用MTA逆行填充的子切除术显著减少了手术后的疼痛.
- 这种技术提高了骨的愈合和再生,与没有填充的apicoectomy相比.
- 逆行填充MTA是一种优越的方法,可以改善切除术的结果.
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