在死牙的根管治疗一次或多次访问后的术后疼痛
Dinesh Govinda Kamath1, Blesy Koshy Varughese1, Treesa William Gomez1
1Department of Conservative Dentistry & Endodontics, Indira Gandhi Institute of Dental Sciences, Nellikuzhi, Kothamangalam, Ernakulam, Kerala, India.
Bioinformation
|October 31, 2025
概括
单次访问的内牙治疗与多次访问的治疗一样有效,用于控制死牙的术后疼痛. 这项随机临床试验在两种方法之间没有发现显著的疼痛差异.
科学领域:
- 牙科 牙科是指牙科的专业.
- 牙周内科医院 牙周内科医院 牙周内科医院
- 疼痛管理 疼痛管理
背景情况:
- 手术后的疼痛是根管治疗死牙后的一个重要问题.
- 对于内牙科手术的最佳治疗次数仍在争论中.
- 有效的疼痛管理对于患者的满意度和治疗成功至关重要.
研究的目的:
- 为了比较一次性和多次性内牙治疗之间的术后疼痛结果.
- 评估一次性根管疗法在治疗疼痛方面的疗效.
- 为了提供基于证据的指导,关于内牙手术的访问数量.
主要方法:
- 一项随机临床试验,涉及80名患者,他们接受了为死牙的根管治疗.
- 患者接受一次性治疗与多次性治疗之间的疼痛水平的比较.
- 在术后6,24,48,72小时使用视觉模拟尺度进行疼痛评估.
主要成果:
- 单次访问和多次访问的内牙治疗都显示了术后疼痛的逐渐下降.
- 在任何评估时间点,两组治疗组之间没有观察到统计学上显著的疼痛水平差异.
- 视觉模拟量表表明,对于这两种方案来说,疼痛体验是可比的.
结论:
- 单次访问内牙治疗是治疗术后疼痛的可行和有效替代多次访问协议.
- 治疗次数似乎没有显著影响死牙的术后疼痛水平.
- 这些发现支持考虑一次性内牙治疗,以改善患者的舒适性,而不会影响疼痛管理.
相关概念视频
Local Anesthetics: Adverse Effects
745
While local anesthetics are generally safe and well-tolerated, they can occasionally cause adverse effects that vary in severity. Local anesthetics can induce toxicity at two distinct levels. They can either produce local effects through direct contact with the neural elements or be absorbed into the bloodstream from the injection site, leading to systemic effects.
Once absorbed into the systemic circulation, local anesthetics can affect the organs that depend on the functioning of sodium...
Once absorbed into the systemic circulation, local anesthetics can affect the organs that depend on the functioning of sodium...
745
Blood and Nerve Supply to the Bones
13.5K
Bones are dynamic organs that require a rich supply of oxygen and nutrients. Around 5% to 10% of the cardiac output supplies blood to the bones. A typical long bone has three main sources: the nutrient artery, the metaphyseal and epiphyseal arteries, and the periosteal arteries.
Nutrient Artery
The nutrient artery is the main blood vessel that enters the diaphysis via the nutrient foramen. While most long bones have only one nutrient foramen, large bones, such as the femur, may have two. This...
Nutrient Artery
The nutrient artery is the main blood vessel that enters the diaphysis via the nutrient foramen. While most long bones have only one nutrient foramen, large bones, such as the femur, may have two. This...
13.5K
Local Anesthetics: Clinical Application as Epidural Anesthesia
682
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
682
Peripheral Artery Disease V: Postoperative Nursing Management
365
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
365
Tonsillitis II: Management
391
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
391
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
534
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
534


