四种基于酸盐的密封剂和密封剂挤出剂对术后疼痛的影响:一项随机临床试验
Gisèle Chalhoub1, Roula El Hachem1, Sabine Al Jalbout1
1Department of Endodontics, Faculty of Dental Medicine, Saint- Joseph University of Beirut, Beirut, Lebanon.
Journal of conservative dentistry and endodontics
|December 1, 2025
概括
这项研究发现,虽然所有基于酸的密封剂随着时间的推移减少了术后疼痛,但Bio-C密封剂提供了最快的缓解. 密封器挤出没有影响疼痛水平.
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:
- 手术后疼痛 (POP) 是根管治疗后的一个常见问题.
- 基于酸的密封剂越来越多地用于内牙治疗.
研究的目的:
- 为了比较四种基于酸盐的密封剂在治疗术后疼痛方面的疗效.
- 为了评估密封器挤出对术后疼痛的影响.
主要方法:
- 包括42名在下牙上接受生命脉治疗的患者.
- 四个密封器 (TotalFill BC,Bio-C,AH Plus BC,K-sealer) 被用于封闭.
- 在多个时间点使用视觉模拟量表 (VAS) 评估术后疼痛,并在7天后进行打击力测试.
主要成果:
- 随着时间的推移,所有组的VAS得分都显著下降.
- 生物-C密封剂在24小时内显示了POP的最快降低,其次是AH Plus BC,K-sealer和TotalFill BC.
- 在密封器类型和打击力测试结果之间发现了显著的相关性,TotalFill BC显示出最好的改善.
- 密封器挤出没有显著影响术后疼痛或打击力测试结果.
结论:
- 所有经过测试的基于酸盐的密封剂都有效地减少了随着时间的推移后手术疼痛.
- 生物-C密封剂证明了最快的疼痛减轻.
- 在打击力测试结果中,TotalFill BC密封剂与最显著的改善有关.
- 不故意的密封器挤出似乎没有影响术后疼痛.
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