使用TruNatomy和Reciproc Blue在一次性根管治疗中滑动路线准备对术后疼痛的影响:一项随机临床试验
Fatima Siddiqui1, Sajid Ali1, Huma Iftekhar1
1Department of Conservative Dentistry and Endodontics, Dr. Ziauddin Ahmad Dental College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.
Journal of conservative dentistry and endodontics
|December 24, 2025
概括
这项研究比较了手动与机械滑动路径准备用于根管治疗. 机械滑行路线准备在12小时后显示疼痛略低,但整体疼痛在方法之间是可比的.
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问题.
- 滑动路径的准备是现代内牙科手术中的关键步骤.
- - (NiTi) 文件系统为根运河制备提供各种机械性能.
研究的目的:
- 为了比较手动与发动机驱动滑翔路径准备对术后疼痛的影响.
- 为了评估与两个NiTi文件系统相关的疼痛水平:TruNatomy和Reciproc Blue.
- 评估滑动路径技术在一次性根管治疗后对疼痛的影响.
主要方法:
- 140个无症状,牙的牙接受了一次性根管治疗.
- 根据NiTi文件系统 (TruNatomy或 Reciproc Blue) 和滑动路径方法 (手动或机动) 将牙分为四组.
- 疼痛强度使用视觉模拟量表 (VAS) 在治疗后6小时,12小时,24小时和48小时进行测量.
主要成果:
- 相反的仪器 (II组) 在12小时内显示出明显较低的VAS分数,相比于使用发动机驱动的滑翔路径时的旋转仪器 (I组) (P=0.033).
- 在没有互换仪器的情况下,手动和发动机驱动的滑翔路径组之间没有发现术后疼痛的显著差异.
- 止痛药的消费在所有实验小组中都是相似的,表明整体疼痛管理是可比的.
结论:
- 一次性根管治疗后的术后疼痛在48小时内在旋转和反转的NiTi系统之间是可比的.
- 反复仪器仪表在12小时的标志上显示了疼痛减轻的轻微优势.
- 滑行路径准备技术 (手动 vs 机动) 并没有显著影响整体术后疼痛,提供临床灵活性.
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