使用旋转和反转动力学进行一次性根管治疗后对术后疼痛的前性比较研究
Muhammet Emin Çağlan1, Fatma Pertek Hatipoğlu1, Ömer Hatipoğlu2
1Department of Endodontics, Recep Tayyip Erdoğan University, Rize, Türkiye.
Odontology
|January 27, 2026
概括
使用连续旋转文件 (SRN) 的单次访问根管治疗导致手术后的疼痛比第三天的反复旋转文件 (TeM) 减少. 虽然这两种系统都随着时间的推移减轻了疼痛,但SRN在早期恢复和减少止痛需求方面显示出适度的益处.
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
- 临床牙科 临床牙科
背景情况:
- 手术后的疼痛是内牙科手术后的一个常见问题.
- 有不同的动力运动的旋转文件系统用于根管治疗.
- 对比这些系统的临床结果对于患者管理至关重要.
研究的目的:
- 为了比较一次访问根管治疗后的术后疼痛和止痛药消耗,使用互换 (TeM) 与连续旋转 (SRN) 文件系统.
- 在多个时间点使用视觉模拟量表 (VAS) 评估疼痛强度.
- 评估患者实现显著疼痛减轻的比例.
主要方法:
- 一项前性临床研究涉及121名患有重要下前的患者.
- 用TeM或SRN系统替代,非随机分配到单次访问根管治疗.
- 主要结局:VAS疼痛分数在第3天;次要结局:VAS分数在1,5,7天,和止痛药的使用.
主要成果:
- 随着时间的推移,疼痛强度在两组中都显著下降 (p < 0.001).
- 与SRN组 (3.39) 相比,TeM组在术后第3天 (8.31) 报告了较高的疼痛得分 (p = 0.019).
- 在TeM组中,有12.9%的人报告使用止痛药,而在SRN组中为0% (p = 0.004).
结论:
- 互旋和连续旋转系统都能有效地减少一次性内牙治疗后的术后疼痛.
- 在第3天观察到一种适度的,短暂的疼痛差异,有利于连续旋转系统 (SRN).
- 该SRN系统在第3天显示出更高比例的无疼痛患者,这表明早期的术后体验可能更好.
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