激光可以比超声波更有助于减少根管后疼痛吗?
1Department of Conservative Dentistry & Endodontics, Institute of Dental Sciences, Siksha 'O' Anusandhan University, Bhubaneswar, India. loramishra@soa.ac.in.
Evidence-based dentistry
|January 27, 2026
概括
激光激活灌 (LAI) 与内牙科中的超声波激活 (UAI) 相比,提供了更大的短期术后疼痛减轻. 然而,由于成本和可访问性,超声波激活仍然是一个实际的标准.
科学领域:
- 牙周内科医院 牙周内科医院 牙周内科医院
- 牙科技术 牙科技术
- 疼痛管理 疼痛管理
背景情况:
- 手术后的疼痛是内牙治疗后的一个常见问题.
- 超声波激活 (UAI) 是一种用于灌剂激活的标准方法.
- 激光激活灌 (LAI) 是一种新兴技术,具有潜在的好处.
研究的目的:
- 系统地审查和对随机对照试验进行元分析,比较LAI和UAI用于内牙科的术后疼痛减轻.
- 评估LAI内部不同激光模式的疗效.
主要方法:
- 7项随机对照试验 (490颗牙) 的系统综述和元分析.
- 包括的研究比较了LAI与UAI与术后视觉模拟尺度 (VAS) 疼痛测量.
- 使用随机效应建模,子组分析和GRADE确定性评估分析数据.
主要成果:
- 与UAI相比,LAI在多个时间点显示患者报告的疼痛减少得更大.
- 用LAI治疗的最显著的疼痛缓解是在治疗后24-48小时观察到的.
- 脉冲Er:YAG激光系统 (PIPS,SWEEPS) 显示了最高的止痛效果;二极管激光器提供了最小的益处. 发现了很高的异质性.
结论:
- LAI,特别是基于Er:YAG的系统,在内牙科中提供可测量的短期术后疼痛缓解.
- 尽管有好处,但由于成本和可访问性,不建议LAI作为UAI的常规替代品.
- 在典型的牙科实践中,UAI仍然是灌剂激活的有效和务实的标准.
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