Conservative Dentistry Division, Department of Oral Rehabilitation, Faculty of Dentistry, University of Khartoum, Khartoum, Sudan.
J Endod. 2010 Jan;36(1):36-9. doi: 10.1016/j.joen.2009.09.003.
The purpose of the present study was to evaluate postoperative pain after root canal treatment at the Department of Conservative Dentistry, Faculty of Dentistry, University of Khartoum, Sudan.
Two hundred thirty-four patients were included in this study; age range was 18-62 years. Conventional endodontic treatment was carried out in the included teeth by the undergraduate dental students in a single visit or multiple visits. The chemomechanical preparation of root canals was done by a modified double-flared technique with combination of hand instruments. Postoperative pain was recorded by each patient by using visual analogue scale in well-defined categories at 2 time intervals, 12 hours and 24 hours.
Data were analyzed with the chi(2) test. The overall incidence of postoperative pain was 9.0% after 12 hours and 24 hours. Postoperative pain developed in 15.9% of the patients with history of preoperative pain, whereas 7.1% had postoperative pain among those without history of preoperative pain. There was no significant difference in postoperative pain between single-visit and multiple-visit root canal treatment (RCT).
Within the limitations of the present study there was a low incidence of postoperative pain after conventional RCT. No significant difference exists in postoperative pain after single-visit or multiple-visit RCT.
本研究的目的是评估苏丹喀土穆大学牙科学院牙髓病科根管治疗后的术后疼痛。
本研究纳入了 234 名患者;年龄在 18-62 岁之间。本科牙科学生在单次或多次就诊中对纳入的牙齿进行常规根管治疗。使用改良的双喇叭技术和手动器械联合进行根管的化学机械预备。术后疼痛由每位患者在明确的时间间隔(12 小时和 24 小时)使用视觉模拟评分法进行记录。
采用卡方检验对数据进行分析。术后 12 小时和 24 小时的总体术后疼痛发生率为 9.0%。有术前疼痛史的患者中,术后疼痛发生率为 15.9%,而无术前疼痛史的患者中,术后疼痛发生率为 7.1%。单次就诊和多次就诊根管治疗的术后疼痛无显著差异。
在本研究的限制范围内,常规根管治疗后术后疼痛发生率较低。单次就诊或多次就诊根管治疗后的术后疼痛无显著差异。