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不均匀静磁场对人类牙痛的影响。

Effect of inhomogeneous static magnetic field on dental pain in humans.

机构信息

Section for Mathematics, Hungarian Academy of Sciences, Budapest, Nádor u. 7, Hungary.

出版信息

Clin J Pain. 2010 Jan;26(1):49-55. doi: 10.1097/AJP.0b013e3181b511d5.

Abstract

OBJECTIVES

The aim of this study was to evaluate the pain-inhibitory effect of inhomogeneous static magnetic field (SMF, 0 to 192 mT peak-to-peak magnetic flux density and 19 T/m lateral gradient) exposure on dental pain associated with dentine sensitivity by the quantification of sensory and affective aspects.

METHODS

(1) 0 to 10 numerical rating visual analogue scale (NRS) in the first minute of dental treatment following 30 minutes SMF exposure (uncontrolled), and (2) tolerance threshold measurement (TTM) with the help of a pulp meter showing values from 0 to 80 in arbitrary units (step width 10 unit) before and after 30 minutes SMF exposure in 2 sessions: SMF and sham exposure (randomized, double-blind, placebo-controlled). Altogether 59 adult patients (26 males+33 females) representing 62 cases with a mean age of 43.6 years (73% between 20 and 50 y) participated.

RESULTS

SMF failed to significantly reduce pain perception in the NRS group and to enhance tolerance threshold in the TTM group.

DISCUSSION

Common dental disorders often involve an inflammatory state in the oral environment. Although the relatively low participant number and the uncontrolled manner in case of the NRS examination did not allow drawing unambiguous consequences, it seemed that SMF did not have an effect on healthy patients. The only potential candidate for an effect was, when an inflammatory situation occurred at (or under) the place, where the SMF exposure was targeted. In our case the male participants with caries responded most positively on the SMF treatment.

摘要

目的

本研究旨在通过量化感觉和情感方面,评估非均匀静磁场(SMF,峰值到峰值磁通密度为 0 至 192mT,横向梯度为 19T/m)暴露对与牙本质敏感相关的牙痛的镇痛作用。

方法

(1)在 30 分钟 SMF 暴露后(未控制)的牙治疗的前 1 分钟内使用 0 至 10 数字评定视觉模拟量表(NRS),(2)在 2 个疗程(SMF 和假暴露,随机、双盲、安慰剂对照)中使用牙髓测量仪进行 30 分钟 SMF 暴露前后的痛觉阈测量(TTM),显示的数值为 0 至 80 个任意单位(步宽为 10 个单位)。共有 59 名成年患者(26 名男性+33 名女性),代表 62 例患者,平均年龄为 43.6 岁(73%为 20 至 50 岁)。

结果

SMF 未能显著降低 NRS 组的疼痛感知,也未能提高 TTM 组的耐受阈值。

讨论

常见的牙科疾病通常涉及口腔环境中的炎症状态。尽管 NRS 检查的相对低参与者数量和未控制方式不允许得出明确的结论,但 SMF 似乎对健康患者没有影响。唯一可能的候选者是当炎症情况发生在(或在)SMF 暴露的目标部位时。在我们的情况下,患有龋齿的男性参与者对 SMF 治疗的反应最为积极。

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