Ertan Tülin, Sahinkesen Güneş, Tunca Yaşar Meriç
Turkish Naval Headquarters Infirmary, Ankara, Turkey.
Agri. 2010 Oct;22(4):159-64.
The control of postoperative pain is very important for the success of root canal treatment. The aim of this study was to research the factors that affect pain periods and pain intensity during and after endodontic treatment.
The study included 128 patients. The teeth were grouped according to their type, location and vitality. Root canals were prepared by Hero-shaper and crown-down methods, and filled by lateral condensation. The postoperative 12th hour and postoperative 1st, 3rd, 7th and 15th day Visual Analog Scales (VAS) scores of the patients were recorded and analyzed by statistical methods.
After treatment, the postoperative pain scores were statistically higher in devital than vital teeth. VAS pain score demonstrated statistical differences at the beginning of the treatment between anterior and molar teeth (p=0.012) and also at 3, 7 and 15 days after treatment between premolar and molar teeth (p=0.002, p=0.006, p=0.048, respectively). According to the localization of teeth, on the 3rd, 7th and 15th postoperative days, VAS scores were the highest in the mandibular teeth (p=0.014, p=0.036, p=0.023).
In postoperative pain evaluation, type, localization and vitality of teeth were determined as important. In addition, analysis of the factors that affect treatment as a whole will positively impact the issues of patient satisfaction, workload and cost.
术后疼痛控制对于根管治疗的成功非常重要。本研究的目的是探究影响牙髓治疗期间及术后疼痛持续时间和疼痛强度的因素。
该研究纳入了128例患者。牙齿根据其类型、位置和活力进行分组。采用Hero-shaper和冠向下法预备根管，侧方加压充填。记录患者术后第12小时以及术后第1、3、7和15天的视觉模拟评分（VAS），并采用统计学方法进行分析。
治疗后，失活牙的术后疼痛评分在统计学上高于活髓牙。VAS疼痛评分在治疗开始时前牙和磨牙之间存在统计学差异（p = 0.012），在治疗后第3、7和15天前磨牙和磨牙之间也存在统计学差异（分别为p = 0.002、p = 0.006、p = 0.048）。根据牙齿的位置，在术后第3、7和15天，下颌牙的VAS评分最高（p = 0.014、p = 0.036、p = 0.023）。
在术后疼痛评估中，牙齿的类型、位置和活力被确定为重要因素。此外，对影响整个治疗的因素进行分析将对患者满意度、工作量和成本等问题产生积极影响。
