非手术根管治疗可能会降低治疗后 1 天内牙髓来源疼痛的发生率和严重程度，并在 7 天内将其降低到轻微程度。

Nonsurgical root canal treatment may reduce the prevalence and severity of pain of endodontic origin within 1 day following treatment and substantially to minimal levels in 7 days.

机构信息

Department of Biological and Diagnostic Sciences, Discipline of Dental Public Health, Faculty of Dentistry, University of Toronto, 124 Edward Street, Toronto, ON, Canada.

出版信息

J Evid Based Dent Pract. 2012 Mar;12(1):12-3. doi: 10.1016/j.jebdp.2011.12.006.

DOI:10.1016/j.jebdp.2011.12.006

Abstract

PURPOSE/QUESTION: To determine the influence of root canal treatment on pain prevalence and severity and estimate the prevalence and severity of pretreatment, treatment, and posttreatment pain in patients receiving nonsurgical root canal treatment.

SOURCE OF FUNDING

The University of California, Los Angeles, Section of Endodontics.

TYPE OF STUDY/DESIGN: Systematic review with meta-analysis of data.

LEVEL OF EVIDENCE

Level 2: Limited-quality, patient-oriented evidence.

STRENGTH OF RECOMMENDATION GRADE

Grade B: Inconsistent or limited-quality patient-oriented evidence.

摘要

目的/问题：确定根管治疗对疼痛发生率和严重程度的影响，并估计接受非手术根管治疗的患者在治疗前、治疗中和治疗后疼痛的发生率和严重程度。

资金来源

加州大学洛杉矶分校牙髓病学科。

研究类型/设计：对数据进行系统评价和荟萃分析。

证据水平

2 级：质量有限、以患者为中心的证据。

推荐强度等级

B 级：不一致或有限质量的以患者为中心的证据。

相似文献

1

Nonsurgical root canal treatment may reduce the prevalence and severity of pain of endodontic origin within 1 day following treatment and substantially to minimal levels in 7 days.非手术根管治疗可能会降低治疗后 1 天内牙髓来源疼痛的发生率和严重程度，并在 7 天内将其降低到轻微程度。

J Evid Based Dent Pract. 2012 Mar;12(1):12-3. doi: 10.1016/j.jebdp.2011.12.006.

2

Only a small percentage of patients experience persistent pain for more than 6 months after root canal therapy.只有一小部分患者在根管治疗后会持续疼痛超过 6 个月。

J Evid Based Dent Pract. 2010 Dec;10(4):235-6. doi: 10.1016/j.jebdp.2010.09.001.

3

Pain prevalence and severity before, during, and after root canal treatment: a systematic review.根管治疗前后的疼痛发生率和严重程度：系统评价。

J Endod. 2011 Apr;37(4):429-38. doi: 10.1016/j.joen.2010.12.016.

4

Acupuncture may be no more effective than sham acupuncture in treating temporomandibular joint disorders.针刺可能与假针刺治疗颞下颌关节紊乱的效果一样。

J Evid Based Dent Pract. 2012 Mar;12(1):2-4. doi: 10.1016/j.jebdp.2011.12.001.

5

Evidence is weak that the use of tissue regenerative membranes may improve class II molar furcation defects over open-flap debridement alone.证据表明，与单独使用翻瓣清创术相比，使用组织再生膜可能无法改善 II 类磨牙分叉缺损。

J Evid Based Dent Pract. 2012 Mar;12(1):10-1. doi: 10.1016/j.jebdp.2011.12.005.

6

Calcium hydroxide or mineral trioxide aggregate may be used for the apexification of immature teeth.氢氧化钙或三氧化矿物凝聚体可用作未成熟恒牙的根尖诱导成形术。

J Evid Based Dent Pract. 2012 Mar;12(1):24-5. doi: 10.1016/j.jebdp.2011.12.012.

7

Platelet-rich plasma has no additional benefit during guided tissue regeneration procedure to significantly improve clinical attachment gains in the treatment of periodontal intrabony defects.富血小板血浆在引导组织再生程序中没有额外的益处，不能显著改善牙周内骨缺损治疗中的临床附着获得。

J Evid Based Dent Pract. 2012 Mar;12(1):5-7. doi: 10.1016/j.jebdp.2011.12.003.

8

Administration of articaine anesthesia may lead to superior profound pulpal anesthesia compared with lidocaine in adult patients.在成年患者中，相较于利多卡因，阿替卡因麻醉的管理可能会导致更显著的牙髓麻醉效果。

J Evid Based Dent Pract. 2011 Dec;11(4):183-4. doi: 10.1016/j.jebdp.2011.09.007.

9

Survival of short implants is improved with greater implant length, placement in the mandible compared with the maxilla, and in nonsmokers.短种植体的存活率随着种植体长度的增加、在下颌骨中的植入位置优于上颌骨以及在不吸烟者中而提高。

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10

The effectiveness of lasers to reduce dentinal hypersensitivity remains unclear.激光治疗牙本质过敏症的疗效尚不清楚。

J Evid Based Dent Pract. 2011 Dec;11(4):178-9. doi: 10.1016/j.jebdp.2011.09.009.

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