单次就诊根管治疗的单根牙和多根牙疼痛评估

Evaluation of pain in single and multi rooted teeth treated in single visit endodontic therapy.

作者信息

Raju T B V G, Seshadri Abitha, Vamsipavani B, Abhilash K, Subhash A V, Kumari K V Halini

机构信息

Department of Conservative Dentistry, Sree Sai Dental College, Srikakulam, Andhra Pradesh, India.

Department of Oral Medicine, Diagnosis and Radiology, Sree Sai Dental College, Srikakulam, Andhra Pradesh, India.

出版信息

J Int Oral Health. 2014 Feb;6(1):27-32. Epub 2014 Feb 26.

PMID:24653599

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3959133/

Abstract

BACKGROUND

The incidence of post-operative pain was compared following single-visit canal treatment in single- and multi-rooted teeth, with and without periapical radiolucency. The article also reviews the issues of postoperative pain and healing, following single-visit and multi-visit endodontic therapy. Single-visit endodontic therapy (SVE) was performed in 50 single-rooted teeth and 60 multiple-rooted teeth.

MATERIALS & METHODS: Single-visit endodontic therapy (SVE) was performed in 50 single-rooted teeth and 60 multiple-rooted teeth. The subjects were divided as follows: Group I -Single-rooted teeth with periapical radiolucency (n=25); Group II-Single-rooted teeth without periapical radiolucency (n=25); Group III-Multiple-rooted teeth with periapical radiolucency (n=30); and Group IV-Multiple-rooted teeth without periapical radiolucency (n=30). Assessment of postoperative pain was done at 24hrs, 3 days and 1 week using a self report questionnaire. The data was analyzed using non-parametric Kruskal -Wallis test.

RESULTS

No statistically significant difference was observed in postoperative pain following SVE between the single-rooted and multiple-rooted teeth groups at 24hrs, 3 days and 1 week. The presence or absence of periapical radiolucency had no significant influence on the incidence of reported postoperative pain following SVE.

CONCLUSION

There was no difference in incidence of pain in single rooted teeth and multi-rooted teeth with and without periapical radiolucencies following SVE. Thus, incidence of post-operative pain does not seem to be a valid comparison criterion between single- and multiple-visit endodontic therapies. Also, the literature suggests similar success rates with single-visit and multiple-visit root canal treatment. How to cite the article: Raju TB, Seshadri A, Vamsipavani B, Abhilash K, Subhash AV, Kumari KV. Evaluation of Pain in Single and Multi Rooted Teeth Treated in Single Visit Endodontic Therapy. J Int Oral Health 2014;6(1):27-32.

摘要

背景

比较单根牙和多根牙单次就诊根管治疗后，有无根尖周透射影情况下的术后疼痛发生率。本文还回顾了单次就诊和多次就诊牙髓治疗后的术后疼痛及愈合问题。对50颗单根牙和60颗多根牙进行了单次就诊牙髓治疗（SVE）。

材料与方法

对50颗单根牙和60颗多根牙进行单次就诊牙髓治疗（SVE）。受试者分为以下几组：第一组——有根尖周透射影的单根牙（n = 25）；第二组——无根尖周透射影的单根牙（n = 25）；第三组——有根尖周透射影的多根牙（n = 30）；第四组——无根尖周透射影的多根牙（n = 30）。使用自我报告问卷在术后24小时、3天和1周对术后疼痛进行评估。采用非参数Kruskal - Wallis检验对数据进行分析。

结果

在术后24小时、3天和1周时，单根牙组和多根牙组在单次就诊根管治疗后的术后疼痛方面未观察到统计学上的显著差异。根尖周透射影的有无对单次就诊根管治疗后报告的术后疼痛发生率没有显著影响。

结论

单次就诊根管治疗后，有或无根尖周透射影的单根牙和多根牙的疼痛发生率没有差异。因此，术后疼痛发生率似乎不是单次就诊和多次就诊牙髓治疗之间有效的比较标准。此外，文献表明单次就诊和多次就诊根管治疗的成功率相似。如何引用本文：Raju TB, Seshadri A, Vamsipavani B, Abhilash K, Subhash AV, Kumari KV. Evaluation of Pain in Single and Multi Rooted Teeth Treated in Single Visit Endodontic Therapy. J Int Oral Health 2014;6(1):27 - 32.