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基于术者经验比较使用往复式器械进行根管治疗后的术后疼痛:一项前瞻性临床研究。

Comparison of postoperative pain after root canal treatment using reciprocating instruments based on operator's experience: A prospective clinical study.

作者信息

García-Font Marc, Duran-Sindreu Fernando, Calvo Carmen, Basilio Juan, Abella Fransesc, Ali Akram, Roig Miguel, Olivieri Juan-Gonzalo

机构信息

Department of Restorative Dentistry and Endodontics, Universitat Internacional de Catalunya, Barcelona, Spain.

Department of Integrated Dentistry, Universitat Internacional de Catalunya, Barcelona, Spain.

出版信息

J Clin Exp Dent. 2017 Jul 1;9(7):e869-e874. doi: 10.4317/jced.54037. eCollection 2017 Jul.

Abstract

BACKGROUND

The aim of the present study was to compare clinically the incidence of postoperative pain after endodontic treatment using the Reciproc System, taking into account the operator's experience.

MATERIAL AND METHODS

One hundred patients scheduled for routine endodontic treatment were enrolled in this study. Endodontic treatment was carried out in a single visit by undergraduate and postgraduate students. The chemomechanical preparation of root canals was performed with Reciproc instruments. Pretreatment and postoperative pain was recorded using a visual analogue scale (VAS). Postoperative pain and the need for analgesic consumption were assessed at 4, 8, 16, 24, 48 and 72 hours post-treatment. The data were analyzed using the Mann-Whitney U and Chi-Square test, and the significance was set at <0.05.

RESULTS

The mean value of pain after root canal treatment was 1.13±1.94 and 1.91±2.07 on a VAS between 0 and 10 in treatments performed by undergraduate and postgraduate students, respectively. There was a significant difference in the incidence of postoperative pain between the two groups (<0.05).

CONCLUSIONS

The prevalence of postoperative pain was high in the treatments performed by postgraduate students in comparison with undergraduate students. This suggests that operator experience has an influence on the prevalence of postoperative pain after root canal treatment. Post-endodontic pain, root canal treatment, reciprocating systems, Expert operators Inexperienced operators.

摘要

背景

本研究的目的是在考虑操作者经验的情况下,临床比较使用Reciproc系统进行根管治疗后术后疼痛的发生率。

材料与方法

本研究纳入了100例计划进行常规根管治疗的患者。本科和研究生学生在一次就诊中完成根管治疗。使用Reciproc器械进行根管的化学机械预备。使用视觉模拟量表(VAS)记录治疗前和术后的疼痛情况。在治疗后4、8、16、24、48和72小时评估术后疼痛及镇痛药物的使用需求。采用Mann-Whitney U检验和卡方检验对数据进行分析,显著性设定为<0.05。

结果

在本科和研究生学生进行的治疗中,根管治疗后疼痛的VAS平均值分别为1.13±1.94和1.91±2.07(0至10分)。两组术后疼痛发生率存在显著差异(<0.05)。

结论

与本科生相比,研究生进行的治疗中术后疼痛的发生率较高。这表明操作者经验对根管治疗后术后疼痛的发生率有影响。根管治疗后疼痛、根管治疗、往复系统、经验丰富的操作者、经验不足的操作者。

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