Shabbir Juzer, Khurshid Zohaib, Qazi Fazal, Sarwar Huma, Afaq Hasan, Salman Saima, Adanir Necdet
Department of Operative Dentistry and Endodontics, Dow International Dental College, Dow University of Health Sciences, Karachi, Pakistan.
Department of Operative Dentistry and Endodontics, Liaquat College of Medicine and Dentistry, Karachi, Pakistan.
Eur J Dent. 2021 Feb;15(1):152-157. doi: 10.1055/s-0040-1721909. Epub 2021 Jan 28.
The current study aimed to assess the impact of factors such as age, gender, and the tooth type on postoperative endodontic pain in necrotic teeth with symptomatic periapical periodontitis and radiolucency dressed randomly with either calcium hydroxide or propolis paste.
The standard chemomechanical root canal preparation of 80 teeth was performed by the primary investigator. The intracanal medicaments were inserted by the secondary operator. Patients self-recorded their postoperative endodontic pain intensity with the help of visual analog scale at 4, 12, 24 (day 2), 48 (day 3), and 72 (day 4) hours. During analysis, patients (68/80) were grouped according to gender, age, and the tooth type.
Mann-Whitney's test was applied for mean pain score comparison between genders and between tooth type. Kruskal-Wallis' test was applied for mean pain score comparison between the age groups.
No significant difference ( > 0.05) in pain scores was found between the age groups and between the tooth types. Males had significantly higher pain scores as compared with females at days 2 ( = 0.035), 3 ( = 0.023), and 4 ( = 0.020).
The results suggested that there was no impact of age and tooth types on postoperative endodontic pain.
本研究旨在评估年龄、性别和牙齿类型等因素对有症状性根尖周炎且有透射影的坏死牙随机使用氢氧化钙或蜂胶糊剂治疗后牙髓疼痛的影响。
由第一研究者对80颗牙齿进行标准的化学机械根管预备。由第二操作者置入根管内药物。患者在4、12、24（第2天）、48（第3天）和72（第4天）小时借助视觉模拟量表自行记录术后牙髓疼痛强度。在分析过程中，患者（68/80）根据性别、年龄和牙齿类型进行分组。
采用曼-惠特尼检验比较性别之间和牙齿类型之间的平均疼痛评分。采用克鲁斯卡尔-沃利斯检验比较年龄组之间的平均疼痛评分。
年龄组之间和牙齿类型之间的疼痛评分无显著差异（>0.05）。在第2天（=0.035）、第3天（=0.023）和第4天（=0.020），男性的疼痛评分显著高于女性。
结果表明年龄和牙齿类型对术后牙髓疼痛没有影响。
