微创修复技术对孕妇牙齿疼痛感知的影响：一项随机对照临床试验。
The impact of minimally invasive restorative techniques on perception of dental pain among pregnant women: a randomized controlled clinical trial.
机构信息
Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Champolion St., Azarita, Alexandria, 21527, Egypt.
Department of Economics, Faculty of Commerce, Damanhour University, Damanhour, Egypt.
出版信息
BMC Oral Health. 2021 Feb 18;21(1):76. doi: 10.1186/s12903-021-01432-3.
BACKGROUND
The public dental care sector is striving to fulfill the preventive and restorative needs of Egyptians, including pregnant women, who may not receive timely care due to misconceptions about dental treatment during pregnancy. Because of this, they are likely to suffer dental pain, with higher risk of infection affecting their offsprings.
AIM OF THE STUDY
To compare the effectiveness of chemo-mechanical caries removal using Papacarie-Duo and Atraumatic Restorative Treatment (ART) in reducing dental pain among pregnant women.
MATERIALS AND METHODS
A randomized controlled clinical trial was conducted, in 2019, and included 162 pregnant women visiting family health centers in Alexandria, Egypt, with dental pain due to dental caries not extending to pulp. Patients were randomly assigned to Papacarie-Duo group (n = 82) and ART group (n = 80) after stratification by number of treated surfaces. The outcome variables were reduction in pain assessed using Visual Analogue Scale (VAS), satisfaction with treatment, and time taken for dental caries removal. T test/ Mann Whitney U test were used to compare groups and Freidman test was used to compare change across time.
RESULTS
Pain reduction was significantly greater in the Papacarie-Duo than the ART group (81.55% and 69.43%, P = 0.001). Patients in the Papacarie-Duo group were significantly more satisfied with treatment than those in the ART, immediately after treatment (mean = 9.60 and 8.00, P = < 0.01) and after 6 months (mean = 9.63 and 8.16, P = < 0.01). Significantly less excavation time was recorded in the Papacarie-Duo group than in the ART group (mean = 10.38 and 11.56 min, P = < 0.01).
CONCLUSION
Chemo-mechanical caries removal using Papacarie-Duo is more effective in reducing dental pain, in pregnant women, and is associated with more satisfaction and less excavation time than ART.
TRIAL REGISTRATION
ID NCT04573608 ( https://clinicaltrials.gov/ ); 5/10/2020, retrospective registration.
背景
公共牙科护理部门正在努力满足埃及人的预防和修复需求，包括孕妇，由于对怀孕期间牙科治疗的误解，她们可能无法及时得到治疗。因此，她们可能会遭受牙痛，感染风险更高，从而影响到她们的后代。
研究目的
比较使用 Papacarie-Duo 和非创伤性修复治疗（ART）进行化学机械性龋去除对减轻孕妇牙痛的效果。
材料和方法
这是一项 2019 年进行的随机对照临床试验，纳入了埃及亚历山大的家庭健康中心就诊的 162 名因龋齿导致牙痛但未累及牙髓的孕妇。患者按治疗牙面数分层后随机分为 Papacarie-Duo 组（n=82）和 ART 组（n=80）。使用视觉模拟量表（VAS）评估疼痛减轻程度、治疗满意度和龋齿去除时间作为结局变量。采用 t 检验/曼-惠特尼 U 检验比较组间差异，采用弗里德曼检验比较时间变化。
结果
Papacarie-Duo 组的疼痛减轻程度显著大于 ART 组（81.55%和 69.43%，P=0.001）。治疗后即刻，Papacarie-Duo 组患者的治疗满意度显著高于 ART 组（平均=9.60 和 8.00，P<0.01），6 个月后也显著高于 ART 组（平均=9.63 和 8.16，P<0.01）。Papacarie-Duo 组的牙体预备时间明显短于 ART 组（平均=10.38 和 11.56 分钟，P<0.01）。
结论
与 ART 相比，使用 Papacarie-Duo 进行化学机械性龋去除在减轻孕妇牙痛方面更有效，且患者满意度更高，牙体预备时间更短。
试验注册
ID NCT04573608（https://clinicaltrials.gov/）；2020 年 5 月 10 日，回顾性注册。
Zotero 插件