单次就诊根管治疗术后疼痛的发生率：使用 XP-endo Shaper、2Shape 和 ProTaper Gold 机用镍钛锉系统的前瞻性随机临床试验。
Incidence of Postoperative Pain after Single Visit Root Canal Treatment using XP-endo Shaper, 2Shape and ProTaper Gold Rotary Systems: A Prospective Randomized Clinical Trial.
机构信息
Department of Conservative Dentistry and Endodontics, Faculty of Dental Sciences, Shree Guru Gobind Singh Tricentenary University, Haryana, India.
Department of Orthodontics and Dentofacial Orthopedics, Santosh Dental College, Santosh University, Delhi, India.
出版信息
Eur Endod J. 2023 Jan;8(1):47-54. doi: 10.14744/eej.2022.42104.
OBJECTIVE
To evaluate the incidence of postoperative pain, treatment time and analgesic intake after single visit endodontic treatment of mandibular molars using XP-endo Shaper, 2Shape and ProTaper Gold rotary systems.
METHODS
150 patients with irreversible pulpitis were scheduled for single visit root canal treatment. Teeth were randomly assigned to one of the three groups: ProTaper Gold (PTG; Dentsply Tulsa Dental Specialties, Johnson City, TN), 2Shape (2S; Micro-Mega, Besancon, Cedex, France) and XP-endo Shaper (XPES; FKG Dentaire, La Chaux-de-Fonds, Switzerland). Preoperative and postoperative pain was rated by the patients at the beginning of treatment and after 24, 48, 72 hours and 7 days on Heft Parker's visual analog scale (HP-VAS).
RESULTS
Highest mean postoperative pain score was recorded in PTG (P<0.05), followed by 2S and XPES respectively at all time intervals. XPES exhibited maximum reduction from preoperative pain at 24 (48.67%) and 48 hours (96.90 %) with no pain at 72 hours. Treatment time was significantly least in XPES (P<0.05) followed by 2S and PTG; but no significant difference in analgesic intake was noted.
CONCLUSION
XPES exhibited least postoperative pain at all time intervals and treatment time, followed by 2S and PTG rotary systems respectively. (EEJ-2022-04-053).
目的
评估使用 XP-endo Shaper、2Shape 和 ProTaper Gold 根管锉系统一次性根管治疗下颌磨牙后的术后疼痛发生率、治疗时间和镇痛药摄入情况。
方法
将 150 例不可复性牙髓炎患者安排行一次性根管治疗。将牙齿随机分为三组：ProTaper Gold（PTG；登士柏特兰牙科专用公司，田纳西州约翰逊市）、2Shape（2S；美格真公司，贝桑松，法国）和 XP-endo Shaper（XPES；FKG Dentaire，拉绍德封，瑞士）。在治疗开始时和 24、48、72 小时以及 7 天时，患者使用 Heft Parker 视觉模拟量表（HP-VAS）评估术前和术后疼痛。
结果
PTG 组的术后疼痛评分最高（P<0.05），其次是 2S 组和 XPES 组。在所有时间间隔内，XPES 组的疼痛均较术前明显减轻（24 小时为 48.67%，48 小时为 96.90%），72 小时时无疼痛。XPES 组的治疗时间最短（P<0.05），其次是 2S 组和 PTG 组；但镇痛药摄入量无显著差异。
结论
在所有时间间隔内，XPES 组的术后疼痛最小，治疗时间最短，其次是 2S 组和 PTG 组。（EEJ-2022-04-053）。
Zotero 插件