Faculty of Dentistry Department of Endodontics, Biruni University, Istanbul, Turkey.
Faculty of Dentistry Department of Endodontics, Atatürk University, Erzurum, Turkey.
Lasers Med Sci. 2023 Sep 30;38(1):227. doi: 10.1007/s10103-023-03881-4.
The aim of this study was to compare the effect of ozone and low-level-laser therapy (LLLT) on postoperative pain after root canal treatment in symptomatic apical periodontitis on vital teeth. Eighty patients were divided into four groups using a web program as follows: LLLT placebo (mock laser therapy), LLLT, Ozone placebo (mock ozonated water irrigation), and Ozone. Postoperative pain levels for 7 days after treatment and percussion pain levels at the 7th day were recorded on the visual analog scale. A regression analysis, Cochran's Q test, Chi-square test, Kruskal-Wallis tests were performed to analyze the data (P=.05). A regression analysis demonstrated that the most effective variables are "group" and "jaw" (P=0.01). Pain in the lower jaw is higher than the upper jaw. There was difference between the groups on postoperative pain at the days 1, 2, and 3; however, there was no significant difference on other days. LLLT and ozone groups had less postoperative pain and pain on percussion. Low-level laser and ozone therapy are useful methods on postoperative-pain in vital symptomatic teeth ,but they don't have superiority to each other.
本研究旨在比较臭氧和低水平激光疗法(LLLT)对有症状的根尖周炎活髓牙根管治疗后术后疼痛的影响。八十名患者通过网络程序分为四组:LLLT 安慰剂(模拟激光治疗)、LLLT、臭氧安慰剂(模拟臭氧水冲洗)和臭氧。治疗后 7 天内记录术后疼痛水平,并在第 7 天记录叩诊疼痛水平,采用回归分析、 Cochran's Q 检验、卡方检验、Kruskal-Wallis 检验进行数据分析(P=.05)。回归分析表明,最有效的变量是“组”和“颌骨”(P=0.01)。下颌疼痛高于上颌。各组在第 1、2、3 天的术后疼痛有差异,但在其他天数无显著差异。LLLT 和臭氧组术后疼痛和叩诊疼痛较轻。低水平激光和臭氧疗法是治疗活髓有症状牙齿术后疼痛的有效方法,但彼此之间没有优势。