姜黄作为根管内药物对症状性不可复性牙髓炎患者复诊间根管治疗疼痛的影响:一项随机对照临床试验。
Effect of Curcuma longa (Turmeric), as an intra-canal medicament, on inter-appointment endodontic pain in patients with symptomatic irreversible pulpitis: A randomized controlled clinical trial.
作者信息
Singla Rakesh, Gupta Charu, Gill Gurdeep Singh, Jain Namita, Arora Suraj, Algarni Youssef A, Kader Mohammed Abdul, Cicciù Marco, Minervini Giuseppe
机构信息
Department of Conservative Dentistry & Endodontics, JCD Dental College, Sirsa, Haryana, India.
Health Department, Government of Haryana, India.
出版信息
Heliyon. 2024 Jun 28;10(14):e33797. doi: 10.1016/j.heliyon.2024.e33797. eCollection 2024 Jul 30.
Inter-appointment pain (IAP) is a subtype of postoperative pain which occurs between endodontic appointments. It may begin within a few hours after the first appointment and may continue for several days. Apart from mechanical instrumentation and thorough irrigation, intracanal medicaments play a central role in the disinfection of root canals and thus decreasing IAP. The aim of this study was to evaluate the effect of Curcuma Longa as an intracanal medicament on IAP in patients with symptomatic irreversible pulpitis (SIP). One hundred healthy adult patients having SIP in one of their single-rooted maxillary or mandibular teeth participated in this randomized, parallel, single-blinded clinical trial. After thorough biomechanical preparation, the root canals were randomly medicated with one of the following medicaments, Control (no medicament), Calcium Hydroxide, triple antibiotic paste (TAP), and Curcuma Longa. The pain was recorded using Visual analog scale at 4 h, 24 h, and every day until the seventh day. Data were analyzed using Kruskal-Wallis, Mann-Whitney U, and Wilcoxon signed-rank tests. No statistical difference in pain scores was observed between Calcium Hydroxide, TAP or Curcuma Longa groups. It can be concluded that Curcuma Longa, Calcium hydroxide, and TAP are equally effective in controlling IAP.
复诊间疼痛(IAP)是术后疼痛的一种亚型,发生在牙髓治疗复诊之间。它可能在首次复诊后数小时内开始,并可能持续数天。除了机械预备和充分冲洗外,根管内药物在根管消毒以及因此减少IAP方面起着核心作用。本研究的目的是评估姜黄作为根管内药物对有症状的不可复性牙髓炎(SIP)患者IAP的影响。100名健康成年患者,其单根上颌或下颌牙齿之一患有SIP,参与了这项随机、平行、单盲临床试验。在进行彻底的生物力学预备后,根管被随机用以下药物之一进行给药,对照组(无药物)、氢氧化钙、三联抗生素糊剂(TAP)和姜黄。使用视觉模拟量表在4小时、24小时以及直到第七天每天记录疼痛情况。数据使用Kruskal-Wallis检验、Mann-Whitney U检验和Wilcoxon符号秩检验进行分析。在氢氧化钙组、TAP组或姜黄组之间未观察到疼痛评分的统计学差异。可以得出结论,姜黄、氢氧化钙和TAP在控制IAP方面同样有效。