Moudgalya M Srinivas, Kulkarni Parimala, Tiwari Shilpi, Mali Shikha, Shrivas Anoop Kumar, Shrivastava Shubhrata
Department of Pedodontics and Preventive Dentistry, People's College of Dental Sciences and Research Centre, Bhopal, Madhya Pradesh, India.
Department of Pedodontics and Preventive Dentistry, Rishiraj College of Dental Sciences and Research Centre, Bhopal, Madhya Pradesh, India.
Int J Clin Pediatr Dent. 2024 Jul;17(7):838-841. doi: 10.5005/jp-journals-10005-2951.
To determine the pain prevalence and severity of flare-ups associated with before, during, and after pulpectomy procedure in children through systematic review and meta-analysis. Pain associated with root canal is a crucial source of fear for patients (especially child patients) and an important concern of dentists. Pain experienced at pretreatment, during treatment, and posttreatment is foreseen and recalled by child patients. A hand search of relevant journals and defined searching of Medline/PubMed, Cochrane, and EBSCOhost databases identified 2,635 articles reporting flare-ups at different intervals. After further filtering and applying inclusion criteria, three articles were identified for meta-analysis. From three recognized articles in the pretreatment phase, 51.2% of cases reported flare-ups; during treatment, there were 19.8% of cases; and in the posttreatment phase, 100% success rate was seen (i.e., no flares were present). The three included studies were heterogeneous according to and statistics ( <0.001, = 92.64). Pretreatment pulpectomy-associated flare-ups were high, then dropped significantly to minimal levels in 3 days (during treatment) and continued to drop to lowest levels in 7 days (posttreatment).
Moudgalya MS, Kulkarni P, Tiwari S, Flare-ups in Primary Teeth Before, During, and After Pulpectomy: A Systematic Review and Meta-analysis. Int J Clin Pediatr Dent 2024;17(7):838-841.
通过系统评价和荟萃分析，确定儿童牙髓摘除术前、术中和术后相关疼痛发作的患病率和严重程度。与根管治疗相关的疼痛是患者（尤其是儿童患者）恐惧的关键来源，也是牙医关注的重要问题。儿童患者能预见到并回忆起治疗前、治疗期间和治疗后所经历的疼痛。通过手工检索相关期刊以及在Medline/PubMed、Cochrane和EBSCOhost数据库中进行限定检索，共识别出2635篇报告不同时间段疼痛发作情况的文章。经过进一步筛选并应用纳入标准后，确定了3篇文章进行荟萃分析。在预处理阶段的3篇认可文章中，51.2%的病例报告有疼痛发作；治疗期间，这一比例为19.8%；在治疗后阶段，成功率为100%（即无疼痛发作）。根据I²和Q统计，纳入的3项研究具有异质性（I²<0.001，Q = 92.64）。牙髓摘除术前相关的疼痛发作率较高，然后在3天内（治疗期间）显著降至最低水平，并在7天内（治疗后）继续降至最低水平。
Moudgalya MS, Kulkarni P, Tiwari S, 牙髓摘除术前、术中和术后乳牙的疼痛发作：系统评价和荟萃分析。《国际临床儿科牙科学杂志》2024年；17(7):838 - 841。
