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单次就诊与多次就诊根管治疗术后疼痛的发生率:一项系统评价

Incidence of postoperative pain after single-visit and multiple-visit root canal therapy: a systematic review.

作者信息

Kumar Gunjan, Jena Samikshya, Manila Nisha, Fareed Mohammad, Karobari Mohmed Isaqail

机构信息

Department of Public Health Dentistry, Kalinga Institute of Dental Sciences (KIDS), Kalinga Institute of Industrial Technology (KIIT) Deemed to be University, Bhubaneswar, 751024, Odisha, India.

Public Health Dentistry, Sai Laproscopic Hospital, Rourkela, Odisha, India.

出版信息

BMC Oral Health. 2025 Jan 8;25(1):47. doi: 10.1186/s12903-024-05412-1.

Abstract

AIM- The objective of the systematic review is to evaluate the incidence of postoperative pain after single-visit and multiple-visit root canal therapy. METHODS- Published research indexed in PubMed or Scopus or Cochrane or DOAJ or Web of Science evaluating the frequency percentage of postoperative aching after one and several root canal therapy appointments through randomized controlled trials or prospectively were included. RESULT- Most surveys utilized VAS (Visual Analogue Scale) to estimate the degree of pain among the participants. The majority of the studies (n-8) showed no difference between postoperative pain during single-sitting endodontic treatment or multiple-sitting endodontic treatment. On the contrary, several studies (n-6) also revealed that post-obturation pain in a single-appointment root canal therapy is less compared to multi-visit root canal therapy. The current research results give insight into the incidence of postoperative endodontic pain among the study participants undergoing root canal treatment through single or multiple visit appointments. CONCLUSION- The lack of consistency between studies is due to the different ways in which pain intensity is measured and differences in treatment methods, patient selection and treatment outcomes.

摘要

目的——本系统评价的目的是评估单次就诊和多次就诊根管治疗术后疼痛的发生率。方法——纳入在PubMed、Scopus、Cochrane、DOAJ或Web of Science中索引的已发表研究,这些研究通过随机对照试验或前瞻性研究评估了一次和多次根管治疗术后疼痛的频率百分比。结果——大多数调查使用视觉模拟量表(VAS)来估计参与者的疼痛程度。大多数研究(n = 8)表明,单次就诊根管治疗或多次就诊根管治疗术后疼痛无差异。相反,一些研究(n = 6)也显示,与多次就诊根管治疗相比,单次就诊根管治疗的充填后疼痛更少。目前的研究结果为接受单次或多次就诊根管治疗的研究参与者中根管治疗术后疼痛的发生率提供了见解。结论——研究之间缺乏一致性是由于疼痛强度测量方法不同以及治疗方法、患者选择和治疗结果存在差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96ec/11714817/3df4b24ed48d/12903_2024_5412_Fig1_HTML.jpg

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