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针灸作为保守治疗和牙髓病治疗中的一种辅助疗法:一项叙述性综述

Acupuncture as a Complementary Therapy in Conservative and Endodontic Procedures: A Narrative Review.

作者信息

P Priyanka, Krishnakumar Shobana, Suresh Mitthra, Sacrapani Lavanya, Venkatesh Vijay

机构信息

Conservative Dentistry and Endodontics, SRM Kattankulathur Dental College and Hospital, SRM Institute of Science and Technology (SRMIST), Chengalpattu, IND.

出版信息

Cureus. 2024 Dec 15;16(12):e75768. doi: 10.7759/cureus.75768. eCollection 2024 Dec.

Abstract

With over two millennia of history, traditional Chinese acupuncture ranks among the most renowned forms of supplementary and other healthcare. The use of acupuncture releases endorphins and serotonin, two naturally occurring painkillers, into the nervous system and stimulates it. It also modifies how pain signals are processed and perceived. The effectiveness of acupuncture in treating a range of dental issues has been demonstrated. Therefore, it is critical that dental professionals understand how acupuncture can be used to treat dental disorders. Painful endodontic conditions such as irreversible pulpitis and apical periodontitis often require root canal treatment (RCT), which is linked to a significant rate of postoperative pain. Short, acute pain from exposed dentin in reaction to stimuli is a defining feature of dentine hypersensitivity. The primary reason people seek urgent dental care is acute dental pain. However, alternative therapies, like acupuncture, are widely accepted as effective ways to manage dental pain in predental care. For this reason, pharmaceutical management works well, but it is often associated with side effects and occasionally may not offer sufficient pain relief. Acupuncture lessens anxiety related to dental procedures and reduces the need for analgesics following endodontic procedures, which may have unintended side effects.

摘要

中医针灸有着两千多年的历史,是最著名的补充疗法及其他保健形式之一。针灸的运用会将内啡肽和血清素这两种天然存在的止痛物质释放到神经系统中并对其产生刺激。它还会改变疼痛信号的处理和感知方式。针灸在治疗一系列牙科问题方面的有效性已得到证实。因此,牙科专业人员了解如何使用针灸治疗牙科疾病至关重要。诸如不可复性牙髓炎和根尖周炎等疼痛性牙髓疾病通常需要进行根管治疗(RCT),而这与较高的术后疼痛发生率有关。牙本质过敏的一个典型特征是暴露的牙本质对刺激产生短暂、急性的疼痛。人们寻求紧急牙科护理的主要原因是急性牙痛。然而,像针灸这样的替代疗法被广泛认为是在牙科治疗前管理牙痛的有效方法。出于这个原因,药物治疗效果良好,但它往往会产生副作用,而且有时可能无法提供足够的疼痛缓解。针灸可减轻与牙科手术相关的焦虑,并减少根管治疗后对镇痛药的需求,而镇痛药可能会产生意想不到的副作用。

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本文引用的文献

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Acupuncture for Management of Endodontic Emergencies: a Review.针刺治疗牙髓急症管理:综述。
J Acupunct Meridian Stud. 2023 Feb 28;16(1):1-10. doi: 10.51507/j.jams.2023.16.1.1.
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Can Probiotics Emerge as Effective Therapeutic Agents in Apical Periodontitis? A Review.益生菌可否成为尖周炎的有效治疗手段?综述。
Probiotics Antimicrob Proteins. 2021 Apr;13(2):299-314. doi: 10.1007/s12602-021-09750-2. Epub 2021 Feb 13.
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Somato-Autonomic Reflexes of Acupuncture.针刺的躯体-自主神经反射
Med Acupunct. 2020 Dec 1;32(6):362-366. doi: 10.1089/acu.2020.1488. Epub 2020 Dec 16.
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Acupuncture in the management of acute dental pain.针灸在急性牙痛治疗中的应用
J Acupunct Meridian Stud. 2014 Apr;7(2):65-70. doi: 10.1016/j.jams.2013.03.005. Epub 2013 Apr 11.
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Integrating acupuncture into cancer care.将针灸融入癌症治疗中。
J Tradit Complement Med. 2013 Oct;3(4):234-9. doi: 10.4103/2225-4110.119733.

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