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传统根管治疗与二极管激光辅助根管治疗在减轻术后疼痛及根尖周病变愈合方面的疗效比较:一项随机对照临床试验

Comparative Efficacy of Conventional Versus Diode Laser Assisted Root Canal Treatment in Reduction of Postoperative Pain and Healing of Periapical Lesion: A Randomized Controlled Clinical Trial.

作者信息

Dubey Priyanka, Savita Anjali, Khan Ruba, Saxena Rupal, Dubey Kriti, Verma Purva

机构信息

Conservative Dentistry and Endodontics, Peoples College of Dental Sciences and Research Centre, Bhopal, Madhya Pradesh, India.

Peoples Dental Academy, Bhopal, Madhya Pradesh, India.

出版信息

J Pharm Bioallied Sci. 2024 Dec;16(Suppl 5):S4587-S4589. doi: 10.4103/jpbs.jpbs_1354_24. Epub 2025 Jan 30.

Abstract

BACKGROUND

Laser assisted root canal treatment has emerged as a promising adjunct to conventional randomized controlled trials (RCTs).

MATERIAL AND METHOD

To evaluate the same, we observed 90 patients (98 roots) with chronic periapical lesions; they were randomized into two groups ( = 45): diode laser and control. The level of pain was measured before and at 6, 12, 24, 48, and 72 hours after treatment using a visual analog scale. Cone beam computed tomography images were obtained before and 6 months after treatment to assess the healing of periapical lesions based on their apicocoronal, mesiodistal, and buccolingual diameters.

RESULT AND CONCLUSION

It was observed that root canal disinfection by diode laser significantly decreased the postendodontic pain and resulted in a higher success rate in lesion resolution.

摘要

背景

激光辅助根管治疗已成为传统随机对照试验(RCT)的一种有前景的辅助方法。

材料与方法

为评估此方法,我们观察了90例患有慢性根尖周病变的患者(98颗牙根);他们被随机分为两组(每组n = 45):二极管激光组和对照组。使用视觉模拟量表在治疗前以及治疗后6、12、24、48和72小时测量疼痛程度。在治疗前和治疗后6个月获取锥形束计算机断层扫描图像,根据根尖冠向、近远中向和颊舌向直径评估根尖周病变的愈合情况。

结果与结论

观察到二极管激光进行根管消毒可显著降低根管治疗后的疼痛,并在病变消退方面取得更高的成功率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a6b/11888615/732b919b86d7/JPBS-16-4587-g001.jpg

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