Selden H S
Department of Endodontology, Temple University School of Dentistry, Philadelphia, PA.
J Endod. 1993 Oct;19(10):521-3. doi: 10.1016/S0099-2399(06)81495-0.
In order to promote rapid resolution of symptoms associated with root canal treatment, a multifaceted program was implemented. One-visit endodontics was performed universally, antibiotics were prescribed when infection was detected within the root canal, and nonsteroidal anti-inflammatory drugs were widely used at the time of treatment. The centerpiece of the program was the integration of various behavioral strategies designed to strengthen the patient's inherent coping capacity. The combination of clinical, pharmacological, and psychological approaches was collectively called patient empowerment. Five hundred forty patients were asked to contact the office the day after treatment. Four hundred twenty (78%) called and 390 (93%) reported a reduction in symptoms. Twenty of the 30 (7%) who were not relieved within the first 24 h reported significant improvement 1 day later. No patients experienced a flare-up or a worsening of symptoms.
为促进与根管治疗相关症状的快速缓解，实施了一项多方面的计划。普遍采用一次性根管治疗，当在根管内检测到感染时开具抗生素，并且在治疗时广泛使用非甾体抗炎药。该计划的核心是整合各种行为策略以增强患者固有的应对能力。临床、药理和心理方法的结合被统称为患者赋权。五百四十名患者被要求在治疗后的第二天联系诊所。四百二十人（78%）打电话过来，其中三百九十人（93%）报告症状有所减轻。最初24小时内未缓解的30人中有20人（7%）在一天后报告有显著改善。没有患者出现症状突然加重或恶化的情况。
