对有症状的不可逆牙髓炎患者使用 Reciproc 与单形镍钛系统后的术后疼痛评估:(随机临床试验)(第三部分

Asmaa Mostafa kamel, Angie galal ghoneim, S. Gawdat
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引用次数: 0

摘要

目的:比较有症状的不可逆牙髓炎患者在使用两种不同的旋转系统往复运动式旋转器械和连续旋转式旋转器械对根管进行器械治疗后术后疼痛的发生率和严重程度。方法:54 名男女患者,年龄在 25-45 岁之间,无相关病史,符合试验条件。在单次根管治疗中,只选择具有单直根管的下颌前磨牙,并使用上述一种器械系统进行治疗。符合条件的参与者被随机分为两组(n=27):Reciproc 和 One Shape。疼痛评估采用 NRS;记录术前疼痛,然后指导患者报告术后 6、12、24、48 和 72 小时的疼痛评分以及治疗后三天内按需服用的止痛药 "布洛芬 400 毫克 "的片数。结果两组患者在接受单次根管治疗后(治疗后 6、12、24、48 和 72 小时),术后疼痛的严重程度和发生率在统计学上没有显著差异。同样,两组患者使用的镇痛剂数量也无明显差异。结论根管器械操作的不同动作对术后疼痛以及镇痛剂用量的影响相同。
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Assessment of Postoperative Pain after using Reciproc Versus One Shape NiTi Systems in Patients with Symptomatic Irreversible Pulpitis: (A Randomized Clinical Trial) (Part Three
Aim: Comparing the prevalence and the severity of postoperative pain after usage of two different rotary systems Reciproc in reciprocating motion versus One shape in continuous rotation for instrumentation of root canals among symptomatic irreversible pulpitis patients. Methodology: Fifty four patients, males and females, aged between 25-45 years, with non-contributory medical history, were incorporated into this trial who found eligible. In a single Visit root canal treatment, Vital mandibular premolars with single, straight canals were only chosen and treated with one of the aforementioned instrumentation systems. The eligible Participants were randomly subdivided into two groups (n=27); Reciproc and One Shape. Pain assessment was done using the NRS; Pre-operative pain was recorded, then patients were provided with instructions to report their pain scores at 6,12,24,48 and 72 hours postoperatively as well as the number of analgesics tablets “ Ibuprofen 400 mg” taken on demand up to three days post-treatment. Results: The severity and prevalence of postoperative pain reveal no statistically significant difference at various follow-up periods (6,12,24,48 and 72 hours post-treatment) following single visit root canal treatment in patients with symptomatic irreversible pulpitis between both groups. Likewise, no significant difference was found concerning the number analgesics administered in both groups . Conclusion: The different motions used for root canal instrumentation have the same effect on postoperative pain as well as the number analgesics administered.
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