保守牙科和牙髓学疼痛控制研究进展综述

Mehrukh Zehravi, Mudasir Maqbool, I. Ara
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摘要

任何医疗保健专业人员都必须能够理解疼痛,以便更好地管理它。牙痛可以由多种原因引起,并且可以以多种方式表现出来。得到适当的诊断是处理牙齿不适的第一步。使用视觉模拟量表和问卷等评分工具来评估疼痛。诊断后,可以单独或联合使用多种疼痛管理策略。在疼痛的根源得到解决之前,任何一种缓解疼痛的方法都不会起作用。牙痛可以通过各种药物和非药物方法来缓解。患有牙科焦虑症的患者可能会有疼痛耐受性下降,这应该通过行为治疗来解决。麻醉前的预用药也被发现可以改善疼痛管理。非甾体抗炎药、阿司匹林和一些阿片类药物(如吗啡)等镇痛药是治疗疼痛的基石。麻醉剂,可以局部应用或注射形式,是另一种常用的方法。牙科恐惧症可以通过镇痛或有意识的镇静来克服,这在青少年中很常用。催眠、针灸和听觉镇痛都被证明是治疗疼痛的有效方法。激光最近被研究用于治疗疼痛。虚拟现实也被证明是一种成功的分散注意力的工具。疼痛也可以通过各种行之有效的家庭治疗来控制。因此,认识到疼痛治疗是一个多方面的过程是至关重要的。
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An Update on Pain Control in Conservative Dentistry and Endodontics: A Review
Any healthcare professional must be able to understand pain in order to better manage it. Dental pain can be caused by a variety of things and can manifest itself in many ways. Getting an appropriate diagnosis is the first step in dealing with tooth discomfort. Pain is evaluated using rating tools such as the Visual Analog Scale and questionnaires. Following a diagnosis, a variety of strategies for pain management can be utilized alone or in combination. None of the pain-relieving approaches will work until the underlying source of the pain is addressed. Dental pain can be relieved using a variety of pharmacological and non-pharmacological methods. Patients with dental anxiety may have a decreased pain tolerance, which should be addressed with behavioral treatment. Premedication prior to anaesthetic administration has also been found to improve pain management. Analgesics like NSAIDS, aspirin and a few opioids like morphine are the cornerstones of pain management. Anaesthetics, which can be applied topically or in injectable forms, are another regularly utilized approach. Dental phobia can be overcome with analgesia or conscious sedation, which is commonly used in youngsters. Hypnosis, acupuncture and audio-analgesia have all been shown to be effective in the treatment of pain. Lasers have recently been investigated for the treatment of pain. Virtual reality has also been proven to be successful as a distraction tool. Pain can also be managed with a variety of tried-and-true home treatments. As a result, it’s crucial to recognize that pain treatment is a multifaceted process.
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