PDF(Pubmed)
Abstract：
This study aimed to conduct a human study to determine the incidence of postobturation pain using different parameters. In this cross-sectional study, 240 patients were included, which were equally allocated into two groups: single visit and multiple visit, 120 in each. Patients in both the single and multiple visits were further categorized into two subgroups, subgroup 1-no occlusal reduction and subgroup 2-occlusion reduction each having 60 patients. Corresponding to the type of visit, patients were followed by the role of medication into two groups, subgroup 1-both analgesics and antibiotics, subgroup 2-only analgesics, and subgroup 3-no medication. Following this approach and the criteria of the study, patients\' performa was made, and based on this performa, the intensity of subjective symptoms, particularly postobturation pain, was determined using the visual analog scale (VAS). The data were then analyzed using the Chi-square test. Results were such that a single visit, no occlusal reduction, and only analgesics will be better for patients with irreversible pulpitis as chosen in the present study. Within the limitations of the present study, it can be concluded that single-sitting root canal treatment should be preferred over multiple sitting where there is no periapical inflammation; also, the occlusal reduction could be exempted from the same. To relieve the patient from postoperative pain where complete debridement is possible, antibiotics can be excluded from the regimen and only analgesics could be prescribed.
摘要：
这项研究旨在进行一项人体研究，以使用不同的参数确定闭塞后疼痛的发生率。在这项横断面研究中，包括240名患者，平均分为两组：单次访问和多次访问，每个120单次和多次就诊的患者进一步分为两个亚组，第1亚组-无咬合减少和第2亚组-咬合减少，各有60名患者。对应于访问的类型，患者随访药物的作用分为两组,第1亚组-镇痛药和抗生素，只有亚组2镇痛药，和第3亚组-不用药。遵循这种方法和研究标准，病人表演是做的，根据这次表演，主观症状的强度，尤其是闭塞后疼痛，使用视觉模拟量表(VAS)确定。然后使用卡方检验分析数据。结果是这样的，一次访问，没有咬合减少，并且只有镇痛药对于本研究中选择的不可逆性牙髓炎患者会更好。在本研究的局限性内，可以得出结论，在没有根尖周炎的情况下，单坐根管治疗应优先于多坐根管治疗；咬合减少可以免除。为了减轻患者术后疼痛，可以进行彻底清创，抗生素可以从治疗方案中排除,只能开镇痛药.
