华西口腔医学杂志

• 临床研究 • 上一篇    下一篇

镍钛机动器械预备根管减少术后疼痛的临床研究

韦曦,林正梅,彭思敏,刘建伟   

  1. 510060 中山大学光华口腔医院牙体牙髓科|中山大学光华口腔医院牙体牙髓科
  • 收稿日期:2003-06-25 修回日期:2003-06-25 出版日期:2003-06-20 发布日期:2003-06-20

The Effect of Root Canal Preparation with Nickel-titanium Rotary Instruments in Reducing Post-operative Pain

WEI Xi*, LIN Zhengmei, PENG Simin, et al.   

  1. * Operative Dentistry and Endodontics, Guanghua College of Stomatology, Sun Yat-sen University, Guangzhou 510060, China
  • Received:2003-06-25 Revised:2003-06-25 Online:2003-06-20 Published:2003-06-20

摘要:

目的 比较镍钛机动器械和手动器械根管预备术后患牙的疼痛情况并探讨其原因。方法 选取牙髓炎和根尖周病的磨牙 95例 ,随机分为 2组。机动组采用镍钛机动器械ProFile进行根管预备 ,手动组用不锈钢根管锉FlexoFile预备根管。比较两组术后患牙疼痛的发生情况。结果 机动组根管预备后疼痛发生率 2 7 7% ,手动组为 6 2 5 % ,两组间有极显著性差异 (P <0 0 1 )。结论 采用不锈钢手用锉预备磨牙根管后疼痛的发生率较高 ,而用ProFile镍钛机动器械预备 ,可显著降低术后的疼痛不适 ,有利于一次性根管治疗术的开展。

关键词: 根管预备, 疼痛, 机动器械, 镍钛

Abstract:

Objective To examine the effect of nickel-titanium rotary instruments in reducing post-operative pain.Methods 95 molars with pulpal and/or periapical involvement were randomly assigned to two groups for root canal preparation. One group was treated with ProFile nickel-titanium rotary instruments; the other was treated by using stainless steel hand files-FlexoFile. The incidence and degree of post-operative pain after root canal preparation in the two groups were recorded.Results In ProFile group, the incidence of post-operative pain was 27.7%, while 62.5% of the teeth developed post-operative pain after hand preparation. The difference between two groups was statistically significant (P<0.01).Conclusion Root canal preparation on molars with stainless steel hand files resulted in relatively high incidence of post-operative pain. Mechanical preparation using ProFile nickel-titanium instruments generated less post-operative pain and discomfort.

Key words: root canal preparation, pain, rotary instrument, nickel-titanium