根管治疗术后疼痛的发生率及其相关因素：一项回顾性研究。
Incidence of Endodontic Flare-ups and Its Related Factors: A Retrospective Study.
作者信息
Nair Manuja, Rahul J, Devadathan A, Mathew Josey
机构信息
Department of Conservative Dentistry and Endodontics, Pushpagiri College of Dental Sciences, Pathanamthitta, Kerala, India.
出版信息
J Int Soc Prev Community Dent. 2017 Jul-Aug;7(4):175-179. doi: 10.4103/jispcd.JISPCD_61_17. Epub 2017 Jul 31.
AIMS AND OBJECTIVES
The aim and objective of the study were to determine the incidence of flare-ups during endodontic treatment and to identify the risk factors associated with flare-ups.
SUBJECTS AND METHODS
A total of 1725 patients who were treated during the time period of 2009-2014 by the same endodontist were reviewed. Incidence of flare-up, patients' age, gender, status of pulp, tooth position, number of roots, and treatment provided were taken from their dental records. Relationship between these factors and flare-ups was examined. Statistical analysis was done using Pearson Chi-square test and Fisher's exact test.
RESULTS
A total of 2% incidence of endodontic flare-ups was seen out of 1725 cases. Patient's age, gender, and diagnosis had a significant effect on the development of flare-ups ( < 0.05). Tooth type, position of tooth, number of root canals, number of visits, and treatment modality had no significant effect on flare-up incidence.
CONCLUSIONS
Diagnosis plays an important role in predicting the incidence of flare-ups. Patients in the age group of 40-60 years had a higher risk of developing flare-ups. Women compared to men are more prone to flare-ups.
目的与目标
本研究的目的是确定根管治疗期间急性发作的发生率，并识别与急性发作相关的风险因素。
对象与方法
回顾了2009年至2014年期间由同一位牙髓病医生治疗的1725例患者。急性发作的发生率、患者的年龄、性别、牙髓状况、牙齿位置、牙根数量以及所接受的治疗均取自他们的牙科记录。研究了这些因素与急性发作之间的关系。采用Pearson卡方检验和Fisher精确检验进行统计分析。
结果
在1725例病例中，根管治疗急性发作的发生率为2%。患者的年龄、性别和诊断对急性发作的发生有显著影响（P<0.05）。牙齿类型、牙齿位置、根管数量、就诊次数和治疗方式对急性发作的发生率没有显著影响。
结论
诊断在预测急性发作的发生率方面起着重要作用。40至60岁年龄组的患者发生急性发作的风险较高。女性比男性更容易出现急性发作。
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