Al Attas Mustafa Hussein, Maria Rahul D
Department of Conservative Dentistry and Endodontics, College of Dentistry, Qassim University, Buraydah, Saudi Arabia.
Department of Conservative Dentistry and Endodontics, Bhabha College of Dental Sciences, Bhopal, Madhya Pradesh, India.
J Pharm Bioallied Sci. 2024 Feb;16(Suppl 1):S516-S519. doi: 10.4103/jpbs.jpbs_839_23. Epub 2024 Feb 29.
The background of the study highlighted the common occurrence of post-endodontic pain and the need for effective pain management strategies.
Fifty patients were randomly assigned to two groups: the cold laser therapy (CLT) group and the traditional methods group (TMG). The CLT group received laser treatment at the affected area immediately following endodontic treatment, whereas the TMG received standard pain management techniques such as analgesics. Pain levels were assessed using a visual analog scale at baseline and at 6, 12, 24, and 48 hours post treatment. Pain scores were analyzed using appropriate statistical methods, including analysis of variance, and values were calculated to determine the significance of differences between groups.
This study found significant differences in post-endodontic pain levels between CLT and standard procedures. At 6 hours post treatment, the CLT group had a mean pain score of 2.1 ± 0.8, whereas the TMG had a mean pain score of 3.8 ± 1.2 ( = 0.012). Pain levels in the CLT group decreased with time, with scores decreasing to 1.5 ± 0.6 at 12 hours, 1.2 ± 0.5 at 24 hours, and 0.9 ± 0.4 at 48 hours post treatment. In contrast, the TMG had greater pain scores at each time point: 3.2 ± 1.0, 2.9 ± 1.1, 2.5 ± 0.9, and 2.1 ± 0.8 at 12, 24, and 48 hours post treatment, respectively. At 12, 24, and 48 hours post treatment, values of 0.021, 0.036, and 0.004, respectively, indicated significant differences.
In managing post-endodontic pain, CLT demonstrated superior efficacy compared to traditional methods.
该研究的背景强调了根管治疗后疼痛的常见性以及有效疼痛管理策略的必要性。
50名患者被随机分为两组:冷激光治疗(CLT)组和传统方法组(TMG)。CLT组在根管治疗后立即对患区进行激光治疗,而TMG组采用标准的疼痛管理技术,如使用镇痛药。在基线以及治疗后6、12、24和48小时使用视觉模拟量表评估疼痛程度。使用适当的统计方法(包括方差分析)分析疼痛评分,并计算P值以确定组间差异的显著性。
本研究发现CLT组和标准治疗程序在根管治疗后疼痛程度上存在显著差异。治疗后6小时,CLT组的平均疼痛评分为2.1±0.8,而TMG组的平均疼痛评分为3.8±1.2(P = 0.012)。CLT组的疼痛程度随时间下降,治疗后12小时评分降至1.5±0.6,24小时降至1.2±0.5,48小时降至0.9±0.4。相比之下,TMG组在每个时间点的疼痛评分更高:治疗后12、24和48小时分别为3.2±1.0、2.9±1.1、2.5±0.9和2.1±0.8。治疗后12、24和48小时的P值分别为0.021、0.036和0.004,表明存在显著差异。
在根管治疗后疼痛管理方面,CLT显示出比传统方法更优的疗效。