摘要
目的:探讨老年人后牙根管治疗期间疼痛发生的相关因素。方法:对259例老年患者需根管治疗患牙进行临床观察。结果:老年人根管治疗期间疼痛发生率为22.78%。根尖周炎及牙髓坏死术后疼痛率明显高于急、慢性牙髓炎(P<0.05)。下后牙术后疼痛率明显高于上后牙,根尖有阴影低于无阴影者,术前有叩痛者高于无叩痛者,无窦道的患牙发生疼痛明显高于有窦道的患牙,差异均有显著性(P<0.01)。结论:老年人后牙根管治疗期间疼痛的发生率与牙位、患牙情况及医生的技术操作等有关。为了预防老年人后牙根管治疗期间发生疼痛,应根据患牙的实际情况对其进行适当的处理,做个体化治疗。
Objective: This study discussed the pain-related factors in the elderly patients during root canal treatment.Methods:The clinical observation was carried out in 259 cases of elderly patients.Results: The rate of pain was 22.78% in elderly during root canal treatment.The pain rate of pulp necrosis and periapical periodontitis was significantly higher than the acute and chronic pulpitis(P <0.05).And the pain rate in lower posterior teeth/apical without shadow/ preoperative percussion pain/the teeth without fistnla was significantly higher than the upper posterior teeth/apical with shadow/preoperative pain-free/the teeth with fistnla after treatment(P <0.01).Conclusion: The incidence of pain in the elderly during root canal treatment of posterior teeth was related with teeth site,teeth status,the technical of the doctors and so on.In order to prevent the pain during root canal treatment in elderly,the individual treatment based on the actual situation was suggested.
出处
《中华老年口腔医学杂志》
2011年第3期148-150,共3页
Chinese Journal of Geriatric Dentistry
关键词
根管治疗
疼痛
慢性牙髓炎
根尖周炎
老年人
Root canal treatment
pain
periapical periodontitis
chronic pulpitis
aged
