即刻种植和传统种植对术后疼痛影响的对比研究
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摘要
目的对比即刻种植和传统种植技术两种手术方式对患者术后疼痛的影响。方法将80例后牙区需行种植手术的患者,按即刻种植与传统种植分为2组,采用疼痛数字评分法记录患者术后3 d的疼痛值。结果即刻种植组与传统种植组的术后评分,除术后2 h的疼痛强度差异有统计学意义(P=0.046)以外,其余各时段以及疼痛峰值差异均无统计学意义。结论即刻种植与传统种植相比,术后疼痛强度无显著差异,但即刻种植的早期术后疼痛反应更为明显,可提前给予相应的疼痛控制。
Objective To compare the effect of immediate implant or traditional implant on postoperative pain.Methods Eighty patients asking for dental implant surgery in posterior teeth were included. The patients were divided into two groups by immediate implants and traditional implants. They were requested to evaluate the pain intensity using numerical rating scale for 3 days post-surgery and recorded the pain value. Results There was no significant difference in postoperative pain intensity between immediate implant group and traditional implant group, except for the pain intensity at 2 hours post-surgery(P=0.046). Conclusion Compared with traditional implant, immediate implant had no significant difference in postoperative pain intensity, but the early postoperative pain response of immediate implant was more obvious, and appropriate pain control can be given in advance.
Objective To compare the effect of immediate implant or traditional implant on postoperative pain.Methods Eighty patients asking for dental implant surgery in posterior teeth were included. The patients were divided into two groups by immediate implants and traditional implants. They were requested to evaluate the pain intensity using numerical rating scale for 3 days post-surgery and recorded the pain value. Results There was no significant difference in postoperative pain intensity between immediate implant group and traditional implant group, except for the pain intensity at 2 hours post-surgery(P=0.046). Conclusion Compared with traditional implant, immediate implant had no significant difference in postoperative pain intensity, but the early postoperative pain response of immediate implant was more obvious, and appropriate pain control can be given in advance.
引文
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[20]谭荣,刘剑,胡冬梅,等.翻瓣和不翻瓣牙种植术后的疼痛对比研究[J].中国临床医生,2014,42(8):83-84.Tan R,Liu J,Hu DM,et al.Study on the comparison of postoperative pain following dental implant placement between flap and flapless[J].Chin J Clin,2014,42(8):83-84.
[21]郑晓斌,黄璇叶.微创环切术及单牙位常规翻瓣种植对口腔种植效果及病人疼痛程度的影响比较[J].健康之路,2018(3):120.Zheng XB,Huang XY.Comparison of effects of minimally invasive flapless and conventional flap implant surgery on dental implant effect and patient pain degree[J].Health Way,2018(3):120.
[22]Bijur PE,Latimer CT,Gallagher EJ.Validation of a verbally administered numerical rating scale of acute pain for use in the emergency department[J].Acad Emerg Med,2003,10(4):390-392.
[23]Baxendale BR,Vater M,Lavery KM.Dexamethasone reduces pain and swelling following extraction of third molar teeth[J].Anaesthesia,1993,48(11):961-964.
[24]Al-Khateeb TH,Alnahar A.Pain experience after simple tooth extraction[J].J Oral Maxillofac Surg,2008,66(5):911-917.
[25]Misir AF,Sumer M,Yenisey M,et al.Effect of surgical drill guide on heat generated from implant drilling[J].J Oral Maxillofac Surg,2009,67(12):2663-2668.
[2]Wagenberg BD,Ginsburg TR.Immediate implant placement on removal of the natural tooth:retrospective analysis of 1 081 implants[J].Compend Contin Educ Dent,2001,22(5):399-404,406,408,412.
[3]Cosyn J,Eghbali A,De Bruyn H,et al.Immediate single-tooth implants in the anterior maxilla:3-year results of a case series on hard and soft tissue response and aesthetics[J].J Clin Periodontol,2011,38(8):746-753.
[4]Barroso-Panella A,Gargallo-Albiol J,HérnandezAlfaro F.Evaluation of bone stability and esthetic results after immediate implant placement using a novel synthetic bone substitute in the anterior zone:results after 12 months[J].Int J Periodontics Restorative Dent,2018,38(2):235-243.
[5]Kuchler U,Chappuis V,Gruber R,et al.Immediate implant placement with simultaneous guided bone regeneration in the esthetic zone:10-year clinical and radiographic outcomes[J].Clin Oral Implants Res,2016,27(2):253-257.
[6]Bhola M,Neely AL,Kolhatkar S.Immediate implant placement:clinical decisions,advantages,and disadvantages[J].J Prosthodont,2008,17(7):576-581.
[7]Wong M,Reed Lytle W.A comparison of anxiety levels associated with root canal therapy and oral surgery treatment[J].J Endod,1991,17(9):461-465.
[8]Walton JN,MacEntee MI.Choosing or refusing oral implants:a prospective study of edentulous volunteers for a clinical trial[J].Int J Prosthodont,2005,18(6):483-488.
[9]Al-Khabbaz AK,Griffin TJ,Al-Shammari KF.Assessment of pain associated with the surgical placement of dental implants[J].J Periodontol,2007,78(2):239-246.
[10]González-Santana H,Pe?arrocha-Diago M,GuarinosCarbóJ,et al.Pain and inflammation in 41 patients following the placement of 131 dental implants[J].Med Oral Patol Oral Cir Bucal,2005,10(3):258-263.
[11]Castarlenas E,Jensen MP,von Baeyer CL,et al.Psychometric properties of the numerical rating scale to assess self-reported pain intensity in children and adolescents:a systematic review[J].Clin J Pain,2017,33(4):376-383.
[12]Sharma S,Palanchoke J,Reed D,et al.Translation,cross-cultural adaptation and psychometric prope rties of the Nepali versions of numerical pain rating scale and global rating of change[J].Health Qual Life Outcomes,2017,15(1):236.
[13]Haye R,D?sen LK,Tarangen M,et al.Good correlation between visual analogue scale and numerical rating scale in the assessment of nasal obstruction[J].J Laryngol Otol,2018,132(4):327-328.
[14]Gerbershagen HJ,Rothaug J,Kalkman CJ,et al.Determination of moderate-to-severe postoperative pain on the numeric rating scale:a cut-off point analysis applying four different methods[J].Br J Anaesth,2011,107(4):619-626.
[15]Hashem AA,Claffey NM,O’Connell B.Pain and anxiety following the placement of dental implants[J].Int J Oral Maxillofac Implants,2006,21(6):943-950.
[16]Myles PS,Williams DL,Hendrata M,et al.Patient satisfaction after anaesthesia and surgery:results of a prospective survey of 10 811 patients[J].Br J Anaesth,2000,84(1):6-10.
[17]Eli I,Schwartz-Arad D,Baht R,et al.Effect of anxiety on the experience of pain in implant insertion[J].Clin Oral Implants Res,2003,14(1):115-118.
[18]刀俊峰,章锦才,宋光保,等.牙列缺损患者种植术前的焦虑水平对术后疼痛感受的影响[J].南方医科大学学报,2014,34(4):528-531.Dao JF,Zhang JC,Song GB,et al.Effect of preoperative anxiety level on postoperative pain sensation in patients receiving implant denture for partial edentulism[J].J South Med Univ,2014,34(4):528-531.
[19]Fortin T,Bosson JL,Isidori M,et al.Effect of flapless surgery on pain experienced in implant placement using an image-guided system[J].Int J Oral Maxillofac Implants,2006,21(2):298-304.
[20]谭荣,刘剑,胡冬梅,等.翻瓣和不翻瓣牙种植术后的疼痛对比研究[J].中国临床医生,2014,42(8):83-84.Tan R,Liu J,Hu DM,et al.Study on the comparison of postoperative pain following dental implant placement between flap and flapless[J].Chin J Clin,2014,42(8):83-84.
[21]郑晓斌,黄璇叶.微创环切术及单牙位常规翻瓣种植对口腔种植效果及病人疼痛程度的影响比较[J].健康之路,2018(3):120.Zheng XB,Huang XY.Comparison of effects of minimally invasive flapless and conventional flap implant surgery on dental implant effect and patient pain degree[J].Health Way,2018(3):120.
[22]Bijur PE,Latimer CT,Gallagher EJ.Validation of a verbally administered numerical rating scale of acute pain for use in the emergency department[J].Acad Emerg Med,2003,10(4):390-392.
[23]Baxendale BR,Vater M,Lavery KM.Dexamethasone reduces pain and swelling following extraction of third molar teeth[J].Anaesthesia,1993,48(11):961-964.
[24]Al-Khateeb TH,Alnahar A.Pain experience after simple tooth extraction[J].J Oral Maxillofac Surg,2008,66(5):911-917.
[25]Misir AF,Sumer M,Yenisey M,et al.Effect of surgical drill guide on heat generated from implant drilling[J].J Oral Maxillofac Surg,2009,67(12):2663-2668.