Comparison of preoperative pain and medication use in emergency patients presenting with irreversible pulpitis or teeth with necrotic pulps
Comparison of preoperative pain and medication use in emergency patients presenting with irreversible pulpitis or teeth with necrotic pulps
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DOI：
10.1016/s1079-2104(02)91732-4
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发表时间：
2003-08-01
期刊：
影响因子：
--
通讯作者：
Beck, M
中科院分区：
文献类型：
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作者：
Nusstein, JM;Beck, M
Objective.这项回顾性研究比较了中度至重度疼痛患者的术前疼痛和药物使用的差异，这些患者因不可逆牙髓炎的牙齿和坏死牙髓的症状性牙齿寻求紧急牙髓护理。共有323名寻求紧急牙髓治疗的患者完成了关于他们的传记信息，疼痛，疼痛史和药物的问卷调查。测试牙齿的活力、移动性、叩诊和触诊疼痛。淋巴结肿大也进行了评估。不可逆性牙髓炎患者在寻求紧急护理之前的等待时间（9天比4天）明显长于有症状的坏死牙髓患者（P < .05）。两组在使用镇痛药或抗生素以及术前麻醉药物缓解疼痛方面无差异（P > 0.05）。据报道，非麻醉性镇痛药可显著减轻牙髓坏死的症状性牙齿患者的疼痛。在不可逆性牙髓炎患者组中存在性别差异：服用止痛药的女性多于男性，在牙髓坏死的有症状牙齿组中，男性多于女性。不可逆性牙髓炎患者等待更长时间寻求紧急治疗。大多数（81%-83%）患有中度至重度疼痛的急诊患者会服用某种类型的药物来帮助控制疼痛，患有不可逆牙髓炎的女性比男性更多。通过术前用药，这组患者将在62%至65%的时间内得到缓解;此外，患有坏死牙髓的症状性牙齿的男性比女性更多。
Objective. This retrospective study compared differences in preoperative pain and medication use in patients with moderate to severe pain who sought emergency endodontic care for teeth with irreversible pulpitis and for symptomatic teeth with necrotic pulps.Study design. A total of 323 patients seeking emergency endodontic treatment completed questionnaires regarding their biographical information, pain, pain history, and medications. Teeth were tested for vitality, mobility, percussion, and palpation pain. Lymphadenopathy was also evaluated.Results. Patients with irreversible pulpitis waited significantly (P < .05) longer before seeking emergency care (9 days vs 4 days) than patients with symptomatic teeth with necrotic pulps. No differences (P > .05) were found between the groups in terms of analgesic or antibiotic use and pain relief from preoperative narcotic medications. Nonnarcotic analgesics were reported to significantly reduce pain more often in patients with symptomatic teeth with necrotic pulps. There were sex differences in the group of patients with irreversible pulpitis: More women than men were taking analgesic medications and, in the group having symptomatic teeth with necrotic pulps, more men than women reported pain relief from their analgesic medications.Conclusion. Patients with irreversible pulpitis wait longer to seek emergency treatment. A majority (81%-83%) of emergency patients with moderate to severe pain will have taken some type of medication(s) to help control their pain, and more women than men with irreversible pulpitis will take an analgesic. By taking their preoperative medication(s), this group of patients will get relief 62% to 65% of the time; furthermore, more men than women with symptomatic teeth with necrotic pulps will experience pain relief.