一项随机临床试验:多发性Miller III类/RT2牙龈衰退中粘膜牙龈手术后疼痛感知的重要性

IF 1.8 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
A Fernández-Jiménez, A-M García-De-La-Fuente, R Estefanía-Fresco, I Lafuente-Ibañez-de-Mendoza, X Marichalar-Mendia, J-M Aguirre-Urizar, L-A Aguirre-Zorzano, E Ginestal-Gómez
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引用次数: 0

摘要

背景:虽然粘膜牙龈手术后的疼痛可以改变患者的日常生活,但很少有研究考虑患者的特点来比较粘膜牙龈手术后的日常疼痛。本研究的目的是评估24例Miller III类/RT2多发性衰退患者的术后疼痛,改良VISTA (m-VISTA)与冠状晚期皮瓣(CAF)联合结缔组织移植物(CTG)治疗。材料与方法:在“UPV/EHU疼痛日记”中收集疼痛强度(PI)、疼痛持续时间(PD)、镇痛药物摄入(AI)、镇痛需要时间(TAN)等相关数据。其他数据也被评估,如患者的中枢致敏水平、术前疼痛、CTG的尺寸和术后发生率。进行描述性和分析性统计分析。结果:实验组PI (m-VISTA = 11.19 vs. CAF = 8.10)、PD (m-VISTA = 25.27 min vs. CAF = 10.34 min)较高,2、8 h时差异有统计学意义。实验组的TAN (m-VISTA = 63.58 min vs. CAF = 53.25 min)更高,而对照组的AI (m-VISTA = 15 min vs. CAF = 38 min)是对照组的两倍。观察到PI与SCTG长度和药物/酒精消耗之间存在关联。结论:m-VISTA组患者术后疼痛更大。然而,这些患者表现出更多的危险因素,这些因素可能增加或改变了他们的疼痛症状。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Importance of pain perception after mucogingival surgery in multiple Miller class III/RT2 gingival recessions: A randomized clinical trial.

Background: Although postoperative pain after mucogingival surgery can modify the patient's daily life, few studies have compared daily postoperative pain in mucogingival surgery considering patient characteristics. The aim of this study was to evaluate postoperative pain in 24 patients with Miller class III/RT2 multiple recessions treated with the modified VISTA (m-VISTA) versus the coronally advanced flap (CAF) with a connective tissue graft (CTG).

Material and methods: Data related to pain intensity (PI), pain duration (PD), analgesic drug intake (AI), and time of analgesic need (TAN) were collected in the "UPV/EHU pain diary". Other data were also evaluated such as the patient's central sensitization level, pre-surgical pain, dimensions of CTG, and postoperative incidences were included. A descriptive and analytical statistical analysis was performed.

Results: PI (m-VISTA = 11.19 vs. CAF = 8.10) and PD (m-VISTA = 25.27 min. vs. CAF = 10.34 min.) were higher in the test group, being statistically significant at 2 and 8 hours. TAN (m-VISTA = 63.58 min. vs. CAF = 53.25 min.) was higher in the test group, while AI was two times higher in the control group (m-VISTA = 15 vs. CAF = 38). An association was observed between PI and both the length of the SCTG and drugs/alcohol consumption.

Conclusions: Postoperative pain was greater in the group of patients treated with m-VISTA. However, these patients showed a higher number of risk factors which might have increased or modified their pain symptoms.

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来源期刊
Medicina Oral Patologia Oral Y Cirugia Bucal
Medicina Oral Patologia Oral Y Cirugia Bucal DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
4.60
自引率
0.00%
发文量
52
审稿时长
3-8 weeks
期刊介绍: 1. Oral Medicine and Pathology: Clinicopathological as well as medical or surgical management aspects of diseases affecting oral mucosa, salivary glands, maxillary bones, as well as orofacial neurological disorders, and systemic conditions with an impact on the oral cavity. 2. Oral Surgery: Surgical management aspects of diseases affecting oral mucosa, salivary glands, maxillary bones, teeth, implants, oral surgical procedures. Surgical management of diseases affecting head and neck areas. 3. Medically compromised patients in Dentistry: Articles discussing medical problems in Odontology will also be included, with a special focus on the clinico-odontological management of medically compromised patients, and considerations regarding high-risk or disabled patients. 4. Implantology 5. Periodontology
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