根管充填後疼痛因素之探討

Factors Associated with Post-obturation Pain

10.6320/FJM.2002.6(4).10

石進財(Chin-Tsai Shih)；鄭景暉(Jiiang-Huei Jeng)；王若松(Juo-Song Wang)；李伯訓(Bor-Shiunn Lee)；藍萬烘(Wan-Hong Lan)

根管充填後疼痛 ； 根管治療 ； 根尖病灶 ； post-obturation pain ； root canal treatment ； apical radiolucency

台灣醫學

6卷4期（2002 / 07 / 01）

552 - 558

繁體中文

The aim of this study was to investigate whether certain factors, namely patient age and sex, size of apical lesion, tooth arch, tooth position, tooth number and quality of root canal filling, could be associated with post-obturation pain. A follow-up study of patients who had undergone obturation procedures was done over a half-year period from October 2000 to March 2001. In this study, each patient was returned to NTUH endodontic department for follow-up study after root canal filling. This study included a total of 260 patients involving 329 teeth. These factors, including size of apical lesion, age, sex, tooth arch tooth position, tooth number, quality of root canal filling and post-obturation pain were statistically analyzed by Chi- square (P＜0.05). It was found that the size of the apical lesion and post-obturation pain were significantly correlated. It was also found that post-obturation pain was rare when procedures were done on mandibular anterior teeth and when fistula was present. Patients below the age of twenty were reported to have less pain than those between the ages of forty and fifty. Finally, but not surprisingly, the longer the follow-up period, the fewer the clinical symptoms that may be found in the patients.

The aim of this study was to investigate whether certain factors, namely patient age and sex, size of apical lesion, tooth arch, tooth position, tooth number and quality of root canal filling, could be associated with post-obturation pain. A follow-up study of patients who had undergone obturation procedures was done over a half-year period from October 2000 to March 2001. In this study, each patient was returned to NTUH endodontic department for follow-up study after root canal filling. This study included a total of 260 patients involving 329 teeth. These factors, including size of apical lesion, age, sex, tooth arch tooth position, tooth number, quality of root canal filling and post-obturation pain were statistically analyzed by Chi- square (P＜0.05). It was found that the size of the apical lesion and post-obturation pain were significantly correlated. It was also found that post-obturation pain was rare when procedures were done on mandibular anterior teeth and when fistula was present. Patients below the age of twenty were reported to have less pain than those between the ages of forty and fifty. Finally, but not surprisingly, the longer the follow-up period, the fewer the clinical symptoms that may be found in the patients.