Prevention and management of pain after endodontic treatment
| Autor: | K. V. Vetkova, E. V. Elohina, L. M. Lomiashvili, A. V. Chekina, S. M. Gorev |
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| Jazyk: | ruština |
| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | Эндодонтия Today, Vol 18, Iss 4, Pp 10-13 (2021) |
| Druh dokumentu: | article |
| ISSN: | 1683-2981 1726-7242 |
| DOI: | 10.36377/1683-2981-2020-18-4-10-13 |
| Popis: | Aim. Medical therapy optimization for the prevention and management of pain after endodontic treatment.Materials and methods. A clinical study, in which 68 patients with sequelae of dental caries were examined. The following methods were used:clinical method, roentgenological method, pharmacoepidemiological method, expert judgements, mathematical statistics.Results. A spectrum of analgesics for self-medication of dental pain included 8 medications; 92.6% of which are nonsteroidal anti-inflammatory drugs. Pathology of gastritis in the past medical history was identified in 39.7 ± 5.9% of the patients. Pain was recorded in 79.4 ± 5.4% of the patients. After having finished the treatment analgesic was prescribed in 42.6 ± 4.2% of the cases. Analgesics were taken by 73.5 ± 5.4% of the patients with postendodontic pain. The connection between the analgesic's “strength” and the subjective assessment of its efficacy was identified: r = +0.31 p = 0.035.Conclusions. In most cases pain severity before and after endodontic treatment can be evaluated as moderate. Ketorolac (51,9%) is used as a preferred medication for self-help by the patients with dental pain. Ibuprofen (56,4%) and ketorolac (33,3%) are prescribed by doctors as an analgesic after endodontic treatment in most cases.However, patients often do not follow doctors' orders and choose other nonsteroidal anti-inflammatory drugs as a selfmedicating for preventing the pain. A prescription pattern of analgesic drugs for the prevention and management of pain after endodontic treatment is introduced: for moderate pain - ibuprofen or paracetamol, for severe pain - ketoprofen for the patients with somatic system disorder or ketorolac for the patients without somatic symptom disorder. |
| Databáze: | Directory of Open Access Journals |
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