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Factors associated with postoperative signs and symptoms in teeth with periapical lesion: a longitudinal study.
Silva, Erlange Andrade Borges; Guimarães, Ludmila Silva; Hespanhol, Fernanda Garcias; Reis, Caio Luiz Bitencourt; Antunes, Lívia Azeredo Alves; Antunes, Leonardo Santos.
Afiliação
  • Silva EAB; Postgraduate Program, School of Dentistry, Fluminense Federal University, Niterói, RJ, Brazil.
  • Guimarães LS; Postgraduate Program, School of Dentistry, Fluminense Federal University, Niterói, RJ, Brazil.
  • Hespanhol FG; Postgraduate Program, School of Dentistry, Fluminense Federal University, Niterói, RJ, Brazil.
  • Reis CLB; Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo.
  • Antunes LAA; Postgraduate Program, School of Dentistry, Fluminense Federal University, Niterói, RJ, Brazil.
  • Antunes LS; Department of Specific Formation, School of Dentistry, Fluminense Federal University, Nova Friburgo, RJ, Brazil.
Braz Dent J ; 33(6): 1-12, 2022.
Article em En | MEDLINE | ID: mdl-36477956
This study aimed to evaluate the association of the variables age, gender, arch position, tooth length, root canal amplitude, and periapical lesion size with the occurrence of postoperative signs and symptoms (pain, tenderness, and edema) and the use of postoperative analgesics following root canal treatment with foraminal enlargement in single-rooted teeth with apical periodontitis. This prospective longitudinal study included 105 patients requiring root canal treatment of maxillary or mandibular single-rooted teeth with periapical lesion. After root canal treatment in a single session, pain intensity and tenderness were recorded daily for 7 days and on days 14 and 30. Edema was evaluated by two independent evaluators within 48 h, 72 h, and 7 days after treatment. Ordinal and logistic regressions were performed (p < 0.05). Female gender (beta = 1.02; p < 0.01), mandibular teeth (beta = 25.50; p < 0.01), medium root canal amplitude (beta = 0.93; p = 0.03), and edema (beta = 1.88; p < 0.01) were associated with increased postoperative pain and tenderness, while the use of analgesics (beta = -1.82; p < 0.01) and time in days (beta = -0.23; p < 0.01) were associated with a decrease in these signs and symptoms. Edema was considered a risk factor for analgesic requirement (Odds Ratio [OR] = 61.46; p < 0.01). Factors such as gender, arch position, and root canal amplitude were associated with postoperative signs and symptoms. The use of analgesics was more required in edema and was associated with decreased pain.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Dor Pós-Operatória / Doenças Periapicais / Tratamento do Canal Radicular / Preparo de Canal Radicular Tipo de estudo: Diagnostic_studies / Observational_studies / Risk_factors_studies Limite: Female / Humans Idioma: En Revista: Braz Dent J Assunto da revista: ODONTOLOGIA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Dor Pós-Operatória / Doenças Periapicais / Tratamento do Canal Radicular / Preparo de Canal Radicular Tipo de estudo: Diagnostic_studies / Observational_studies / Risk_factors_studies Limite: Female / Humans Idioma: En Revista: Braz Dent J Assunto da revista: ODONTOLOGIA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil