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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Unmasking the Effect of Analgesics on Endodontic Diagnosis Using a Novel Bite Force Sensor Device: A Prospective, Randomized Clinical Trial
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Unmasking the Effect of Analgesics on Endodontic Diagnosis Using a Novel Bite Force Sensor Device: A Prospective, Randomized Clinical Trial

机译：使用新型咬力传感器设备揭示止痛药对牙髓病诊断的影响：一项前瞻性随机临床试验

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Introduction: A definitive diagnosis is of primary importance before initiating any endodontic treatment; yet, there are occasions when the dental professional is unable to accurately reproduce the patients chief complaint, as it can pose a dilemma and may require consideration of multiple variables in order to reach an accurate diagnosis. So to overcome this problem, a methodical approach in providing endodontic treatment should be implemented which includes diagnosis, definitive dental treatment and adjunctive drug therapy, known as the ?3D? strategy.Aim: The purpose of this study was to evaluate the possible "masking" effect of these analgesics on endodontic diagnosis using a novel bite force sensor device.Materials and Methods: A total of 90 patients with endodontic pain were selected and they were given either a placebo or 400 mg ibuprofen (brufen) or 50mg diclofenac sodium (voveron). Both patients and operators were completely blinded to the drugs administered. Bite force tolerance values were noted before and one hour after administration of medication using the self designed bite force sensor.Results: The pre- and post-bite force tolerance values were tabulated for both contralateral and affected tooth. For the affected tooth, there was statistically significant difference between pre- and post-bite force tolerance values in Group I (i.e., ibuprofen) and Group II (i.e., diclofenac sodium) (p<0.05) with no significant difference observed in Group III (placebo).Conclusion: The easily available over the counter self administered analgesics in addition to providing symptomatic relief to patients suffering from symptomatic apical periodontitis may also cloud the definitive diagnosis of the clinician, thus jeopardising the treatment plan. The self designed bite force sensor was effective in arriving at a definitive diagnosis in teeth with chronic irreversible pulpitis with symptomatic apical periodontitis, where the allodynia has been camouflaged by the use of analgesics like ibuprofen and diclofenac sodium.
机译：简介：在开始任何牙髓治疗之前，明确诊断至关重要。然而，有时候牙科专家无法准确地再现患者的主要诉求，因为这可能会带来难题，并且可能需要考虑多个变量才能实现准确的诊断。因此，为了克服这个问题，应该采用一种有系统的方法来提供牙髓治疗，包括诊断，确定性的牙齿治疗和辅助药物治疗，称为“ 3D”技术。策略：目的：本研究的目的是使用新型咬合力传感器设备评估这些镇痛药对牙髓病诊断的可能“掩盖”效果。材料与方法：总共选择了90例牙髓痛患者，并给予了治疗安慰剂或400毫克布洛芬（brufen）或50毫克双氯芬酸钠（voveron）。患者和操作人员都完全不了解所用药物。使用自行设计的咬合力传感器在服药前和服药后一小时记录咬合力的耐受性结果。结果：对侧和患牙的咬合前和咬合后的抗力性值都被制成表格。对于患牙，第一组（即布洛芬）和第二组（即双氯芬酸钠）的咬合前后的耐力值在统计学上有显着差异（p <0.05），而在第三组中没有观察到显着差异结论：非处方镇痛药很容易获得，除了可以为有症状的根尖性牙周炎患者提供症状缓解之外，还可能模糊临床医生的明确诊断，从而危及治疗计划。自行设计的咬合力传感器可以有效地对具有症状性根尖性牙周炎的慢性不可逆性牙髓炎的牙齿进行明确的诊断，其中使用布洛芬和双氯芬酸钠等镇痛剂掩盖了异常性疼痛。

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