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Register a new userThe Incidence of Complications and Pain Following Periodontal Treatment
المضاعفات و الآلام التالية للمعالجة حول السنية
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Damascus University ورقة بحثية
Publication date
2004
fields
Dentistry
and research's language is
العربية
Authors
أسامة إبراهيم( باحث )
Created by
Shamra Editor
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من المهم لطبيب الأسنان و المريض معرفة المضاعفات و الآلام التالية للمعالجة حول السنية. هدفت هذه الدراسة إلى تحديد مضاعفات المعالجة حول السنية التـي جـرت فـي عيـادة الدراسات العليا في قسم أمراض الأنسجة حول السنية في جامعة دمشق، و العوامل التي قـد تؤثر في حدوث الألم. شملت الدراسة 214 مريضاً تراوحت أعمارهم بين 18– 57 سـنة معظمهـم مـن الإنـاث ( 94،57 %) عانى 86 ،51 % من المرضى من الألم، أي احتاجوا إلى أخذ مسكنات إلى مـا بعد يوم المعالجة حول السنية. وجدت 4 حالات خمج فقط اثنتان منها تمت رغـم اسـتعمال الصاد الحيوي وقائياً. النساء أكثر تألماً بعد المعالجة حول السنية. يقل الألم عند المرضـى فوق 45 سنة من العمر. أيضاً يقلل التدخين و الصاد الحيوي من حدوث الألم. في المقابل لم تجد هذه الدراسة علاقة بين الألم و كل من الضماد اللثوي و الأمراض العامـة و النظافة الفموية و طريقة المعالجة الجراحية حول الـسنية و سـعة المعالجـة. المعالجـة الجراحية حول السنية أكثر إيلاماً من المعالجة حول السنية غير الجراحيـة، و لكـن حتـى المعالجة غير الجراحية مؤلمة أحياناً، لقد عانى 72،29 % مـن مرضـى المعالجـة غيـر الجراحية من ألم. بالاستناد إلى هذه الدراسة فإن المضاعفات و الآلام التالية للمعالجة حـول السنية قليلة.
Both dentists and patient are interested to know the complications following periodontal therapy. The purpose of this study was to document this incidence following periodontal therapy carried out in a postgraduate periodontal clinic at Damascus university, and to identify factors that influence postprocedural pain. 214 patients between 18 to 57 years of age, most of them women ( 57,94% ) enrolled in this study. Pain was reported by 51,86% of the patients, which means they needed analgesics after the first post operative day. Infections were present in only 4 patients, two of them were under antibiotics. Females experienced significantly more pain than males after periodontal treatment. Pain decreased significantly in patients over 45. Also smoking and prophylactic antibiotic reduced the incidence of postprocrdural pain. In this study , ther e were no correlation between pain and the following: periodontal dressing, systemic diseases, oral hygiene, types of periodontal surgery and extent of the surgery. Surgical periodontal treatment is more painful than non-surgical treatment, but even non-surgical therapy is painful sometimes. 29,72% of the non-surgical therapy patients experienced postprocedural pain. On the basis of this study ,it appears that minimal complications were associated with periodontal therapy.
References used
Karadottir H, Lenoir L, Barbierato B et al : Pain experienced by patients during periodontal maintenance treatment. J Periodontol 73 : 536-542 , 2002
Fardal O, Johannessen AC, Linden GJ : Patients perceptions of periodontal therapy completed in a periodontal practice. J Periodontol 73 :1060-1066, 2002
Checchi L, Trombelli L : Postoperative pain and discomfort with and without periodontal dressing in conjunction with 0,2% chlorhexidine mouthwash after apically positioned flap procedure. J Periodotol 64 : 1238-1242 , 1993
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