en ارتباط علائم و نشانه‌های بالینی قبل از عمل با خونریزی پالپ در حین پالپوتومی دندان‌های مولر شیری کودکان Pedodontics مقاله پژوهشي Research Paper <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><b><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:#0066cc">مقدمه:</span></span></span></span></b> <span b="" lang="AR-SA" nazanin="" style="font-family:">وجود/عدم&nbsp; سابقه درد در دندان‌های شیری ممکن است با یافته‌های بالینی و رایوگرافیک حین عمل مطابقت داشته باشد. هدف&nbsp; این مطالعه ارزیابی ارزش پیش‌بینی‌کننده علائم بالینی قبل از عمل در پیش‌بینی طرح درمان نهایی بود</span>.</span></span></span></span></span><br> <br> <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><b><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:#0066cc">مواد و روش‌ها:</span></span></span></span></b><span b="" lang="AR-SA" nazanin="" style="font-family:">&nbsp; مطالعه بر روی 107 کودک که نیاز به پالپوتومی و ترمیم دندان‌های مولر اول شیری داشتند. انجام شد. سابقه درد و حساسیت به دق و لمس ارزیابی شد. درد&nbsp; زمان نمایان شدن پالپ، رنگ بافت پالپ نمایان شده و هموستاز پس از 3 دقیقه در طول عمل ثبت شد. رابطه بین علائم قبل از عمل و یافته‌های حین عمل&nbsp; استفاده از روش ویلسون برای محاسبه حساسیت، ویژگی و ارزش پیش‌بینی‌کننده علائم حین عمل (فاصله اطمینان</span> <span dir="LTR" new="" roman="" style="font-family:" times="">(CI) 95%</span><span b="" lang="AR-SA" nazanin="" style="font-family:">)</span> <span b="" lang="AR-SA" nazanin="" style="font-family:">مورد تجزیه و تحلیل قرار گرفت</span>.</span></span></span></span></span><br> <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><span dir="LTR" style="font-family:"Times New Roman",serif"></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><b><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:#0066cc">نتایج:</span></span></span></span></b><span b="" lang="AR-SA" nazanin="" style="font-family:"> درد خودبه‌خود (88.5%) و درد شبانه (88.2%) بالاترین ارزش پیش‌بینی‌کننده مثبت</span> <span dir="LTR" new="" roman="" style="font-family:" times="">(PPV)</span> <span b="" lang="AR-SA" nazanin="" style="font-family:">را برای رنگ تیره‌تری خونریزی داشتند. درد شبانه و درد هنگام دق به ترتیب 52.9% و 2.6% برای درد هنگام نمایان شدن پالپ داشتند. درد هنگام جوید، بالاترین</span> <span dir="LTR" new="" roman="" style="font-family:" times="">PPV</span> <span b="" lang="AR-SA" nazanin="" style="font-family:">را برای هموستاز پس از </span><span b="" lang="FA" nazanin="" style="font-family:">۳</span> <span b="" lang="AR-SA" nazanin="" style="font-family:">دقیقه (</span><span b="" lang="FA" nazanin="" style="font-family:">۷۹</span><span lang="FA" new="" roman="" style="font-family:" times="">٪</span><span b="" lang="FA" nazanin="" style="font-family:">) </span><span b="" lang="AR-SA" nazanin="" style="font-family:">داشت</span>.</span></span></span></span></span><br> <br> <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><b><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:#0066cc">نتیجه‌گیری:</span></span></span></span></b><span b="" lang="AR-SA" nazanin="" style="font-family:"> در میان علائم قبل از عمل گزارش شده توسط بیماران، درد خودبه‌خودی و درد&nbsp; پاسخ به محرک سرما ممکن است نشان‌دهنده درد هنگام نمایان شدن پالپ و خونریزی تیره‌ در طول پالپوتومی باشد</span>.</span></span></span></span></span><br> <br> <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><b><span lang="AR-SA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:#0066cc">کلمات کلیدی:</span></span></span></span></b><span b="" lang="AR-SA" nazanin="" style="font-family:">&nbsp;بالپ دندان , دندان؛ دندان شیری</span><span b="" lang="FA" nazanin="" style="font-family:">، </span>&nbsp;<span b="" lang="AR-SA" nazanin="" style="font-family:">درد، ارزیابی علائم، زمان خونریزی</span>.</span></span></span></span></span><br> &nbsp; <span style="font-size:11pt"><span style="line-height:14.0pt"><span style="font-family:Calibri,sans-serif"><b><span new="" roman="" style="font-family:" times=""><span style="color:#0066cc">Introduction:</span></span></b><span new="" roman="" style="font-family:" times=""> The presence/absence of pain history in primary teeth may not be compatible with peroperative clinical and radiographic findings. The aim of this study was to evaluate the predictive value of preoperative clinical sympos in predicting the final treatment plan. </span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:14.0pt"><span style="font-family:Calibri,sans-serif"><b><span new="" roman="" style="font-family:" times=""><span style="color:#0066cc">Materials and Methods:</span></span></b><span new="" roman="" style="font-family:" times=""> Ths study was conducted on 107 childrens requiring pulpotomy and restoration of primary first molars. Paine history and sensitivity to percussion and palpation were assessed. Pain at the time of pulp exposure, color of exposed pulpe tissue, and hemostasis after 3 minutes were rceorded during the procedure. The relationship between preoperative symptems and perioperative findings was analyzed using the Wilson method to calculate the sensitivity, specificity and predictive value of perioperative symptoms confidence interval (CI) %95). </span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:14.0pt"><span style="font-family:Calibri,sans-serif"><b><span new="" roman="" style="font-family:" times=""><span style="color:#0066cc">Results:</span></span></b><span new="" roman="" style="font-family:" times=""> Spontaneous (88.5%) and nocturnal (88.3%) pain had the highest positive predictive value (PPV) for darker color of bleedings. nocturnal pain and pain during percussion had a PPV of 52.9% and 52.6% for pain during pulp exposure, respectively. Pain during mastication had the highest PPV for hemostasis after 3 minutes (79%).</span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:14.0pt"><span style="font-family:Calibri,sans-serif"><b><span new="" roman="" style="font-family:" times=""><span style="color:#0066cc">Conclusion:</span></span></b><b> </b><span new="" roman="" style="font-family:" times="">Among the preoperative symptoms reported by Patient, spontaneous paine and pain in response to a cold stimuluse may indicate pain during pulp exposrue and darker bleeding during pulpotomye. </span><span style="font-family:"Times New Roman",serif"></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><b><span new="" roman="" style="font-family:" times=""><span style="color:#0066cc">Keywords:</span></span></b> <span new="" roman="" style="font-family:" times="">Dental<b> </b>Pulpe; tooth; deciduous; Pain; Symptom Assessment, bleeding time.</span></span></span></span> پالپ دندان؛ دندان, دندان شیری,  درد, ارزیابی علائم, زمان خونریزی. Dental pulp, Tooth, deciduous, Pain, Symptom Assessment, Bleeding time. 99 108 http://cjdr.ir/browse.php?a_code=A-10-502-2&slc_lang=en&sid=1 Mahsa Mahlegha mahlaghamahsa@gmail.com 1 100319475328460021453 No Dental school, International campus, Tehran Universityb of Medical sciences, Tehran Iran Marzieh Salehi Shahrabi salehipegah7@gmail.com 2 100319475328460021454 No Dental School, International Campus, Tehran University of medical sciences, Tehran Iran Mehrsa Paryab m-paryab@tums.ac.ir 3 100319475328460021455 Yes Dental School, Tehran University of Medical Sciences, Tehran, Iran Elnaz Askari Anaraki lnz.askari@gmail.com 4 100319475328460021456 No Dental Branch, Azad Universioty Mohammad Javad Kharrazi Fard mj_khf@yahoo.com 5 100319475328460021457 No Dental School, Tehran University of Medical Sciences, Tehran , Iran