Abstract
Background and Objectives: A component of endodontic therapy is the prevention and management of post-operative painThe postoperative discomfort and suffering associated with root canal therapy (RCT) are more severe and frequent than thoseassociated with other dental procedures. The objective of this study is to determine the frequency and intensity of PEP(post-operative pain)after root canal therapy (RCT) in teeth having healthy and unhealthy pulps.Methodology: This prospective study, which was conducted from July 2022 to December 2022. Participants includedall individuals (n=193) who underwent RCT in teeth with pulp (vital or pulp)after receiving initial therapy for symptomaticirreversible pulpitis at Rehman College of Dentistry in Peshawar. Using a standardized questionnaire, data on thingslike gender, age, pulpal diagnosis and tooth location were acquired. Patients were questioned regarding the rate theirlevel of pain using a 1–5 point scale within 24 hours after therapy at 6, and 18 hours post-treatment.Results: RCT of teeth with live pulp resulted in higher post-operative discomfort (63.8%; 2.46 1.4, vs. 38.5%; 1.78 1.2,resp.) than with necrotic pulp. Both spontaneous and prompted pain had no statistically significant correlation with thepulp state.Conclusion: In comparison to teeth with necrotic pulp, RCT of teeth with viable pulp caused a considerably greaterdegree and incidence of post-operative pain.
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