Assessment of post-operative pain with use of rotary and conventional root canal instruments in single and multiple visit root canal treatment

Sheenam Markan Sheenam Markan,Gurvanit Kaur Lehl Gurvanit Kaur Lehl

doi:10.30574/ijsra.2021.2.2.0077

Sheenam Markan Sheenam Markan, Gurvanit Kaur Lehl Gurvanit Kaur Lehl

Open Access

https://doi.org/10.30574/ijsra.2021.2.2.0077

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Abstract

Aim: To compare the post-operative pain after the use of rotary and conventional root canal instruments in single and multiple visit root canal treatment Materials and Method: 168 patients requiring Root Canal Treatment [RCT] in maxillary and mandibular 1st molar were involved in the study. On the basis of vitality and radiographic features two groups were made, multiple visit (Group A n=72), single visit (Group B n=96). Then the patients were randomly divided into 4 subgroups. Subgroup I n=36 (multiple visit conventional RCT), Subgroup II n=36 (multiple visit rotary RCT), Subgroup III n=48 (single visit Conventional RCT) and Subgroup IV n=48 (single visit rotary RCT). In subgroup I & Subgroup III Canal preparation was done with stainless steel K files in step back manner. In subgroup II & Subgroup IV, rotary Protaper Next was used. Irrigation was done with 3 % NaOCl and Ethylenediamine tetraacetic acid (EDTA) alternatively followed by obturation. The postobturation pain was recorded at 6hr, 12hr, 24hr, 1 week using visual analogue scale. Statistical Analysis was done using Tukey HSD Post Hoc Test and ANOVA Test. Results: Within 24 hours there was statistically significant difference between the groups (p< 0.05) but after 7 days no statistically significant difference was there (p>0.05). Conclusion: Patients in the groups either in single and multiple visit experience less postobturation pain if the canal preparation was done with the rotary files at all the time intervals (6hrs, 12hrs, 24hrs ) but after 7 days no statistical difference was found.

Highlights

One of the common treatment options for relieving odontogenic pain is root canal treatment
Patients in the groups either in single and multiple visit experience less postobturation pain if the canal preparation was done with the rotary files at all the time intervals (6hrs, 12hrs, 24hrs ) but after 7 days no statistical difference was found
One visit root canal treatment is effective to both patient and doctor as it saves time [9,10]. Furthemore, it solves the other problems like intervisit leakage, loss of temporary seal, interappointment bacterial growth [11,8].The chemomechanical preparation play a vital role in reducing postendodontic pain by reducing the extrusion of dentinal debris in periapical area

Summary

Introduction

One of the common treatment options for relieving odontogenic pain is root canal treatment. It is commonly associated with post-operative pain and discomfort and a cause of distress for both patient and clinician [1,2]. One visit root canal treatment is effective to both patient and doctor as it saves time [9,10]. Furthemore, it solves the other problems like intervisit leakage, loss of temporary seal, interappointment bacterial growth [11,8].The chemomechanical preparation play a vital role in reducing postendodontic pain by reducing the extrusion of dentinal debris in periapical area. The file design enhances auguring debris out of a canal, results in least

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