Abstract
Background and Objectives: Postoperative pain is a common symptom of a flare-up after root canal treatments (RCTs). Insufficient instrumentation, extrusion of irrigation solutions and debris, and the existence of a periapical lesion are the factors affecting postoperative pain after root canal treatments. The aim of this study was to evaluate the postoperative pain and instrumentation time of the single-file reciprocating system and multiple-file Ni–Ti rotary system in children ages 9–12 years old. Materials and Methods: Our study was conducted on 51 permanent mandibular molars with the diagnosis of irreversible pulpitis. Patients were randomly assigned into two groups, and RCTs were completed with either the Reciproc Blue or Protaper NEXT file systems. Instrumentation time for each system was noted, and patients were given a pain scale that included a visual analog scale for 6, 24, 48, and 72 h after treatment. Postoperative pain scores and instrumentation times were analyzed statistically with a chi-square test and Student’s t-test. Results: There was no statistically significant difference in postoperative pain between the Reciproc Blue and Protaper NEXT systems at all time intervals. Instrumentation time was significantly shorter in the Reciproc Blue group in comparison with the Protaper NEXT group. Conclusions: Postoperative pain findings following RCT using single-file reciprocating systems were similar to the rotary system group. However, chair time in the reciprocating system group was significantly lower. This provided a comfortable and patient-friendly treatment approach for children, and could enhance their cooperation.
Highlights
Postoperative pain is one of the most common complications of root canal treatment, and according to a systematic review, the prevalence rate is reported to be between 3–58% [1]
Root canal preparation time with the single-file Reciproc Blue system was significantly shorter compared to multiple-file Protaper system
Root canal treatment with the single-file Reciproc Blue system is an appropriate choice for root canal treatments (RCTs) for pediatric patients due to the reduced instrumentation time
Summary
Postoperative pain is one of the most common complications of root canal treatment, and according to a systematic review, the prevalence rate is reported to be between 3–58% [1]. Several studies reported that nickel–titanium (Ni–Ti) rotary shaping extrude less debris and cause less postoperative pain compared with the stainless steel hand files [8]. Postoperative pain is a common symptom of a flare-up after root canal treatments (RCTs). Insufficient instrumentation, extrusion of irrigation solutions and debris, and the existence of a periapical lesion are the factors affecting postoperative pain after root canal treatments. The aim of this study was to evaluate the postoperative pain and instrumentation time of the single-file reciprocating system and multiple-file Ni–Ti rotary system in children ages 9–12 years old. Results: There was no statistically significant difference in postoperative pain between the Reciproc Blue and Protaper systems at all time intervals. Conclusions: Postoperative pain findings following RCT using single-file reciprocating systems were similar to the rotary system group. This provided a comfortable and patient-friendly treatment approach for children, and could enhance their cooperation
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