Original Article Section: Dentistry Comparison of Postoperative Pain in Patient's Where Occlusal Adjustment was done after Endodontic Treatment Versus Patients Where Occlusal Contacts Were Maintained (original) (raw)
Related papers
Journal of Endodontics, 2013
Introduction: Pain management after root canal treatment is a very important issue in clinical practice. The purpose of this study was to evaluate the effect of occlusal reduction on postoperative pain in teeth with irreversible pulpitis and tenderness to percussion. Methods: Fifty-four posterior vital teeth with sensitivity to percussion requiring endodontic treatment were included in this study. After administration of local anesthesia, the root canals were instrumented, and an intracanal calcium hydroxide dressing was placed. The patients were randomly divided into 2 groups of 27 each. In 1 group the occlusal surface was reduced (OR group), whereas in the other group the occlusal surface was not modified (no occlusal reduction, NOR group). Each patient was asked to record their postoperative pain on a visual analogue scale with 4 categories at 6 hours, 12 hours, 18 hours, 1 day, and then daily for 6 days after this treatment. Data were analyzed by t test, Cochran Q, c 2 , and Mann-Whitney tests. Results: Forty-six patients returned the visual analogue scale forms. There was no significant difference in postoperative pain between the 2 groups (P > .05) after root canal preparation and calcium hydroxide dressing. Conclusions: Occlusal surface reduction did not provide any further reduction in postoperative pain for teeth with irreversible pulpitis and mild tenderness to percussion compared with no occlusal reduction. (J Endod 2013;39:1-5)
Giornale Italiano di Endodonzia, 2021
Aim: To investigate the association of pain perception of inferior alveolar nerve (IAN) block injection and access cavity preparation with psychological factors in patients undergoing endodontic treatment. Methodology: In this observational study, out of 208 patients who had lower molar with symptomatic irreversible pulpitis, 165 patients completed the study. Psychological factors comprising anxiety, depression and personality traits were evaluated by Hospital Anxiety and Depression scale and short form of NEO Five-Factor Inventory. Procedural pain comprising needle insertion and anesthesia solution deposition during IAN block injection as well as access cavity preparation was rated based on the Heft-Parker visual analog scale. Binary logistic regression was used to determine odd ratio (OR) with 95% confidence interval (CI). Results: The mean (standard deviation) age of patients was 34.63 (12.42) in which, females comprised 72.7% (n=120). Considering the psychological factors, the a...
Iranian endodontic journal, 2016
One of the most common complications of root canal treatment is postoperative pain. The aim of the present clinical trial was to compare the severity of postoperative pain after root canal preparation with RaCe rotary system and hand K-Flexofile. A total of 96 mandibular first and second molars were divided into two groups (n=48) based on root canal preparation technique. The teeth in both groups underwent one-session root canal treatment and the severity of postoperative pain was evaluated using visual analog scale (VAS) at 4-, 8-, 12-, 24- and 48-h and 1-week intervals. In addition, the type and dosage of analgesics were recorded. Data were analyzed with repeated-measures ANOVA. Statistical significance was set at 0.05. The difference between the two groups during this period and at subsequent intervals were not significant (P>0.05). There were no significant differences between the two groups in type and the number of analgesics in pain-free subjects (P=0.12 and P=0.61, respec...
Dental Research Journal, 2023
Background: This study compared postoperative pain after endodontic treatment of mandibular molars with asymptomatic irreversible pulpitis with the RaCe rotary system and the crown-down versus the step-down technique. Materials and Methods: In this randomized clinical trial, 70 mandibular 1 st and 2 nd molars with asymptomatic irreversible pulpitis and normal periradicular state were randomly assigned to two groups for single-visit endodontic treatment with RaCe rotary system and the crown-down and the step-down technique (n = 35). Postoperative pain was assessed at 6, 12, 24, 48, 72, and 168 h postoperatively, using a Visual Analog Scale. Data were analyzed using SPSS 17 by repeated measures ANOVA, Chi-square test, independent sample t-test, and lLeast sSignificant Ddifference test. P < 0.05 was considered statistically significant. Results: The two groups were not significantly different regarding the pain scores at any time point (P > 0.05). Within-group comparisons showed a significant reduction in pain score over time, starting from 12 to 168 h, postoperatively (P < 0.05). Conclusion: The crown-down and step-down techniques had no significant difference regarding postoperative pain after endodontic treatment of mandibular molars with asymptomatic irreversible pulpitis with the RaCe rotary system.
The Professional Medical Journal
Endodontic Pain if occurs after few hours or days after the treatment indicates a poor pathosis and a bad prognosis in long term, due to this a newer generation of instruments for canal treatment has been introduced from Ni-Ti alloy which has even better ability to shape narrow and curved root canals, without causing aberration. To compare the mean postoperative pain score after manual SS (stainless steel) K-files and mechanical Ni-Ti rotary path files in patients with irreversible pulpitis. Study Design: Randomized controlled trial. Setting: Department of Operative Dentistry, Altamash Institute of Dental Medicine, Karachi. Period: 6 months from 01-10-2017 to 30-03-2018. Materials and Methods: Total 60 patients of irreversible pulpitis with moderate pain score ≥5 were included and divided equally in manual stainless-steel k-files and mechanical Ni-Ti rotary path files groups. Treatment was started with local anesthesia. Patients were recalled after 24 hours and the level of postoper...
International Journal of Current Research and Review, 2021
Introduction: The literature to date has failed to establish a consensus concerning the relationship between postoperative pain and the number of treatment appointments. Some authors, support single-visit treatments, while others indicate that the use of such procedures can produce more discomfort for the patient and would therefore be less desirable under most circumstances. Objectives: This study aims to compare the incidence of post-obturation pain at one, two and seven days after single-visit and multiple-visit non-surgical endodontic treatments. Methods: 198 subjects have participated in the present study from the total sample size of 346. The sample was divided into two groups i.e Group-I with 93 subjects underwent the single sitting endodontic procedure and Group-II with 105 subjects underwent two sitting endodontic procedure, who reported back with the VAS reporting form. Pain score was recorded by using a Heft-Parker visual analogue scale (VAS) method. Each patient was assigned a value between 0 and 170 on the VAS scale. Statistical analysis was done using SPSS 20 for Windows (SPSS Inc., Chicago, IL, USA) using Chisquare test at p< 0.005. Results: There was no change in postoperative pain among subjects treated in one appointment and those treated in two appointments. Most of the patients in both groups conveyed no pain or only slight pain within 24 to 48 hours of treatment. Conclusion: Post-obturation pain after non-surgical endodontic therapy was not uncommon after one day, the second day but there was less pain or no pain after seven days. Among the teeth with post-obturation pain, the single-visit group had lowerintensity pain, after one day, two days and after seven days, then the multiple-visit group had.
BMC oral health, 2018
The aim is to investigate the prevalence of dental anxiety and its association with pain and other related factors in adult patients with irreversible pulpitis. One hundred and thirty patients with irreversible pulpitis were included in this cross-sectional study. Participants were asked to fill out an information table and a battery of questionnaires to assess their level of dental anxiety, pain at their first and most recent dental experience, and pain intensity before/during the present endodontic treatment. The level of anxiety that participants displayed during the present treatment was also evaluated by the dentists using an anxiety rating scale. Data were analyzed by t-test, ANOVA, and Spearman correlation tests. 83.1% of participants suffered from moderate or high dental anxiety, and 16.2% met criteria for specific phobia. Subjects who had higher MDAS scores were more likely to postpone their dental visits (P < 0.05). Subjects who had bad experiences at their most recent ...
Journal of Khyber College of Dentistry
Objective: To compare postoperative pain in asymptomatic irreversible pulpitis teeth with and without apical patency application during root canal treatment. Materials and Methods: A randomized contral trial was carried at Armed Forces Institute of Dentistry, Rawalpindi started July 2013 to Jan 2014. A total of 150 teeth (75 in each group) were randomly divided in two groups. In group A apical patency was applied with smallest file (8 or 10 number K file) in between instrumentation up to the whole working length. In group B no apical patency file was used in between instrumentation to check for post opciative pain. SPSS versim 22 was used foranalysis. Results: Postoperative pain was significantly less in group-A when compared with group-B, 26 (34.7%) versus 42 (56.0%) with p value 0.009. Moderate pain was observed in 17 teeth (22.7%) of group-A and 21 teeth (28.0%) of group-B. Severe postoperative pain was seen in 3 teeth (4.0%) of group-A and 7 teeth (9.3%) of group-B. Unbearable p...
SciDoc Publishers, 2021
Successful endodontic procedure is depending on three dimensional obturation of the canal along with absence of any pathology and post-operative pain. Pain is a complex, personal experience and attempts to make valid assessments of it have been faced with difficulties. The visual analogue scale (VAS) is widely used for evaluating pain perience. The technique has also been beneficial to consideration after anxiety, sleep, quality of life, breathlessness, nausea, and attitudes concerning the environment [1]. Patients typically complain of post-obturation pain after endodontic procedure.