Incidence of post endodontic pain after single visit root canal treatment with manual, rotary and rotary instruments with ultrasonic cleaning: a comparative study

Journal Title: Saudi Journal of Oral and Dental Research - Year 2017, Vol 2, Issue 4

Abstract

Abstract: Amongst the various complications reported for single visit endodontics, incidence of post endodontic pain (PEP) is the most common. To evaluate and compare the incidence, duration, intensity and nature of post endodontic pain (PEP) in single visit endodontic treatment, following biomechanical preparation (BMP), using K files with Step Back Technique, Protaper Next with Crown down Technique and Passive Ultrasonic Instrumentation (PUI) along with Protaper Next. 75 patients, with asymptomatic irreversible pulpitis in Maxillary anterior teeth were selected and treated with single sitting root canal treatment, by a single operator. Patients were randomly divided into 3 groups, Control (K files using step back technique), Experimental 1 (Protaper Next using crown down technique) and Experimental 2 (Protaper Next along with PUI). Patients were recalled, examined and asked to fill up questionnaire after 3hrs, 24 hrs, 48 hrs and 7 days of wearing-off of anaesthesia. On the basis of response given in the feedback forms, PEP was evaluated for incidence, duration, intensity and nature. Statistical analysis of the data was carried out using Chi square test and level of significance (p < 0.05) was evaluated. Incidence of PEP was identical in the two experimental groups, which was lower than the control group. Statistically, difference in the incidence of pain, amongst the three groups was found to be non-significant. The duration of pain was longest in Control group, with more patients, experiencing pain, whereas it was least in Experimental group 2. Across the groups, maximum patients experienced mild, continuous pain. Majority of patients experience PEP that is mild, continuous, localised and precipitated by trigger factors. It lasts longer, with hand instruments. Keywords: Post Endodontic Pain (PEP),PassiveUltrasonic Instrumentation (PUI), Protaper Next, Step Back Technique, Crown Down Technique, K files.

Authors and Affiliations

Atul Jain, Rachana Bahuguna, Shruti Kashyap, Ashiq Ali

Keywords

Related Articles

An In-vitro Evaluation of the Efficacy of MTAD, Maleic Acid and EDTA for Smear Layer Removal Using Two Different Irrigating Needles After Biomechanical Preparation – A Scanning Electron Microscope Study.

Abstract: To evaluate the efficacy of irrigating solutions EDTA, MTAD and Maleic acid in smear layer removal, using Navitips and conventional needles. 48 extracted mandibular premolar teeth were divided into 3 groups and...

Effect of Faulty Prosthesis on Periodontium -A Case Report

Abstract: Dental prosthesis can cause an increase in the accumulation of plaque bacteria that could lead to progression of periodontal disease; but if patients have effective oral hygiene maintenance and regular check-up...

Bilateral Cantilever Bridge: A Treatment Option to Achieve Optimal Esthetics to Overcome Diastema

Abstract: Esthetic tooth replacement is a challenging procedure for the dentist, patient, and technician. Loss of the anterior teeth with existing diastema may result in excess space. Various treatment options are availa...

Zygomaticomaxillary Injury Re-Traversed: An Intricate Case Report

Abstract:Zygomaticomaxillary complex (ZMC) fractures are second commonest fractures in facial skeleton, with nasal fractures being the first. Common causes include altercations, motor vehicle accidents (MVAs) and sport i...

Management of Endodontic Complication by Intentional Replantation

Abstract: Complete cleaning and shaping of the root canal system is essential for success of endodontic treatment. Accurate measurement of working length and 3D obturation till the apical constriction is necessary for en...

Download PDF file
  • EP ID EP394137
  • DOI -
  • Views 74
  • Downloads 0

How To Cite

Atul Jain, Rachana Bahuguna, Shruti Kashyap, Ashiq Ali (2017). Incidence of post endodontic pain after single visit root canal treatment with manual, rotary and rotary instruments with ultrasonic cleaning: a comparative study. Saudi Journal of Oral and Dental Research, 2(4), 102-109. https://www.europub.co.uk/articles/-A-394137