Comparative Evaluation of Pain, Tenderness and Swelling followed by Radiographic Evaluation of Periapical Changes at Various Intervals of Time following Single and Multiple Visit Endodontic Therapy: An in vivo Study

Abstract

Aim This clinical study was undertaken to evaluate the postoperative sequelae following single-visit versus multiplevisit endodontic therapy at various interval of time in vital as well as nonvital teeth. Materials and methods Thirty-two cases were randomly assigned to the following four groups, group I, group II, group III and group IV. After gaining the access to the pulp chamber, establishing the working length, thorough cleaning and shaping was done for all the cases. Obturation was done by protaper (variable taper) gutta-percha and AH-PLUS sealer using lateral and vertical condensation technique. All the cases were recalled after 48 hours, 1 week, 4 weeks and 6 weeks following obturation and were evaluated for postoperative pain, tenderness and swelling. Results There was no statistically significant difference amongst all the four groups in the incidence and severity of postoperative pain, tenderness and swelling at the end of one week. However, within 48 hours groups I, II and IV showed more pain when compared to group III. And groups I, II and III showed more tenderness compared with groups IV. Postoperative swelling was not reported. Radiographic investigation at the end of 6 weeks showed significant change in the appearance of the periapical region in group II and group IV cases. Conclusion On strict adherence to biological principles and proper case selection, no significant difference in the success, postoperative pain and tenderness exist when treated with either single-visit or multiple-visit therapy. Clinical significance No significant difference in the success rate or postoperative pain, tenderness, and swelling exists when treated with either single-visit or multiple-visit endodontic therapy. Hence, one can readily integrate one-visit endodontic therapy into the routine clinical practice of dentistry. How to cite this article Prashanth MB, Tavane PN, Abraham S, Chacko L. Comparative Evaluation of Pain, Tenderness and Swelling followed by Radiographic Evaluation of Periapical Changes at Various Intervals of Time following Single and Multiple Visit Endodontic Therapy: An in vivo Study. J Contemp Dent Pract 2011;12(3):187-191.

Postoperative Pain after Single-Versus-Multiple Visit Root Canal Treatment in Teeth with Vital or Non-Vital Pulps in a Turkish Population

“…A previous systematic review also focused on comparing procedures without considering the pretreatment pulpal status (Figini et al, 2007). These results agree with previous studies (DiRenzo et al, 2002;ElMubarak et al, 2010;Topcuoglu et al, 2012;Prashanth et al, 2011) that reported postoperative pain was not related to preoperative pulpal status. In the present study, the mean VAS value of subjects was 1.38±0.18 out of 10 at 24th h interval and gradually decreased with time.…”

Outcome of Single- vs Multiple-visit Endodontic Therapy of Nonvital Teeth: A Meta-analysis

“…Of these, six analyzed periapical repair, [14][15][16][17][18][19] four microbiological control, 17,[20][21][22] and eight postobturation pain. [23][24][25][26][27][28][29][30] Table 1 describes the characteristics of the studies related to periapical repair and microbiological control. Table 2 is a description of the studies on postobturation pain.…”

“…Except for three studies, 14,16,24 all other had discontinuation rates <10%, an index acceptable. The examiners were blinded in nine studies [14][15][16][17][18]26,28,29 and were calibrated before initiation of the study in four. 15,16,18,33 The clinical protocols differed with respect to the types of professional involved (undergraduate students to experienced endodontists), instrumentation and obturation 20 its use as an intracanal medicament for a short period had a positive effect, probably due to the association with a substance, which removes the smear layer.…”

Arresting rampant dental caries with silver diamine fluoride in a young teenager suffering from chronic oral graft versus host disease post-bone marrow transplantation: a case report

“…Completing endodontic treatment in a single appointment is known to be a convenience to patients and dentists, and avoids complications from leakage of the temporary seal that is needed between multiple appointments. Prashanth and associates [23] reported no significant difference in the success rate or postoperative pain, tenderness, and swelling when treated with either single-visit or multiple-visit endodontic therapy. Hence, one can readily integrate one-visit endodontic therapy into the routine clinical practice of dentistry.…”