Incidence of postoperative pain after one-appointment endodontic treatment of asymptomatic pulpal necrosis in single-rooted teeth

Introduction: Root canal treatment (RCT) is a common procedure in dentistry. In recent year, single visit RCT has gained increased acceptance as a treatment procedure of RCT. One of the problem of RCT is post obturation pain. Objectives: This study was conducted to determine the incidence of post obturation pain related to single visit RCT in asymptomatic non-vital single rooted teeth. Methods: A total 60 cases of endodontically involved asymptomatic non-vital single rooted teeth without any evidence of periapical radiolucency in radiograph, were selected for this study. The canals of all teeth were prepared and filled using the standarized preparation and lateral condensation filling technique. The frequency of post obturation pain was recorded as no pain, slight, moderate and severe pain and evaluated at the day l and at the day 7 after obturation. Result: Out of the 60 patients involved in the study, 37 patients had no pain, 12 patients had slight pain and 11 patients had moderate pain at the day 1 after post obturation. At the day 7 after post obturation, 50 patients had no pain, 8 patients had slight pain and 2 patients had moderate pain. No one showed severe pain in both follow up days. Conclusion: Statistically significant differences were found in the incidence and degree of pain between two follow up days. Incidence of pain was more in 1 st post obturation day and decreased thereafter.

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“…However, at 7 th day, post obturation pain decreased significantly which was found in agreement with the findings of other studies 18,19,20,21 .…”

Section: Methodssupporting

confidence: 93%

A Study of Post Obturation Pain Following Single Visit Root Canal Treatment

Jabeen

Khurshiduzzaman

2013

Chatt Maa Shi Hosp Med Coll J

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“…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.…”

Section: Resultsmentioning

confidence: 99%

“…30 Finally, in the studies in which intracanal medicaments were used in the multiple-visit therapy group, 24,25,29 these procedures were not associated with any reduction in the frequency of postobturation pain compared with the single-visit group. For those in which no medication was used, 23,26,27,30 it was impossible to establish a relationship with the frequency of postobturation pain in either of the groups. For all the endpoints, analysis of the funnel plot showed movement from the center of the plot toward the single-visit group, suggesting a publication bias in this direction.…”

Section: Resultsmentioning

confidence: 99%

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

Almeida¹,

Chaves²,

Souza³

et al. 2017

The Journal of Contemporary Dental Practice

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Introduction: Endodontic therapy is a specialized procedure more demanded by patients within public oral health care in the country. Then, single-visit endodontic therapy may offer advantages to the health care services, to the professionals, and to the patients by reducing access barriers. Materials and methods:A meta-analysis was done and the variables evaluated were periapical repair, microbiological control, and postobturation pain in randomized clinical trials (RCTs) involving endodontic treatment of nonvital teeth at single-or multiple visits.Results: About 17 RCTs were included. There were no differences found in periapical repair or microbiological control in single-and multiple-visit therapy. Single-visit endodontic therapy resulted in 21% less postobturation pain (relative risks = 0.79; 95%, confidence interval: 0.66-0.94). Conclusion:There was less postobturation pain in the single-visit endodontic therapy group. In the public dental care, this analysis favors the adoption of this one therapy because it will be possible to increase the patient access and the supply of this therapy. Clinical significance:It is possible to get a better cost-effectiveness for the patients and the health care service. This is very important because the reduction of the cost to the patient allows it to become a complete treatment. The health service, in turn, is able to be better used, with a greater supply of this service.

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“…There is also no difference in observation of pain at day 1 and day 7 after postobturation. Mulhern et al treated maxillary single rooted, symptom less, necrotic teeth in one and two visit RCT, reported no significant difference in post obturation pain in between two group 8 . Fava studied sixty maxillary central incisor with asymptomatic necrotic pulp in one and two visits 21 .…”

Section: Resultsmentioning

confidence: 97%

“…A few studies on asymptomatic non vital teeth 8,9,10 . But there is a very few literatures on post obturation pain in asymptomatic, non vital, single rooted maxillary teeth following RCT.…”

Section: Volume 15 Issue 1 January 2016mentioning

confidence: 99%

Postobturation Pain in Asymptomatic Non Vital Single Rooted Maxillary Teeth Following Single and Two Visit Root Canal Treatment

Jabeen

Khurshiduzzaman

2016

Chatt Maa Shi Hosp Med Coll J

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Objectives : The purpose of the present study was to asses the incidence and severity of pain after single and two visit Root Canal Treatment ( RCT ) / endodontic treatment in asymptomatic non vital single rooted maxillary teeth. Methods : Eighty one cases of endodontically involved asymptomatic, non vital, single rooted maxillary teeth without evidence of periapical radiolucency in radiograph were selected for this study. The patient were divided into two treatment group. In single visit group, all teeth were prepared and filled using the standardized preparation and lateral condensation filling technique. In the two visit treatment group, at the first appointment, the teeth were prepared and dressed with calcium hydroxide paste for 7 days. At the second appointment, the teeth were prepared and obturated by using lateral condensation technique. The frequency of post obturation pain was recorded as no pain, slight/ mild, moderate and severe pain and evaluated at the day 1 and at the day 7 after obturation. The data were analyzed statistically by using SPSS version 16. p-value <0.05 was taken as significant. Results : No significant difference in post obtuation pain was found in between single and two visit RCT in maxillary teeth. At the day 1 and 7 after obturation, single visit (n= 41) group and two visit (n=40) group similarly experienced moderate pain (2.5% and 1.1% respectively in both group). At day 1 and 7 after obturation, mild pain is more in single visit than two visit group. However, there was no statistically significant difference in pain between the two groups. No one experienced severe pain in two groups. Conclusion: The incidence and severity of post obturation pain did not differ between single and two visit RCT in asymptomatic non vital single rooted maxillary teeth.

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Incidence of postoperative pain after one-appointment endodontic treatment of asymptomatic pulpal necrosis in single-rooted teeth

Cited by 84 publications

References 9 publications

A Study of Post Obturation Pain Following Single Visit Root Canal Treatment

A Study of Post Obturation Pain Following Single Visit Root Canal Treatment

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

Postobturation Pain in Asymptomatic Non Vital Single Rooted Maxillary Teeth Following Single and Two Visit Root Canal Treatment

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