Pain assessment following endodontic treatment using two automated systems compared to manual treatment in primary molars

Alnassar, Ibrahim; Altinawi, Mohamed; Rekab, Mohammad Salem; Katbeh, Imad; Khasan, Alexander; Almokaddam, Hayan

doi:10.17219/dmp/130083

Cited by 4 publications

(5 citation statements)

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“…Such debris, in addition to increasing postoperative pain, are capable of producing a detrimental effect on the stem cells of the apical area [ 30 ]. In the study of Alnassar I [ 31 ] in 2021, it was concluded that manual instruments produced more debris than rotary instruments such as Protaper Next Waveone, without finding significant differences between both; [ 32 ] In the recent study by Yeung W-Y [ 33 ] 2022, the cross-sectional area of the instrument used was analyzed as one of the main parameters in determining the amount of extruded debris. In addition, it was also concluded that the volume of irrigant could condition said extrusion since a greater volume of irrigation will notably reduce the extrusion of the material.…”

Section: Discussionmentioning

confidence: 99%

Update in the Diagnosis and Treatment of Root Canal Therapy in Temporary Dentition through Different Rotatory Systems: A Systematic Review

2022

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The need to perform fast, effective and efficient pulpectomies has led to the development of numerous valid rotary systems. Its technical features allow the clinician to obtain good results in less working time. The objective of this study is to compare the characteristics of the different current rotary systems to favor a correct diagnosis and subsequent treatment. A systematic review of the literature has been carried out in accordance with the PRISMA recommendations. A search was carried out in PubMed, Embase Scopus, Cochrane and Web of Science databases, and was completed with a manual search. The following variables were extracted from the selected studies: author, year, sample, rotary systems used (length, diameter, taper, speed), obturation material and irrigant. From the initial electronic search of the five databases, 315 articles were identified. Once the duplicate articles were eliminated, a total of 233 remained. After reading both title and abstract, 200 articles were eliminated, leaving 33. On account of reading the full text, 22 were eliminated for not answering the research question or the inclusion criteria, leaving a total of 11 articles for the systematic review. Rotary systems which are able to adapt to the root anatomy of primary teeth and allow rapid and simple instrumentation, without producing excessive extrusion of debris at the root apex, will be the ones that provide the best results to the pediatric dentist during the performance of pulp treatment in primary teeth. Clinical success will only be achieved through proper prior diagnosis.

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Section: Discussionmentioning

confidence: 99%

Update in the Diagnosis and Treatment of Root Canal Therapy in Temporary Dentition through Different Rotatory Systems: A Systematic Review

2022

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“…A reduction in postoperative pain positively influences the attitude of the pediatric patient [27] . Rotary files not only allow shorter procedure time, they also offer less postoperative pain compared to other techniques [28,29,30,31] . Manchada et al found less postoperative pain from 6 to 48 hours compared to manual systems [32] .…”

Section: Postoperative Painmentioning

confidence: 99%

Rotary systems in root canal treatment of primary teeth

Ojeda¹,

Najera²,

Garza³

et al. 2023

Int. J. Appl. Dent. Sci.

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Introduction: Root therapy in primary teeth aims to remove the necrotic pulp, to prevent premature tooth loss, and to maintain the primary teeth until exfoliation. Rotary systems allow for more effective root canal treatments. Objective: To analyze the literature for the characteristics of the rotary systems such as root canal preparation, obturation time, post-operative pain and clinical success. Methodology: A exhaustive research was performed in PUBMED, to find relevant studies about the use of rotary systems in pediatric dentistry. Results: Rotary files provide a greater root canal preparation, show more conservation of tooth structure with less mistakes in comparison with other techniques. This technique simplifies the procedure, shows less post operative pain, and is reflected in the cooperation of the pediatric patient. Rotary files exhibit a significant cleaning efficacy and a greater bacterial removal that led to a significant clinical success. Conclusion: due to the complexity of the primary roots and how precise the root canal treatment must be. The use of rotary techniques can improve root canal treatment of primary teeth.

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“…Pain Assessments: Parents were trained to use the pain scale, and postoperative pain was evaluated at 6 h, 12 h, 24 h, 48 h, 72 h, and one week (10,12,14,15). All parents participating in the study were blinded to the treatment protocol used for their children.…”

Section: Inclusion and Exclusion Criteria From The Clinical Trialmentioning

confidence: 99%

The effect of various file systems on postoperative pain in primary Tooth Root Canal treatments: A randomized controlled clinical trial

Özaşık,

Abaklı İnci

2023

Med Sci Discov

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Objective: All root canal preparation techniques can potentially result in debris protruding apically, leading to postoperative pain. This study aimed to assess the effects of different file systems on postoperative pain in root canal treatments performed on primary molar teeth. Material and Methods: The study included 100 patients aged 5-8 years. NiTi K-type hand files (NTK), rotary file systems ProTaper Next (PTN), AF Baby (AFB), EndoArt Niti Pedo Gold (EAN), and reciprocal file system WaveOne Gold (WOG) were employed in the canal treatment of mandibular primary molars. Postoperative pain was assessed using the Visual Analog Scale (VAS) at the 6th, 12th, 18th, 24th, 48th, 72nd hour, and 1st week following treatment, and the collected data were evaluated statistically. Results: When considering time as a factor, the postoperative pain values among the groups were compared using the Kruskal-Wallis H test, and no statistically significant differences were observed (p = 0.007). In numerical terms, the group using NTK, EAN, AFB, and PTN exhibited the highest average postoperative pain, while the group using WOG, a reciprocal system, had the lowest pain. Conclusion: In conclusion, the choice of file used impacts postoperative pain. There was no statistically significant difference in time-independent postoperative pain values between rotary files designed for primary teeth and those intended for permanent teeth. However, using files specifically designed for primary teeth is recommended, considering factors such as working comfort and suitability for working length.

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Pain assessment following endodontic treatment using two automated systems compared to manual treatment in primary molars

Cited by 4 publications

References 0 publications

Update in the Diagnosis and Treatment of Root Canal Therapy in Temporary Dentition through Different Rotatory Systems: A Systematic Review

Update in the Diagnosis and Treatment of Root Canal Therapy in Temporary Dentition through Different Rotatory Systems: A Systematic Review

Rotary systems in root canal treatment of primary teeth

The effect of various file systems on postoperative pain in primary Tooth Root Canal treatments: A randomized controlled clinical trial

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