Postoperative Pain with Hand, Reciprocating, and Rotary Instrumentation Techniques after Root Canal Preparation in Primary Molars: A Randomized Clinical Trial

Jeevanandan, Ganesh; Ravindran, Vignesh; Subramanian, Erulappan Mg; Kumar, Aravind

doi:10.5005/jp-journals-10005-1709

Cited by 6 publications

(7 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Then, it gradually decreased over time. This agreed with the findings of previous studies concerned with postoperative pain intensity scores [1,16,19].…”

Section: Discussionsupporting

confidence: 93%

“…Other previously published articles suggested no impact of the file kinematics on the incidence of postoperative pain [3, 23]. A study conducted by Jeevanandan et al pointed out the lower incidence of postoperative pain intensity among children with necrotic primary molars instrumented with a reciprocating movement of the Ni‐Ti K‐ flex files compared to the Kedo‐S with continuous rotary movement [19].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Postoperative pain perception and associated risk factors in children after continuous rotation versus reciprocating kinematics: A randomised prospective clinical trial

2023

View full text Add to dashboard Cite

To compare the postoperative pain of continuous rotation and reciprocating movements after pulpectomy of non‐vital primary molars and determine associated risk factors. 146 children aged 4–8 years with one primary molar indicated for pulpectomy were randomly assigned to two equal groups: those instrumented with continuous rotation motion (Hyflex EDM Coltene/Whaledent) and reciprocating motion (Reciproc R25 (VDW)). A 4‐point pain scale was used to assess postoperative pain frequencies, which were compared at different intervals using the Chi‐square test. Postoperative pain risk factors were determined using logistic regression analysis. There was no statistically significant difference between the follow‐ups. Gender, pulp status, and radiographic radiolucency increased the risk of postoperative pain incidence. Postoperative pain likelihood in children with chronic apical periodontitis was 8.72 times that of children with necrotic pulps. Postoperative pain after instrumentation with both kinematics was comparable. Postoperative pain incidence is increased by preoperative pulp condition, radiographic radiolucency, and gender.

show abstract

“…Then, it gradually decreased over time. This agreed with the findings of previous studies concerned with postoperative pain intensity scores [1,16,19].…”

Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Postoperative pain perception and associated risk factors in children after continuous rotation versus reciprocating kinematics: A randomised prospective clinical trial

2023

View full text Add to dashboard Cite

show abstract

“…Ao fim desse período, as dores tendem a diminuir, não ocorrendo mais diferenças entre tratamentos com limas manuais ou rotatórias. (Fonseca et al, 2020;Barasoul et al, 2021;Jeevanandan et al, 2020;Jeevanandan et al, 2021;Nair et al, 2018;Tyagi et al, 2021).…”

Section: Discussionunclassified

“…Canais tratados com instrumentos manuais exibiram maior volume do canal após a instrumentação do que os rotatórios. Já em relação ao tempo de instrumentação, as limas manuais apresentaram a maior média de instrumentação, com 194,5 segundos, apresentando diferenças significativas em relação às limas rotatórias.JáJeevanandan et al, (2020) avaliaram o nível de dor pós-operatória entre tratamentos de canais com limas manuais e Por sua vez,Nair et al, (2018) avaliaram a dor pós-operatória após tratamento endodôntico em molares decíduos com limas manuais e dois sistemas de limas rotatórias. Os dados demonstram que 44% dos pacientes tratados com o sistema de limas manuais apresentaram dor moderada após 6 horas do tratamento, diminuindo para 32% após as 12 horas.…”

unclassified

Uso de sistemas rotatórios no tratamento endodôntico em odontopediatria

Lins¹,

Filho²,

Costa³

2021

RSD

View full text Add to dashboard Cite

Esta revisão de literatura objetivou avaliar o uso dos sistemas de limas rotatórias em comparação com os sistemas padrões de limas manuais, levando em consideração o tempo e a qualidade do preparo de canais radiculares em dentes decíduos, bem como o efeito do tratamento com essas limas na cooperação e no desenvolvimento de dor pós-operatória nas crianças. O levantamento bibliográfico foi baseado em artigos publicados nos últimos 5 anos, encontrados nas seguintes bases de dados da área da saúde: PubMed/Medline, Scopus, LILACS, SciELO e Cocrhane. Os resultados demonstraram que tratamentos endodônticos com limas rotatórias exibiram menor tempo e melhor qualidade do preparo biomecânimo dos canais em dentes decíduos, bem como resultaram em menor experiência de dor pósóperatória, quando comparado ao uso de limas manuais. Com base nisso, é possível concluir que pulpectomias realizadas com limas rotatórias são eficazes, seguras e diminuem o tempo de tratamento e a dor pós-operatória no tratamento endodôntico pediátrico.

show abstract

“…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.

View full text Add to dashboard Cite

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.

show abstract

Postoperative Pain with Hand, Reciprocating, and Rotary Instrumentation Techniques after Root Canal Preparation in Primary Molars: A Randomized Clinical Trial

Cited by 6 publications

References 18 publications

Postoperative pain perception and associated risk factors in children after continuous rotation versus reciprocating kinematics: A randomised prospective clinical trial

Postoperative pain perception and associated risk factors in children after continuous rotation versus reciprocating kinematics: A randomised prospective clinical trial

Uso de sistemas rotatórios no tratamento endodôntico em odontopediatria

Rotary systems in root canal treatment of primary teeth

Contact Info

Product

Resources

About