Prevalence of and factors affecting post‐obturation pain in patients undergoing root canal treatment

Ng, YL; Glennon, JP; Setchell, DJ; Gulabivala, K

doi:10.1111/j.1365-2591.2004.00820.x

Cited by 187 publications

(232 citation statements)

References 23 publications

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“…9 Previous research, have shown that factors such as age, sex, dental pulp status, allergies and pain before treatment have a primary role in causing these pains. 10 Although the non-steroidal anti-inflammatory drugs for pain associated with endodontic therapy have been used, these medications have relatively large side effects in some patients.…”

Section: Discussionmentioning

confidence: 99%

Management of Post Endodontic Retreatment Pain With Low Level Laser Therapy

et al. 2017

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Introduction: Pharmacotherapy with analgesics and non-steroidal anti-inflammatory drugs has been traditionally used to relief post-operative pain of endodontic treatments. However, due to the side effects reported for these drugs, some efforts have been made to decrease the post-operative pain of the endodontic treatments through laser irradiation. The present study aimed to evaluate the effects of low level laser therapy (LLLT) on the reduction of pain after root canal retreatment. Methods: In this clinical trial, 61 patients requiring endodontic retreatments in posterior teeth were selected. A single visit endodontic retreatment was performed. After biomechanical preparation, low level laser was irradiated to the buccal and lingual mucosa overlying the apices of the target tooth in the experimental group. In the control group patients received placebo laser to eliminate the probable psychological effects of laser. Laser irradiation was done with a single dose of 808 nm wavelength (Whitening Lase II-Laser DMC, Samsung, Korea) with 100 mW power, and dose of 70 J/cm 2 for 80 seconds. Pain severity was recorded before, immediately after and 4, 8, 12, 24 and 48 hours after the treatment by visual analogue scale (VAS). The pain scores were statistically analyzed by chi-square test between 2 groups. The effects of different variables on the post-operative pain experience were also studied by means of Logistic regression. Results: Pain scores decreased significantly through time until 48 hours after treatment. No significant differences were observed between the 2 modalities regarding pain scores at any time. According to regression analysis, pain severity scores were lower in the laser-irradiated specimens than control groups (OR = 5.69); however, this difference was not statistically significant. Consumption of analgesics after the treatment had significant effect in decreasing post-operative pain experience (OR = 56) while factors of age, gender, laser irradiation, pre-treatment pain scores and education level did not. Conclusion: Low level laser irradiation had limited effects to decrease pain associated with the endodontic retreatments in the first and second molars; however, more studies are required to assess the effects of different parameters of low level laser in this regard.

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Section: Discussionmentioning

confidence: 99%

Management of Post Endodontic Retreatment Pain With Low Level Laser Therapy

et al. 2017

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“…Post obturation pain is the pain of any degree after endodontic treatment 5 . Development of pain after completion of RCT may undermine patient's confidence in the clinician and acceptance of the procedure 6 .…”

Section: Introductionmentioning

confidence: 99%

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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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, patients in the KF group, where the glide path was performed with hand files, showed a significantly higher analgesic tablets consumption per individual. Mechanical, chemical, or microbial injuries to the periradicular tissues are frequent causes of pain complication (19). Indeed, most cases of post-operative pain are caused by acute periradicular inflammation, such as acute periodontitis or acute periradicular abscess secondary to intracanal procedure (20).…”

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confidence: 99%