Evaluation of Postoperative Pain after Pulpectomy using Different File Systems in Primary Teeth

Abstract

Objective: The purpose of this systematic review was to compare the incidence and intensity of postoperative pain after pulpectomy using different instrumentations in primary teeth. Materials and Methods: An extensive literature search in PubMed, Cochrane Library, Science Direct, LILAC, SIGLE, and Google Scholar was performed to identify English language articles with human subjects that evaluated the effects of different instruments on postoperative pain after pulpectomy. Results: The search retrieved 187 references. After screening of the abstracts and articles, based on the inclusion and exclusion criteria, a total of three articles were included in the systematic review. Of the three included studies, two of them had a moderate risk of bias and one showed a high risk of bias. Conclusion: The use of rotary instruments contributed to a lower incidence and intensity of postoperative pain than did the hand instruments in all the three studies. More high-quality randomized clinical trials are needed in this field in future studies to support the evidence.

The Evaluation of Postoperative Complications and Oral Health-Related Quality of Life Following Dental General Anesthesia for Early Childhood Caries

“…Pulpectomies have been associated with postoperative pain. Reporting post-endodontic pain has been found to be subjective, usually due to the extrusion of debris [17]. The placement of multiple stainless crowns in a single appointment can result in pain due to changes in occlusion or an increase in vertical dimension.…”

Rotary systems in root canal treatment of primary teeth

“…When comparing manual, rotary and reciprocal files, they found less postoperative pain in the last two as opposed to manual files [33,34] . Lakshmanan et al concluded that rotary systems allow a lower intensity and incidence of postoperative pain in root canal treatment of primary teeth [35] . Rotary files have shown a reduction in postoperative pain, which is effective in the management of pediatric patients' behavior and has a positive influence on them.…”

Comparison of obturation quality, instrumentation time and post-operative pain using manual K-files and pediatric rotary files in primary molars a double blinded randomised clinical trial

“…Post-operative pain is considered to develop as a response to the acute inflammation caused by extrusion of dentinal debris, microorganisms, pulpal tissue, and irrigants into the periapical tissues during biomechanical preparation [7]. Only limited studies have evaluated the association of instrumentation technique in causing post-operative pain following pulpectomy in primary teeth [8].…”