Evaluation Of Postoperative Pain After Using Sonic Vibringe Irrigation System Versus Conventional syringe irrigation In Single Rooted Teeth With Symptomatic Irreversible Pulpitis : A Randomized Clinical Controlled Trial

Ahmed, Sara; El‐Far, H.M.M.; Khodary, Sherief El

doi:10.21608/adjc.2019.17020.1031

Cited by 5 publications

(2 citation statements)

References 18 publications

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“…The files are manufactured from annealed heat-treated nickel titanium alloy called Fire-Wire, having controlled memory, centering ability and high flexibility 30 . The manufacturer claims that the variable pitch maximizes the cutting efficiency and removes the debris in a coronal direction reducing their extrusion apically and thus less postoperative pain.NRS was used in this study, as it offers high patient compliance and applicability 31 , and has been utilized for outcome assessment in various studies 1,7,32 .…”

Section: Discussionmentioning

confidence: 99%

Effect of Propolis nanoparticles versus sodium hypochlorite as root canal irrigant on postoperative pain and bacterial reduction in mandibular premolars with necrotic pulps: a randomized clinical trial

Elaguizy,

Emara,

Dwedar

et al. 2024

Egyptian Dental Journal

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Aim:The aim of this study was to clinically compare the intensity of post-operative pain and the amount of bacterial load reduction after using 20mg/ml propolis nanoparticles extract solution as root canal irrigant versus 2.5% NaOCl during chemo-mechanical preparation in asymptomatic necrotic mandibular premolars treated in a single visit.Methodology: This is a double blinded, parallel, prospective randomized controlled trial, with allocation ratio 1:1. Fifty patients having single canalled necrotic mandibular premolar were included. Intervention group received 20 mg/ml propolis nanoparticles solution as irrigant, while control group used 2.5% NaOCl. Single visit endodontic treatment was done using EdgeEndo files. Postoperative pain was measured at 6, 12, 24, and 48 hours using Numerical Rating Scale. Culturing was used to assess intracanal bacterial levels before and after preparation. Also, the number of analgesic tablets were counted. All demographic, baseline and outcome data were statistically analyzed. A P-value < 0.05 was considered statistically significant.Results: Postoperative pain in both groups was similar regarding incidence and intensity (P>0.05). No significant difference in the incidence or the number of analgesic tablets taken by the patients was detected in both groups (P>0.05). Both irrigants significantly reduced the intracanal bacterial load however, propolis nanoparticles solution showed superior efficacy against anaerobes (P = 0.027). Conclusion:Propolis nanoparticles solution was similar to NaOCl regarding incidence and intensity of postoperative pain but showed higher anaerobic bacterial reduction when treating asymptomatic necrotic mandibular premolars in a single visit.

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Section: Discussionmentioning

confidence: 99%

Effect of Propolis nanoparticles versus sodium hypochlorite as root canal irrigant on postoperative pain and bacterial reduction in mandibular premolars with necrotic pulps: a randomized clinical trial

Elaguizy,

Emara,

Dwedar

et al. 2024

Egyptian Dental Journal

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“…Proper root canal treatment noticeably decreases the incidence and intensity of pain, though the severity of the instantaneous postoperative pain may possibly surpass to some extent the pretreatment condition (1) . Postoperative inflammatory response and pain could be triggered by the extrusion of dentin chips and debris apically in the course of canal debridement and irrigation (2) . New advances are present nowadays in kinematics of canal shaping either rotation or reciprocation file systems, where many studies have assessed the properties of the instruments.…”

Section: Introductionmentioning

confidence: 99%

The Influence of Single and Multiple NiTi Rotary File Systems on Prevalence of Postoperative Pain Following Root Canal Instrumentation Using Mechanical or Manual Glide Path Techniques

et al. 2021

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Purpose: The current investigation was carried out to estimate the influence of single and multiple NiTi rotary file systems on prevalence of postoperative pain following root canal instrumentation using mechanical or manual glide path techniques.Materials and methods: Forty participants with a sympotomatic irreversible pulpitis of mandibular molars were contributed in this randomized, controlled, clinical double blinded study. The participants were assigned into two main groups according to the gliding path system used then further subdivided into two subgroups according to the shaping system used. After access cavity preparation and working length determination, the glide path was prepared using either the PathFiles or the K-Files then the canal shaping was carried out using either the WaveOne Gold or ProTaper Next systems then the root canals were obturated. The postoperative pain was assessed by means of the modified visual analogue scale following 6, 12, 24, 48, 72 hours and 7 days then the data were collected and analyzed. Results: Postoperative pain was significantly higher after using the WaveOne Gold and the K-Files. Conclusions: Although all systems caused postoperative pain, the mechanical glide path along with the multi-file continuous rotational systems could be considered as a promising and reliable approach in preparing the root canals with less postoperative pain.

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Effect of Neem (Azadirachta indica) versus 2.5% sodium hypochlorite as root canal irrigants on the intensity of post‐operative pain and the amount of endotoxins in mandibular molars with necrotic pulps: a randomized controlled trial

et al. 2021

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Aim To assess the effect of Neem versus 2.5% NaOCl as root canal irrigants on the intensity of post‐operative pain and amount of endotoxins following root canal treatment of mandibular molars with necrotic pulps. Methodology This parallel, prospective, double‐blinded, randomized controlled trial with allocation ratio 1:1 was conducted in the out‐patient clinic of the Endodontic Department, Faculty of Dentistry, Cairo University, Egypt. Fifty healthy patients with mandibular molars with necrotic pulps were randomly assigned into two equal groups using computer software. In the intervention group, root canals were irrigated using Neem; whilst 2.5% NaOCl was used in the control group. A standard root canal treatment was performed in two visits using ProTaper Next rotary files, with no intracanal medication. Pain intensity was assessed using a numerical rating scale (NRS) 6, 12, 24 and 48 h following instrumentation and canal filling. Endotoxin samples were collected using three paper points before and after canal instrumentation and a sandwich ELISA method was used to quantify the level of endotoxins. Demographic, baseline, and outcome data were collected and analysed using chi‐square tests (for the comparisons of categorical variables), Mann–Whitney tests (for non‐normally distributed variables) and Student’s t tests (for normally distributed variables), A P‐value < 0.05 was considered to be statistically significant. Results The mean pain scores within the two groups decreased continually over time. The mean pain scores in the Neem group were lower than those in the 2.5% NaOCl group at 6, 12, 24 and 48 h following instrumentation and canal filling with no significant difference between them except at 24 h following instrumentation (P = 0.012). Both irrigants significantly reduced endotoxin levels compared to the pre‐instrumentation samples (P < 0.001) by 8% for the NaOCL group and 18% for the Neem group. Conclusion Neem and 2.5% NaOCl were not significantly different in terms of reducing the intensity of post‐operative pain during all follow‐up periods except at 24 h following instrumentation where Neem was associated with lower pain intensity. Both irrigants significantly reduced endotoxin levels but were not effective in eliminating endotoxins completely from root canals of mandibular molars with necrotic pulps.

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Evaluation Of Postoperative Pain After Using Sonic Vibringe Irrigation System Versus Conventional syringe irrigation In Single Rooted Teeth With Symptomatic Irreversible Pulpitis : A Randomized Clinical Controlled Trial

Cited by 5 publications

References 18 publications

Effect of Propolis nanoparticles versus sodium hypochlorite as root canal irrigant on postoperative pain and bacterial reduction in mandibular premolars with necrotic pulps: a randomized clinical trial

Effect of Propolis nanoparticles versus sodium hypochlorite as root canal irrigant on postoperative pain and bacterial reduction in mandibular premolars with necrotic pulps: a randomized clinical trial

The Influence of Single and Multiple NiTi Rotary File Systems on Prevalence of Postoperative Pain Following Root Canal Instrumentation Using Mechanical or Manual Glide Path Techniques

Effect of Neem (Azadirachta indica) versus 2.5% sodium hypochlorite as root canal irrigants on the intensity of post‐operative pain and the amount of endotoxins in mandibular molars with necrotic pulps: a randomized controlled trial

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