Incidence of postoperative flare-ups after single-visit and multiple-visit endodontic therapy in permanent teeth

Singh, Akhilesh Kumar; Konark,; Kumar, Amit; Nazeer, Jazib; Singh, Rohit; Singh, Supriya

doi:10.4103/jisppd.jisppd_354_19

Cited by 10 publications

(3 citation statements)

References 10 publications

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“…The studies showed variation in the RCT procedure: some used hand-driven files [23][24][25][26][27][28][29] while others used a combination of hand-driven and rotary instruments [7,8,[18][19][20][21][22][30][31][32][33][34]. One study used normal saline [23] as an intracanal irrigant, whereas 17 used sodium hypochlorite [18][19][20][21][22][24][25][26][27][28][29][30][31][32][33][34][35] and the rest did not specify. Twelve studies employed calcium hydroxide [8,[18][19][20][22][23][24][25]27,30,33,34] as an intracanal medicament, and the rest ke...…”

Section: Study Characteristicsmentioning

confidence: 99%

“…One study used normal saline [23] as an intracanal irrigant, whereas 17 used sodium hypochlorite [18][19][20][21][22][24][25][26][27][28][29][30][31][32][33][34][35] and the rest did not specify. Twelve studies employed calcium hydroxide [8,[18][19][20][22][23][24][25]27,30,33,34] as an intracanal medicament, and the rest kept the cavity sterile (without intracanal medicament) [7,21,26,28,29,31,35] until the obturation. Twelve trials included both vital and nonvital teeth [8,[19][20][21][22]26,28,[31][32][33]35,36] seven had nonvital te...…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Twelve studies employed calcium hydroxide [8,[18][19][20][22][23][24][25]27,30,33,34] as an intracanal medicament, and the rest kept the cavity sterile (without intracanal medicament) [7,21,26,28,29,31,35] until the obturation. Twelve trials included both vital and nonvital teeth [8,[19][20][21][22]26,28,[31][32][33]35,36] seven had nonvital teeth only [7,[23][24][25]27,30,34] and two included vital teeth only [18,29].…”

Section: Study Characteristicsmentioning

confidence: 99%

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The Incidence and Intensity of Postendodontic Pain and Flareup in Single and Multiple Visit Root Canal Treatments: A Systematic Review and Meta-Analysis

et al. 2021

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To assess the incidence and intensity of postendodontic pain and flareup in single and multiple visit root canal treatment (RCT) and determine if the difference between the two is significant, a search of PubMed, Medline, Embase, Cochrane, Scopus and Web of science was conducted. The grey literature was searched using Google Scholar and Saudi digital library. Randomised controlled trials evaluating the incidence and intensity of postendodontic pain and flareup published in English from 1 January 2000 to 15 April 2020 were searched. The PRISMA protocol was followed to select the articles. A random effects model was used for the meta-analysis of the data in the included studies. Twenty-one articles were included in the review. Three compared both the incidence and the intensity, while the rest compared either one of the parameters. Most studies used both hand-driven and rotary instruments and irrigated with sodium hypochlorite. Twelve studies used an intracanal medicament. Although individual studies showed discordant treatment outcomes, the meta-analysis did not reveal any significant difference in the incidence or the intensity of the postendodontic flareup between the single and multiple visit RCT groups. Single or a multiple visit root canal treatment is not an independent determinant for the risk of postendodontic pain or a flareup.

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Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

See 1 more Smart Citation

The Incidence and Intensity of Postendodontic Pain and Flareup in Single and Multiple Visit Root Canal Treatments: A Systematic Review and Meta-Analysis

et al. 2021

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The Comparison of Short-Term Postoperative Pain in Single- versus Multiple-Visit Root Canal Treatment: A Systematic Review and Meta-Analysis Study

Izadpanah

Javaheripour

Maleki

et al. 2021

Pain Research and Management

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Postoperative pain after root canal therapy (RoCT) is an unpleasant experience for patients, and it could be affected by different factors. The times of visits could be one of these factors that were evaluated in various studies. However, there is inconsistent evidence on the relation between postoperative pain and the times of visits. Therefore, the current systematic review aimed to summarize the results of these studies and meta-analyze them. For this purpose, a comprehensive search was conducted in four main databases (Cochrane Database of Systematic Reviews, Web of Science, PubMed, and Scopus databases) for related English articles from 1978 to August 2020. The quality of studies was evaluated using the Delphi checklist. The heterogeneity of studies was determined by I2 statistic, and publication bias was assessed using the funnel plot and the Begg test. The results were presented by using relative ratio (RR) estimates and standard mean difference (SMD) with its 95% confidence intervals (CI) using a random-effects model. Initial searches from mentioned databases identified 1480 papers; of which only 27 of them met the inclusion criteria. In quality assessment, thirteen studies had quality scores of more than 7, two studies had 4 scores, and the rest had 5 scores. Overall, based on the available evidence, the meta-analysis showed that the risk of postoperative pain in single-visit was 1.02 times (CI 95% (0.99, 1.19), I2 = 60.7%, p = 0.001 ) higher than that of the multiple-visit treatment. The mean difference of postoperative pain in single-visit was −0.30 (CI 95% (−0.36, −0.25), I2 = 0.94.4, p = 0.001 ) compared with the multiple-visit treatment. Based on the results of this meta-analysis, the risk of postoperative pain in single-visit RoCT was higher than that in multiple-visit RoCT with acceptable statistical heterogeneity and moderate quality of the studies.

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Comparison of the Efficacy of Dexamethasone and Methylprednisolone in Infiltration Injection for Postendodontic Pain in Patients with Necrotic Pulp: A Randomized Controlled Clinical Trial

Yeganegi

Fazelian

Nejad

et al. 2022

Pain Research and Management

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Purpose. Postendodontic pain is one of the problems of root canal therapy. This clinical study aimed to evaluate the effect of infiltration injection of dexamethasone and methylprednisolone on postendodontic pain in patients with necrotic pulp. Methods. A total of 80 volunteers with necrotic pulp teeth were included and assigned to two groups (n = 40). After the administration of local anesthesia and before root canal therapy, in group 1, an infiltration injection of 1 ml of dexamethasone was done and in group 2, an infiltration injection of 1 ml of methylprednisolone was done in the buccal vestibule of each tooth. Patients’ pain was reported using a visual analogue scale at pretreatment and 6, 12, 24, and 48 hours after treatment. Results. There was no significant difference between the two groups receiving dexamethasone and methylprednisolone at pretreatment and 6, 12, 24, and 48 hours after endodontic treatment. Conclusions. Infiltration injection of dexamethasone and methylprednisolone had a significant effect in reducing pain after the endodontic treatment in necrotic pulp teeth, but between 6 and 12 hours, methylprednisolone had significantly more effect on pain relief than dexamethasone. Overall, the use of any of these drugs to reduce postendodontic pain is recommended.

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Incidence of postoperative flare-ups after single-visit and multiple-visit endodontic therapy in permanent teeth

Cited by 10 publications

References 10 publications

The Incidence and Intensity of Postendodontic Pain and Flareup in Single and Multiple Visit Root Canal Treatments: A Systematic Review and Meta-Analysis

The Incidence and Intensity of Postendodontic Pain and Flareup in Single and Multiple Visit Root Canal Treatments: A Systematic Review and Meta-Analysis

The Comparison of Short-Term Postoperative Pain in Single- versus Multiple-Visit Root Canal Treatment: A Systematic Review and Meta-Analysis Study

Comparison of the Efficacy of Dexamethasone and Methylprednisolone in Infiltration Injection for Postendodontic Pain in Patients with Necrotic Pulp: A Randomized Controlled Clinical Trial

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