Incidence of Postoperative Pain after Single Visit and Two Visit Root Canal Therapy: A Randomized Controlled Trial

Patil, Avinash A; Joshi, Sonal; Bhagwat, SV; Patil, Sanjana A

doi:10.7860/jcdr/2016/16465.7724

Cited by 41 publications

(47 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Multiple sessions have not shown a reduced incidence of postoperative pain about the single session, which confirms the safety of single-session endodontic treatment 26,27 . Exceptions are cases involving the presence of an acute abscess, which may require more than one session [26][27][28][29] .…”

Section: Discussionmentioning

confidence: 67%

“…The possibility of single-session endodontic treatments increased [26][27][28][29] with the advent of technological resources, such as apical locators and nickel-titanium rotary files. In general, procedures were finalized in a single session, and using a mixed instrumentation technique (manual and rotary).…”

Section: Discussionmentioning

confidence: 99%

“…The option of performing endodontic treatment in one or more sessions is independent of the presence or absence of periapical lesion or pulp necrosis. This is a clinical decision and depends on case choice, tooth conditions, time available to perform the necessary steps, professional's mastery and limitations of the patient such as medical history and anatomical considerations [26][27][28][29] .…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Avaliação da atenção secundária em endodontia em um Centro de Especialidades Odontológicas (CEO)

Magalhães

Oliveira

Lima

et al. 2019

Ciênc. saúde coletiva

View full text Add to dashboard Cite

Resumo Objetivou-se avaliar a atenção secundária em endodontia em um Centro de Especialidades Odontológicas (CEO) de Belo Horizonte (MG). A coleta de dados utilizou dois formulários: (1) sobre o tratamento endodôntico, preenchido pelos endodontistas; (2) sobre o tratamento restaurador, com dados dos prontuários. O programa SPSS 19.0 foi utilizado para analisar os resultados por meio de frequência e percentis. Foram finalizados 452 tratamentos endodônticos em pacientes adultos. Os pacientes apresentaram mediana de 39 anos de idade, a maioria era do sexo feminino (69,7%) e apresentou guia de referência da atenção básica (96,2%). A maior parte dos tratamentos endodônticos foi realizada em pré-molares superiores (23,7%), seguida de molares inferiores (22,3%), utilizando técnica mista (74,1%) e em única sessão (64,2%). O encaminhamento para o tratamento restaurador foi para o CEO em 81,2% dos casos e finalizado em 24,1% casos (n = 109). A contrarreferência após o tratamento restaurador ocorreu em 58,7% dos casos finalizados. É necessário um planejamento conjunto do tratamento odontológico entre a atenção básica e secundária e, dentro desta última, entre as especialidades, além de um adequado processo de referência e contrarreferência, visando garantir a integralidade do cuidado e a eficiência e eficácia do serviço.

show abstract

Section: Discussionmentioning

confidence: 67%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Avaliação da atenção secundária em endodontia em um Centro de Especialidades Odontológicas (CEO)

Magalhães

Oliveira

Lima

et al. 2019

Ciênc. saúde coletiva

View full text Add to dashboard Cite

show abstract

“…There have been some studies discussing the relationship between intracanal medicaments for postoperative pain in endodontics [4,17,[19][20][21]23] and the incidence of pain after endodontic treatments being performed in single or multiple visits [1,29,32], but these studies were not about retreatment. Therefore, it would not be accurate to compare the results.…”

Section: Discussionmentioning

confidence: 99%

Comparative evaluation of postoperative pain intensity after single-visit and multiple-visit retreatment cases: a prospective randomized clinical trial

Uyan

Olcay

Özcan

2018

BDS

View full text Add to dashboard Cite

26 ResumoObjetivo: Este estudo foi projetado para avaliar a dor pós-operatória após o retratamento endodôntico. Material e Métodos: Foram incluídos dentes molares e pré-molares multirradiculados e assintomáticos que necessitavam de retratamento com lesões periapicais de 2-5 mm. Setenta e oito dentes foram distribuídos aleatoriamente em quatro grupos (n = 20): sessão única (controle, grupo I), Ledermix (grupo II), metronidazol, ciprofloxacina, mistura de minociclina (grupo III), hidróxido de cálcio (grupo IV). A dor pós-operatória foi registrada usando um VAS às 6, 12, 24 e 48 h após o retratamento. A análise estatística foi realizada utilizando ANOVA de dois fatores para medidas repetidas e teste de Tukey. Resultados: Ocorreu dor leve em 67,5%, moderada em 30% e agudizações 2,5%, e houve diferença significativa entre os grupos (p <0,01). Foi observada dor pós-operatória significativamente menor nos grupos TAP e hidróxido de cálcio (p <0,05). Nos intervalos de 6, 12 e 24 h, houve diferença significativa nos níveis de dor (p <0,05). Conclusão: TAP e hidróxido de cálcio são eficazes para reduzir a dor pós-operatória após o retratamento. ABsTRACTObjectives: This study was designed to evaluate postoperative pain after endodontic retreatment. Material and Methods: Asymptomatic, multirooted molar & premolar teeth requiring retreatment with 2-5 mm periapical lesions were included. Seventy-eight teeth were randomly placed in four groups (n=20): single-visit (control, group 1), Ledermix (group 2), metronidazole, ciprofloxacin, minocycline mixture (group 3), calcium hydroxide (group 4). The postoperative pain was recorded using a VAS at 6, 12, 24, and 48 h after retreatment. Statistical evaluation was performed using TwoWay Repeated Measures ANOVA and Tukey test. Results: Mild pain occurred in 67.5%, moderate in 30%, and flare-ups in 2.5%, and there was a significant difference between the groups (p<0.01). Significantly lower postoperative pain was observed in TAP and CaOH2 groups (p<0.05). In the 6, 12, and 24 h intervals, there was a significant difference in the pain levels (p<0.05). Conclusion: TAP and CaOH 2 are effective for reducing postoperative pain after retreatment. O R I G I N A L A R T I C L EComparative evaluation of postoperative pain intensity after single-visit and multiple-visit retreatment cases: a prospective randomized clinical trial Avaliação comparativa da intensidade da dor pos-operatoria após casos de retratamento em sessao unica ou multipla: estudo clínico randomizado prospectivo PAlAvRAs-ChAveMedicamentos intracanais; Múltiplas sessões; Dor pós-operatória; Retratamento; Sessão única.

show abstract

“…The goal of root canal therapy is thorough disinfection and obturation of root canal system in all its dimensions. 1 It is believed that the remaining bacteria can be eliminated or prevented by introducing an interappointment dressing such as calcium hydroxide in the root canal. 2 Success of endodontic treatment is highly related to the elimination of postendodontic pain.…”

Section: Introductionmentioning

confidence: 99%

An In Vivo Comparative Evaluation of Postoperative Complications in Single- versus Multiple-Visit Endodontic Therapy: 18-Month Follow-Up

Joshi¹,

Kumar²,

Jindal³

et al. 2019

Dental Journal of Advance Studies

View full text Add to dashboard Cite

Objective The goal of root canal therapy is thorough disinfection and obturation of the root canal system in all its dimensions. Success of endodontic treatment is highly related to the elimination of postendodontic pain, tenderness, and swelling.Single-visit endodontic therapy has several advantages such as increased patient acceptance, less overhead costs, and only single time local anesthesia administration is required.Multiple-visit endodontic (MVE) treatment allows the clinician to determine the effect of the therapy on the inflamed tissues and shorter appointments.This in vivo study was undertaken to compare the postoperative incidence of pain, swelling, tenderness, and radiographic evaluation of periapical pathology following single- versus multiple-visit endodontic therapy in vital as well as nonvital teeth. Materials and Methods A total of 60 subjects in the age group of 15 to 50 years were selected for the study. The patients were divided into four groups:• Group 1 (n = 15): Single-visit endodontic (SVE) therapy with vital pulp involvement without periapical rarefaction.• Group 2 (n = 15): SVE therapy of asymptomatic pulpless teeth with periapical rarefaction as observed in radiographic evaluation.• Group 3 (n = 15): MVE of vital pulp involvement without periapical rarefactions.• Group 4 (n = 15): MVE therapy of asymptomatic pulpless teeth with periapical rarefaction as observed radiographically.Access cavity was prepared, working length was taken. Biomechanical preparation was done with Protaper universal rotary file system and obturation was done immediately in single-visit cases.In multivisit cases, Ca (OH)2 is placed as an intracanal medicament and obturation was done with the help of AH plus sealer and gutta-percha.Postobturation pain levels, swelling, and tenderness on percussion were assessed till 6 weeks. The radiographic parameter was studied till 18 months follow-up. Results Among the different experimental groups, maximum patients in MVE without periapical rarefaction showed no pain according to visual analog scale (VAS) scale, swelling, and tenderness and in SVE with periapical rarefaction showed maximum number of patients reported with pain, tenderness, and swelling.At 4 and 6 weeks postoperatively, patients in all the groups exhibited no pain, swelling, and tenderness to percussion.As periapical rarefaction, healing of periapical lesion was evident in all the patients after 18 months.

show abstract

Incidence of Postoperative Pain after Single Visit and Two Visit Root Canal Therapy: A Randomized Controlled Trial

Cited by 41 publications

References 18 publications

Avaliação da atenção secundária em endodontia em um Centro de Especialidades Odontológicas (CEO)

Avaliação da atenção secundária em endodontia em um Centro de Especialidades Odontológicas (CEO)

Comparative evaluation of postoperative pain intensity after single-visit and multiple-visit retreatment cases: a prospective randomized clinical trial

An In Vivo Comparative Evaluation of Postoperative Complications in Single- versus Multiple-Visit Endodontic Therapy: 18-Month Follow-Up

Contact Info

Product

Resources

About