Pain after single-visit root canal treatment with two single-file systems based on different kinematics—a prospective randomized multicenter clinical study

Abstract

Reciprocation movement offers a more predictable and safer approach of root canal preparation, in addition to producing less postoperative pain. The need for patients to take analgesics may reduce following this approach.

The effect of various kinematics on postoperative pain after instrumentation: a prospective, randomized clinical study

“…These findings are not in concordance with our results. However, a recent report by Neelakantan and Sharma 4 (2015) concluded that Reciproc showed significantly less intensity and duration of postoperative pain compared with One Shape. Shokraneh, et al 12 (2016) evaluated postoperative pain after using hand files, ProTaper Universal, and Wave-One instruments and concluded that postoperative pain was significantly lower in Wave-One group.…”

“…Recently, Neelakantan and Sharma 4 (2015) and Nekoofar, et al 5 (2015) evaluated postoperative pain after instrumentation of root canals with a single-file reciprocating or rotary file systems. However, one may argue that the different cross-sections, speed, kinematics, and systems may have had an impact on the postoperative pain.…”

“…Previous studies have reported conflicting results on postoperative pain regarding the effect of instrumentation using reciprocating and rotation 4,5 . Neelakantan and Sharma 4 (2015) evaluated postoperative pain after instrumentation of root canals with a single-file reciprocating (Reciproc) and rotary (One Shape, MicroMega, France) file systems, concluding that Reciproc showed significantly less intensity and duration of postoperative pain than One Shape.…”

“…According to a systematic review, the frequency of endodontic postoperative pain in patients is between 3% and 58% 11 . Postoperative pain can be affected by almost all of the procedures in root canal treatment, including anaesthesia administration 6 , introduction of glide path 8 , use of instrumentation systems 4,5 , and retreatment 13 .…”

“…Neelakantan and Sharma 4 (2015) evaluated postoperative pain after instrumentation of root canals with a single-file reciprocating (Reciproc) and rotary (One Shape, MicroMega, France) file systems, concluding that Reciproc showed significantly less intensity and duration of postoperative pain than One Shape. However, Nekoofar, et al 5 (2015) compared the intensity and duration of postoperative pain using WaveOne and ProTaper Universal, systems for root canal instrumentation, and found that postoperative pain was significantly lower in patients undergoing canal instrumentation with ProTaper Universal rotary instruments than with the WaveOne reciprocating single-file technique.…”