Pain following foraminal enlargement in mandibular molars with necrosis and apical periodontitis: A randomized controlled trial

Saini, Hans Raj; Sangwan, Pankaj; Sangwan, Abhimanyu

doi:10.1111/iej.12583

Cited by 36 publications

(30 citation statements)

References 35 publications

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“…Each person's pain threshold is unique, and heavily dependent on his cultural, individual, and economic background. Several endodontic postoperative pain studies have used the Visual Analogue Scale (VAS) as an instrument to evaluate pain; 13,14,15,24,25,34,35 however, in the present study the occurrence and intensity of postoperative pain was measured using a simple descriptive scale. It is noteworthy to mention that both VAS and the method used herein are comparable, as evaluated earlier 18 .…”

Section: Discussionmentioning

confidence: 99%

Postoperative pain after root canal filling with different endodontic sealers: a randomized clinical trial

et al. 2020

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The aim of this randomized clinical trial was to compare the occurrence and intensity of postoperative pain and analgesic intake after root canal treatment, using different root canal sealers. Sixty single-rooted teeth diagnosed with asymptomatic necrosis and apical periodontitis were randomly assigned to 3 experimental groups (n=20), according to the root canal sealer: AH Plus, Endofill or MTA Fillapex. Endodontic treatment was performed in two sessions, and calcium hydroxide was used as the intracanal dressing. Patients were instructed to record pain intensity as none, slight, moderate and severe. Scores from 1 to 4 were attributed to each level of pain after 24 h, 48 h and 7 days. The need for analgesic intake was also recorded. Differences in the incidence of postoperative pain and the need for an analgesic were analyzed using the chi-square test. Differences in pain intensity after treatment were analyzed using the ordinal (linear) chi-square test. No significant differences were detected among the groups in terms of either incidence or intensity of postoperative pain, or need for analgesic intake, at any timepoint (p>0.05). No pain was reported after 7 days. AH Plus, Endofill and MTA Fillapex used for filling root canals resulted in the same rate of postoperative pain and need for analgesic medication.

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Section: Discussionmentioning

confidence: 99%

Postoperative pain after root canal filling with different endodontic sealers: a randomized clinical trial

et al. 2020

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“…Certain medical studies have also highlighted that a difference of 9-13 mm on a 100 VAS is required for it to achieve clinical significance (Todd et al 1996, Kelly 2001). However, it would be prudent to point out here that there is lack of dental literature relating to what is a minimal clinically significant difference (MCSD) and the findings of MCSD in medical studies should be applied to dental research with caution as its value is affected by a number of factors (Saini et al 2016). Considering the multiple confounding factors affecting postoperative pain, further research with larger samples is required to draw firm conclusions.…”

Section: Discussionmentioning

confidence: 99%

Effect of continuous ultrasonic irrigation on postoperative pain in mandibular molars with nonvital pulps: a randomized clinical trial

Middha¹,

Sangwan²,

Tewari³

et al. 2016

Int Endodontic J

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“…The maintenance of apical patency during root canal instrumentation had no significant influence on pain after root canal treatment 46, 47. However, apical foramen enlargement due to over instrumentation during root canal treatment may increase the incidence and intensity of postoperative pain 48 …”

Section: Discussionmentioning

confidence: 99%

Predictors, prevention, and management of postoperative pain associated with nonsurgical root canal treatment: A systematic review

Alrahabi

2017

Journal of Taibah University Medical Sciences

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Postoperative pain after root canal treatment can be reduced by applying recent advances in endodontic techniques and equipment. This systematic review includes current knowledge about pain after nonsurgical root canal treatment, including predictors, related factors, effects of recent advances, and management. A literature search was performed using the PubMed, ScienceDirect, and Cochrane Library databases for articles published between 1990 and 2016. Search keywords included postoperative pain, nonsurgical treatment, single visit, recent advances in endodontics, and management of postoperative pain with endodontic treatment. Only original research studies were included; editorials, reviews, brief notes, conference proceedings, and letters to the editor were excluded. The initial search yielded 4941 articles, which were assessed and filtered using the selection criteria. Sixty-five studies met the inclusion criteria and were included in the review. The findings showed that pain after nonsurgical root canal treatment occurred in 3–69.3% of patients. Microorganisms were identified as the primary contributors to postoperative pain, and there was no significant difference in postoperative pain between single- and multiple-visit treatments. Postoperative pain after root canal treatment ranges from mild to moderate and occurs even after optimally performed procedures. Furthermore, adequate management of postoperative pain is often considered an indicator of clinical excellence. Application of recently developed endodontic techniques and devices will reduce postoperative pain. Furthermore, a flexible, severity-based drug administration plan can be used to control and manage pain after root canal treatment. Application of the current research findings will reduce pain following root canal treatment and improve patient outcomes.

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Pain following foraminal enlargement in mandibular molars with necrosis and apical periodontitis: A randomized controlled trial

Abstract: Enlargement of the apical foramen during root canal treatment increased the incidence and intensity of postoperative pain.

Cited by 36 publications

References 35 publications

Postoperative pain after root canal filling with different endodontic sealers: a randomized clinical trial

Postoperative pain after root canal filling with different endodontic sealers: a randomized clinical trial

Effect of continuous ultrasonic irrigation on postoperative pain in mandibular molars with nonvital pulps: a randomized clinical trial

Predictors, prevention, and management of postoperative pain associated with nonsurgical root canal treatment: A systematic review

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