Postoperative Pain after Root Canal Treatment: A Prospective Cohort Study

Gotler, Maya; Bar-Gil, B.; Ashkenazi, Malka

doi:10.1155/2012/310467

Cited by 83 publications

(63 citation statements)

References 27 publications

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“…The results agreed with a previous study finding that Thermafil resulted in significantly higher levels of pain than cold lateral condensation [ 16 ]. Albashaireh and Alnegrish reported that endodontic treatment on non-vital teeth had a higher chance of developing post-obturation pain than on vital teeth [ 33 ]; however, Gotler and colleagues reported the opposite, with more post-obturation pain in vital teeth [ 48 ]. We could not find a significant association between post-obturation pain and the tooth’s vitality status.…”

Section: Discussionmentioning

confidence: 99%

Incidence of post-obturation pain after single-visit versus multiple-visit non-surgical endodontic treatments

Wong

Zhang

et al. 2015

BMC Oral Health

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BackgroundPost-obturation pain is frustrating to both patients and dentists. Its incidence may change with the use of contemporary endodontic techniques. This randomised clinical trial aims to compare the incidence of post-obturation pain at one and seven days after single-visit and multiple-visit non-surgical endodontic treatments.MethodsPatients who required primary endodontic treatment in the two clinical trial centres in Hong Kong (HK) and in Beijing (PK) were recruited. Three HK dentists and three PK dentists performed endodontic treatments on 567 teeth using the same procedures and materials, either in a single visit or over multiple visits, using either core carrier or cold lateral condensation for obturation.ResultsThe attrition rate was 5.1 %, and a total of 538 teeth were evaluated. Among these teeth, 232 (43 %) were operated in HK, 275 (51 %) were treated in a single visit, and 234 (43 %) were treated using core carrier obturation. Logistic regression analysis showed that teeth with apical periodontitis (OR = 0.35, 95 % CI = 0.21–0.57, p < 0.01) and less pre-operative pain (OR = 1.10, 95 % CI = 1.03–1.18, p < 0.01) had lower incidences of post-obturation pain after one day. The incidences of post-obturation pain after one day for single-visit and multiple-visit treatments were 24.7 % (68 of 275) and 33.5 % (88 of 263), respectively (p = 0.50). The incidences of post-obturation pain after seven days for single-visit and multiple-visit treatments were 4.0 % (11 of 275) and 5.3 % (14 of 263), respectively (p = 0.47).ConclusionsThere was no significant difference in the incidences of post-obturation pain after one day and seven days with single-visit or multiple-visit endodontic treatments.Trial registration ChiCTR-IOR-15005989

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Section: Discussionmentioning

confidence: 99%

Incidence of post-obturation pain after single-visit versus multiple-visit non-surgical endodontic treatments

Wong

Zhang

et al. 2015

BMC Oral Health

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“…Ibuprofen exerts its anti-inflammatory effect via synthesis of arachidonic acid metabolites (19). Informing patients regarding the possibility of postendodontic pain and drug administration for its management can improve their trust in dentists, raise their pain threshold, and increase their tendency to seek further dental treatments (20).…”

Section: Introductionmentioning

confidence: 99%

Attitude of Dentists Towards the Administration of Analgesics for Management of Post-Endodontic Pain in Hamadan

Jamshidi¹,

Baghaei²,

Doniavi³

et al. 2014

Avicenna J Dent Res

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Background: Prevention or management of pain is an important objective in root canal treatment. Post-endodontic pain has always been an important concern for patients and clinicians. Informing patients regarding the possibility of postendodontic pain and drug administration for its management can improve their trust in dentists, raise their pain threshold and increase their tendency to seek further dental treatments. Objectives: This study aimed to assess the attitude of Hamadan dentists towards the administration of analgesics for the management of postendodontic pain. Patients and Methods: This descriptive, cross-sectional study was conducted in 2011 in Hamadan city, Iran. Data was collected using a questionnaire including demographic information and questions about administration of analgesics for endodontic patients. All participants filled out the questionnaires anonymously. Collected data was analyzed using SPSS version 16.0 and descriptive statistics. Results: Eighty questionnaires were completed by dentists. Most dentists reported to use ibuprofen mostly to alleviate mild to moderate and severe endodontic pain in healthy individuals. Only 42 dentists (52.5%) used intracanal medicaments to relieve pain. Conclusions:The overall level of knowledge of general dentists in Hamadan city about the prescription of analgesics was satisfactory. Dentists should be aware of the latest advancements in their field and maintain their level of knowledge by regularly participating in continuous education programs and accessing relevant scientific resources.

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“…Among the four different independent diagnostic factors, status of pulp and pre-operative pain were only signi cant predictors for postoperative pain. Similarly, status of pulp has an in uence on postoperative pain as stated by different studies (35,36). Flare-up and postoperative pain are dependent upon the status of the pulp.…”

Section: Discussionmentioning

confidence: 91%

Influence of maintaining apical patency in post-endodontic pain

Shubham

Nepal

Mishra

et al. 2020

Preprint

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Background The concept of instrumentation beyond the apical foramen by small flexible file to prevent apical blockage is apical patency. However, this procedure might endow postoperative pain, thus to maintain apical patency or not is the matter of dilemma. Hence, the primary objective of this study was to compare postoperative pain between apical patency and non-patency groups and secondary objective was to evaluate the influence of number of visits, vitality of teeth, group of teeth and preoperative pain on post-operative pain.Methods Preselected (n=178) patients based on group of teeth and status of pulp were randomly divided into 2 groups, apical patency and non- patency which was further treated in either single or multiple visit. After exclusion, 160 patients were included. Each group (n=80) was subdivided in single visit (n = 40) and multiple visits (n = 40), including vital (n=20) and non-vital teeth (n=20) and single- rooted (n=10) and multiple-rooted teeth (n=10). Apical patency was maintained with a size 10 K-file during conventional hand filing step-back shaping procedure. Intensity of pain was recorded before treatment and on days 1, 2, and 7 after treatment using Numerical Rating Scale (NRS-11). Statistical analysis was done using Mann -Whitney U test, Spearman correlation and Multiple linear regression analysis.Results The primary outcome of this study showed statistically significant difference (p<0.05) in postoperative pain scores between patency and non-patency groups with higher pain scores in patency group on 1st, 2nd and 7th day follow up. The secondary outcome showed postoperative pain in patency maintained group was influenced by status of the pulp and preoperative pain only. Vital teeth of patency-maintained group treated in multiple visits showed statistically significant (p=0.02) post-operative pain in day 1 follow up. Pre-operative pain showed positive correlation with postoperative pain with statistically significant difference.Conclusions Our study concluded that maintenance of apical patency increased postoperative pain. Evaluation of influence of number of visits, status of pulp, group of tooth and preoperative pain revealed status of pulp and preoperative pain as influencing factors for postoperative pain in patency group.

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Postoperative Pain after Root Canal Treatment: A Prospective Cohort Study

Cited by 83 publications

References 27 publications

Incidence of post-obturation pain after single-visit versus multiple-visit non-surgical endodontic treatments

Incidence of post-obturation pain after single-visit versus multiple-visit non-surgical endodontic treatments

Attitude of Dentists Towards the Administration of Analgesics for Management of Post-Endodontic Pain in Hamadan

Influence of maintaining apical patency in post-endodontic pain

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