Postoperative Pain Following Multi-Visit Root Canal Treatment of Teeth with Vital and Non-Vital Pulps

Abstract

Introduction: Post-obturation pain is one of the primary problems following root canal treatment. Although in most cases pain does not last long, but could be a source of embarrassment to the dentist and annoying for the patient. Objectives: This prospective study was conducted to assess the incidence of postoperative pain after multivisit root canal treatment of teeth with vital and nonvital pulps. Methods: Total, 52 patients with teeth requiring endodontic treatment were identified and included in this study. The patients were randomly assigned and treated in a military hospital and in government dental college hospital into two groups. The teeth of patients in group 1 were with vital inflamed pulp; group 2 were with non-vital pulp with or without periapical radiolucency (0-5mm). Patients were treated in multiple visit procedure. They were asked whether they experienced any postoperative pain to rate the level of discomfort as no, mild, moderate, or severe pain. Data were analyzed statistically using the chi-square test. Results: No significant difference in postoperative pain was found between vital and non-vital pulps (p=0.2). Mild and moderate pain occurred in 4.34% and 4.34% respectively in teeth with vital pulp and 17.3% and 3.44% in teeth with non-vital pulp respectively. There was no significant difference in postoperative pain between the two groups (p>0.05). Conclusions: The incidence of postoperative pain did not differ between vital and non-vital teeth.

Evaluation of postoperative pain intensity following occlusal reduction in teeth associated with symptomatic irreversible pulpitis and symptomatic apical periodontitis: a randomized clinical study

“…Acute periapical inflammation is the most common cause of post‐endodontic pain (Farzana et al . ). It develops as a sequel of irreversible pulpitis and could also develop postoperatively as a result of mechanical, chemical, and/or microbial insults (Siqueira et al .…”

Dor pós-operatória em Endodontia: revisão de literatura

“…Farzana et al 20 demonstraram através de pesquisa clínica, que não houve distinções consideráveis quanto à dor em dentes com e sem vitalidade pulpar. Nos casos em que a sintomatologia estava presente, esta foi manifestada como de intensidade leve e moderada.…”

Sintomatologia dolorosa após tratamento endodôntico: Revisão da literatura

“…Também foi observado que pacientes submetidos a um número maior de sessões desenvolveram com maior frequência sintomatologia dolorosa, quando comparados aos casos realizados em sessão única. Em relação à idade, tipo de dente, sexo, número de canais e a solução irrigadora utilizada não houve diferença significativa (FARZANA et al, 2010). A incidência de flare-up foi insignificante nos tratamentos realizados em sessão única.…”