The Effect of Foraminal Enlargement of Necrotic Teeth with the Reciproc System on Postoperative Pain: A Prospective and Randomized Clinical Trial

Cruz, José Artêro; Coelho, Marcelo Santos; Kato, Augusto Shoji; Vivacqua-Gomes, Nilton; Fontana, Carlos Eduardo; Rocha, Daniel Guimarães Pedro; Bueno, Carlos Eduardo da Silveira

doi:10.1016/j.joen.2015.09.018

Cited by 47 publications

(63 citation statements)

References 30 publications

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“…A meta-analysis evaluating laboratory studies demonstrated that the reciprocating movement leads to greater debris extrusion in comparison with the continuous rotary movement (Caviedes-Bucheli et al) (39) , which could trigger a greater inflammatory response and, consequently, a greater pain process. This is in agreement with (El Mubarak et al (40) , Cruz Júnior et al (41) ). This is in disagreement with Saha et al (42) who found that reciprocating wave one gold file showed lesser postoperative pain than rotating protaper next file.…”

Section: Discussionsupporting

confidence: 92%

Incidence of Postoperative Pain After Using Different Kinematic Cutting Motion in Multiple Versus Single File Concept

Anous

Al-Ashry

Ali

et al. 2019

Egyptian Dental Journal

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Aim: Evaluate pain after using rotary instrument with different cutting motion and different number of instruments in vital mandibular teeth. Materials and Methods: Thirty-two patient with vital mandibular first molar was selected for this study. The root canal treatment was done in single visit. The patients were asked to follow general instructions and to sign a printed informed consent that explains the aim of the study and obligates the patient to fill a pain diary before the treatment, after 3 hours after finishing of the treatment, 24 hours, 48 hours, 7 days. Root canals were mechanically prepared using the different techniques (8 vital teeth in each group). Group 1: The ProTaper Next files. Group 2: A primary reciprocating WaveOne Gold file. Group 3: A small reciprocating WaveOne Gold was used in reciprocating motion followed by primary reciprocating wave one gold file. Group 4: One shape rotary file. Obturation was carried out using the manufacture recommended gutta percha by selection of a master cone corresponding to the size of the master apical file. All canals were obturated using an epoxy resin-based sealer. Results: Pre-operatively; there was no statistically significant difference between the four groups. Immediately post-operative; wave One gold (Primary) group showed the statistically significantly highest mean pain score. After 3 hours; wave One gold (Small and Primary) group showed the statistically significantly highest mean pain score. After 24 hours. 48 hours as well as 7 days; all groups showed no pain. Conclusion: Reciprocating files showed more pain than rotation files.

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Section: Discussionsupporting

confidence: 92%

Incidence of Postoperative Pain After Using Different Kinematic Cutting Motion in Multiple Versus Single File Concept

Anous

Al-Ashry

Ali

et al. 2019

Egyptian Dental Journal

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“…, Cruz Junior et al . ). In addition, these concentrations of NaOCl were the most commonly used irrigants reported by AAE members and dentists in the USA (Dutner et al .…”

Section: Discussionmentioning

confidence: 97%

Effect of two different concentrations of sodium hypochlorite on postoperative pain following single‐visit root canal treatment: a triple‐blind randomized clinical trial

et al. 2017

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Farzaneh S, Parirokh M, Nakhaee N, Abbott PV. Aim To compare the effects of two different concentrations of NaOCl solution on postoperative pain following single-visit root canal treatment in mandibular molars with irreversible pulpitis. Methodology A total of 122 patients who had mandibular molars with irreversible pulpitis were treated. The patients were randomly divided into two groups according to the concentration of NaOCl used during root canal instrumentation -either 2.5% or 5.25%. RaCe rotary instruments were used for root canal preparation, and all root canals were filled in one visit. Postoperative pain was evaluated using the visual analogue scale. Data were analysed by independent t-test, chi-square and Mann-Whitney tests. Results Twelve patients were excluded for various reasons. Pain reported by 110 patients who were eligible to be included in the study was analysed. No significant differences were found in the age and gender of the patients between the two groups (P = 0.50, P = 0.51, respectively). The patients who had 5.25% NaOCl reported significantly lower postoperative pain compared to those who had 2.5% NaOCl during the first 72 h following treatment (P = 0.021); however, there was no significant difference in pain felt by the patients during the rest of the study period, that is 4-7 days following treatment (P = 0.185) when the four-level pain categorization method was used. When the two-level pain categorization method was used, the results revealed that patients who had 5.25% NaOCl reported significantly less pain for the first 3 days after treatment (P = 0.026). The number of analgesics taken by patients who had 2.5% NaOCl was significantly higher than that taken by patients who had 5.25% NaOCl (P = 0.001). Conclusion 5.25% NaOCl was associated with significantly lower postoperative pain compared to 2.5% NaOCl during the first 72 h following one-visit root canal treatment of mandibular molars with irreversible pulpitis.

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“…Higher concentrations of NaOCl exhibit more cytotoxicity, while providing more tissue-dissolving properties (30) . Most studies on postoperative pain have used 2.5-5.25% or higher concentrations of NaOCl (31,32) . The study by Farzaneh et al (33) showed that patients who received 5.25% NaOCl irrigation reported significantly lower pain during the first 72 hr following the treatment compared to those who received 2.5% NaOCl.…”

Section: Discussionmentioning

confidence: 99%

Effect of Nano-Silver Irrigating Solution on Post-Operative Pain Following Single Visit Endodontic Therapy: A Prospective Randomized Clinical Trial

El-Baz

Ahmed

2017

Egyptian Dental Journal

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Objective: The purpose of this study was to compare the effect of nano-silver (Nanotech Egypt for photo Electronics, Cairo, Egypt) irrigating solution versus sodium hypochlorite on postoperative pain after single-visit endodontic therapy. Methods: A randomized controlled clinical trial was designed and carried out in the endodontic department at Cairo University. Fifty healthy patients with asymptomatic necrotic teeth that were scheduled for non-surgical root canal treatment were enrolled. Single-visit root canal treatment was performed using ProTaper Universal (PTU; Dentsply Maillefer, Ballaigues, Switzerland) rotary files and for irrigation NaOCl 5.25% (Egyptian Company for household products under license of Clorox. Co. Cairo, Egypt) (control group, n=25) and nano-silver irrigating solution (intervention group, n=25) were used. After obturation, post-operative pain was assessed using a visual analogue scale (VAS) after 4, 24, and 48 hours. Chi-square test was used to compare VAS values between tested groups within each follow-up period and Wilcoxon signed rank test was used for within group comparisons over time. Results: Insignificant differences between NaOCl group and nano-silver group were found in pain scores for each follow-up period. The pain score decreased significantly after 24 hours (p=0.003) and after 48 hours (p=0.001) in intervention group. Control group showed similar results were the pain score decreased significantly after 24 hours (p=0.008) and after 48 hours (p=0.001). Conclusion: Both tested irrigants were associated with a decrease of postoperative pain over time, in patients undergoing single-visit endodontic treatment with necrotic pulps. There was no statistical significant difference between both groups.

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The Effect of Foraminal Enlargement of Necrotic Teeth with the Reciproc System on Postoperative Pain: A Prospective and Randomized Clinical Trial

Cited by 47 publications

References 30 publications

Incidence of Postoperative Pain After Using Different Kinematic Cutting Motion in Multiple Versus Single File Concept

Incidence of Postoperative Pain After Using Different Kinematic Cutting Motion in Multiple Versus Single File Concept

Effect of two different concentrations of sodium hypochlorite on postoperative pain following single‐visit root canal treatment: a triple‐blind randomized clinical trial

Effect of Nano-Silver Irrigating Solution on Post-Operative Pain Following Single Visit Endodontic Therapy: A Prospective Randomized Clinical Trial

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