Frequency and nature of pain following single visit root canal treatment

The purpose of this study was to compare the frequency and nature of pain between the vital inflamed (n=55) and non-vital (n=55) teeth that received single visit root canal treatment. The frequency and nature of pain were assessed as no pain, mild, moderate and severe pain on day 2 and day 7. The results showed that 76.4 and 85.5% participants felt no pain in vital inflamed teeth on day 2 and day 7, respectively. On the other hand, 63.6 and 74.5% participants felt no pain in non-vital teeth on day 2 and day 7, respectively. The remaining participants only felt mild to moderate pain. There were no significant difference between the two groups (p=0.435 on day 2 and p=0.371 on day 7). The results suggested that single visit root canal treatment is equally effective in both vital inflamed and non-vital teeth.

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Postobturation Pain in Asymptomatic Non Vital Single Rooted Maxillary Teeth Following Single and Two Visit Root Canal Treatment

Chattagram Maa-O-Shishu Hospital Medical College Journal ◽

10.3329/cmoshmcj.v15i1.28762 ◽

2016 ◽

Vol 15 (1) ◽

pp. 45-48

Author(s):

Salma Jabeen ◽

Khurshiduzzaman

Keyword(s):

Treatment Group ◽

Calcium Hydroxide ◽

Root Canal ◽

Severe Pain ◽

Endodontic Treatment ◽

Root Canal Treatment ◽

P Value ◽

Moderate Pain ◽

Single Visit ◽

Significant Difference

Objectives : The purpose of the present study was to asses the incidence and severity of pain after single and two visit Root Canal Treatment ( RCT ) / endodontic treatment in asymptomatic non vital single rooted maxillary teeth.Methods : Eighty one cases of endodontically involved asymptomatic, non vital, single rooted maxillary teeth without evidence of periapical radiolucency in radiograph were selected for this study. The patient were divided into two treatment group. In single visit group, all teeth were prepared and filled using the standardized preparation and lateral condensation filling technique. In the two visit treatment group, at the first appointment, the teeth were prepared and dressed with calcium hydroxide paste for 7 days. At the second appointment, the teeth were prepared and obturated by using lateral condensation technique. The frequency of post obturation pain was recorded as no pain, slight/ mild, moderate and severe pain and evaluated at the day 1 and at the day 7 after obturation. The data were analyzed statistically by using SPSS version 16. p-value <0.05 was taken as significant.Results : No significant difference in post obtuation pain was found in between single and two visit RCT in maxillary teeth. At the day 1 and 7 after obturation, single visit (n= 41) group and two visit (n=40) group similarly experienced moderate pain (2.5% and 1.1% respectively in both group). At day 1 and 7 after obturation, mild pain is more in single visit than two visit group. However, there was no statistically significant difference in pain between the two groups. No one experienced severe pain in two groups.Conclusion: The incidence and severity of post obturation pain did not differ between single and two visit RCT in asymptomatic non vital single rooted maxillary teeth.Chatt Shi Hosp Med Coll J; Vol.15 (1); Jan 2016; Page 45-48

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A Study of Post Obturation Pain Following Single Visit Root Canal Treatment

Chattagram Maa-O-Shishu Hospital Medical College Journal ◽

10.3329/cmoshmcj.v12i3.16707 ◽

2013 ◽

Vol 12 (3) ◽

pp. 16-19 ◽

Cited By ~ 1

Author(s):

Salma Jabeen ◽

Dr Khurshiduzzaman

Keyword(s):

Root Canal ◽

Severe Pain ◽

Root Canal Treatment ◽

Moderate Pain ◽

Treatment Procedure ◽

Common Procedure ◽

Single Visit ◽

Medical College ◽

Slight Pain

Introduction: Root canal treatment (RCT) is a common procedure in dentistry. In recent year, single visit RCT has gained increased acceptance as a treatment procedure of RCT. One of the problem of RCT is post obturation pain. Objectives: This study was conducted to determine the incidence of post obturation pain related to single visit RCT in asymptomatic non-vital single rooted teeth. Methods: A total 60 cases of endodontically involved asymptomatic non-vital single rooted teeth without any evidence of periapical radiolucency in radiograph, were selected for this study. The canals of all teeth were prepared and filled using the standarized preparation and lateral condensation filling technique. The frequency of post obturation pain was recorded as no pain, slight, moderate and severe pain and evaluated at the day l and at the day 7 after obturation. Result: Out of the 60 patients involved in the study, 37 patients had no pain, 12 patients had slight pain and 11 patients had moderate pain at the day 1 after post obturation. At the day 7 after post obturation, 50 patients had no pain, 8 patients had slight pain and 2 patients had moderate pain. No one showed severe pain in both follow up days. Conclusion: Statistically significant differences were found in the incidence and degree of pain between two follow up days. Incidence of pain was more in 1st post obturation day and decreased thereafter. Chattagram Maa-O-Shishu Hospital Medical College Journal Volume 12, Issue 3, September 2013: 16-19

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Outcome of One and Two Visit Root Canal Treatment of Irreversible Pulpitis

Ibrahim Cardiac Medical Journal ◽

10.3329/icmj.v5i1-2.53717 ◽

2017 ◽

Vol 5 (1-2) ◽

pp. 45-48

Author(s):

Md Abdur Rahim ◽

Md Nurul Amin ◽

Khurshid Mahmood ◽

Sibbir Ahmed Osmani ◽

Abul Kalam Md Faruq

Keyword(s):

Visual Analogue Scale ◽

Root Canal ◽

Severe Pain ◽

Analogue Scale ◽

Root Canal Treatment ◽

Outcome Variable ◽

Eligibility Criteria ◽

Single Visit ◽

The Difference ◽

Irreversible Pulpitis

Objective: The present prospective comparative clinical trial was undertaken to compare the outcomes of single and two-visit root canal treatment of irreversible pulpitis. Methodology: This prospective study was conducted in the Department of Conservative Dentistry and Endodontics of Dhaka Dental College on patients who presented with pain due to irreversible pulpitis. Patients with single-rooted teeth with uncomplicated canal and full-formed apex having irreversible pulpitis were included. However, pregnant women or patients under treatment of antibiotics, cortiosteiods or suffering from any systemic diseases or immuno-compromised patients or patients having teeth with calcified canal or periodontal disease were excluded. A total of 80 patients who met the eligibility criteria were consecutively included and were randomly assigned to either one-visit (n = 40) or two-visit (n = 40) treatment groups. Data were kept on pulp vitality status, the presence or absence of pre-operative pain and degree of post obturation pain at 6, 12, 24, 48 hours and 1 week postoperatively. The outcome variable was intensity of pain which was measured using a visual analogue scale (VAS) as 0 = no pain, 1 = slight pain or discomfort, 2 = moderate pain relieved by analgesic, 3 = moderate to severe pain not completely relieved by analgesics and 4 = severe pain or swelling not relieved by analgesics and required unscheduled visit. Result: Forty percent of the patients in the two-visit group did not have any pain (measured in terms of visual analogue scale) at 12 hours compared to 25% in the single visit group, although the difference did not turn significant (p = 0.580). Likewise the proportion of patients without pain in the two-visit group was considerably higher (52.5%) at 24 hours than that in the single-visit group (45%) (p = 0.852). Improvement in pain sensation was reported to be significantly higher in the two-visit group (as 95% of the patients did not complain any pain) at 48 hours than that in the single-visit group (80% of the patients did not complain any pain) (p = 0.015). None of the patients of either group complained of pain one week postoperatively. Conclusion: Compared to single-visit, two-visit root canal treatment showed better results in terms of intensity of post-obturation pain at 12, 24 and 48 hours after root canal treatment for irreversible pulpitis. Ibrahim Card Med J 2015; 5 (1&2): 45-48

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Comparison of the Clinical Efficacy of 2.5% Non-Heated Sodium Hypochlorite and 2.5% Heated Sodium Hypochlorite as Irrigation to Control Postoperative Pain in Single Visit Root Canal Treatment

10.53350/pjmhs211582220 ◽

2021 ◽

Vol 15 (8) ◽

pp. 2220-2223

Author(s):

Muhammad Waleed ◽

Farah Tasleem ◽

Sarwanand . ◽

Noorullah Jagirani ◽

Fozia Rajput ◽

...

Keyword(s):

Postoperative Pain ◽

Clinical Efficacy ◽

Sodium Hypochlorite ◽

Root Canal ◽

Root Canal Treatment ◽

Sodium Hypochlorite Solution ◽

Hypochlorite Solution ◽

Single Visit ◽

Significant Difference ◽

Reduction Of Pain

Objective: To compare the clinical efficacy of 2.5% non-heated sodium hypochlorite and 2.5% heated sodium hypochlorite as irrigation to control postoperative pain in single visit root canal treatment. Study Design: Comparative analytical study Place and Duration: Operative dentistry department of Liaquat University of Medical and Health Sciences, Jamshoro for 6 months duration from March 2017 to September 2017. Material and Methods: A total of 60 patients with single rooted maxillary and mandibular permanent teeth were randomly allocated into two groups. 30 patients were in group A and treated with non heated sodium hypochlorite solution and 30 patients in group B were treated with 2.5% heated sodium hypochlorite solution. In both groups, the level of pain was measured postoperatively after 48 hours by using Heft Parker visual Analog Scale of 10 and information was collected on Performa. Results: The average age of the patients was 28.62±6.06 years. There were 40(66.7%) male and 20(33.3%) female. Pain was reduced in both groups but there were no significant difference in reduction of pain between groups (p=0.640). Conclusion: Severity of pain was not statistically significant between groups. At 48 hours, Pain was reduced in both groups but there were no significant difference in reduction of pain between groups. Heated sodium hypochlorite to relieve postoperative pain, it should be new trend for recommendation for treatment of irreversible pulpitis in single visit root canal treatment. Key Words: Root canal, Heated sodium hypochlorite, Postoperative pain.

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Analysis of Electronic Apex Locators in Human Teeth Diagnosed With Apical Periodontitis

Brazilian Dental Journal ◽

10.1590/0103-6440201902705 ◽

2019 ◽

Vol 30 (6) ◽

pp. 550-554

Author(s):

Norberto J Broon ◽

Claudia Azucena Palafox-Sánchez ◽

Carlos Estrela ◽

Diana Celeste Salazar Camarena ◽

Mario Uribe ◽

...

Keyword(s):

Electron Microscope ◽

Scanning Electron Microscope ◽

Root Canal ◽

Apical Periodontitis ◽

The Other ◽

Root Canal Treatment ◽

Human Teeth ◽

Working Length ◽

Significant Difference ◽

Scanning Electron

Abstract Electronic apex locators (EAL) have been used to establish the working length (WL) in root canal treatment. In teeth diagnosed with apical periodontitis, resorption of tooth apical structures can lead to difficulties to obtain an appropriate WL. The aim was to compare the capacity of three EAL’s (Root ZX II, Raypex 6 and Endo-Eze Quill) to locate the tip of the K-file between 0 to -0.5 mm from the apical foramen (AF) on teeth diagnosed with asymptomatic apical periodontitis (AAP). Electronic working length was performed on 60 roots with AAP. A K-file #15 was inserted in the root canal until the apical foramen (AF) was located, and followed was re-adjusted to -0.5 mm through observation in EAL display. The K-file was fixed to the tooth with composite and teeth were extracted. The 4 apical millimeters were worn out until the K-file could be seen and were prepared and measured its distance to AF in a scanning electron microscope. Appropriate WL was when the tip of the K-file was located between 0 to -0.5 mm from AF. Results: Root ZX II showed significant difference (p<0.01) with the other two EALs. Root ZX II presented the better performance than Raypex 6 or Endo-Eze Quill in teeth with AAP.

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Assessment of post-operative pain with use of rotary and conventional root canal instruments in single and multiple visit root canal treatment

International Journal of Science and Research Archive ◽

10.30574/ijsra.2021.2.2.0077 ◽

2021 ◽

Vol 2 (2) ◽

pp. 216-224

Author(s):

Sheenam Markan ◽

Gurvanit Kaur Lehl

Keyword(s):

Root Canal ◽

Root Canal Treatment ◽

Single Visit ◽

Post Operative Pain ◽

Subgroup Ii ◽

Multiple Visit ◽

Significant Difference ◽

Group A ◽

Group B ◽

Post Hoc

Aim: To compare the post-operative pain after the use of rotary and conventional root canal instruments in single and multiple visit root canal treatment Materials and Method: 168 patients requiring Root Canal Treatment [RCT] in maxillary and mandibular 1st molar were involved in the study. On the basis of vitality and radiographic features two groups were made, multiple visit (Group A n=72), single visit (Group B n=96). Then the patients were randomly divided into 4 subgroups. Subgroup I n=36 (multiple visit conventional RCT), Subgroup II n=36 (multiple visit rotary RCT), Subgroup III n=48 (single visit Conventional RCT) and Subgroup IV n=48 (single visit rotary RCT). In subgroup I & Subgroup III Canal preparation was done with stainless steel K files in step back manner. In subgroup II & Subgroup IV, rotary Protaper Next was used. Irrigation was done with 3 % NaOCl and Ethylenediamine tetraacetic acid (EDTA) alternatively followed by obturation. The postobturation pain was recorded at 6hr, 12hr, 24hr, 1 week using visual analogue scale. Statistical Analysis was done using Tukey HSD Post Hoc Test and ANOVA Test. Results: Within 24 hours there was statistically significant difference between the groups (p< 0.05) but after 7 days no statistically significant difference was there (p>0.05). Conclusion: Patients in the groups either in single and multiple visit experience less postobturation pain if the canal preparation was done with the rotary files at all the time intervals (6hrs, 12hrs, 24hrs ) but after 7 days no statistical difference was found.

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Comparison Between Prescription of Regular or on-Demand Ibuprofen on Postoperative Pain after Single-Visit Root Canal Treatment of Teeth with Irreversible Pulpitis

Dental Journal of Advance Studies ◽

10.1055/s-0038-1672044 ◽

2016 ◽

Vol 04 (01) ◽

pp. 044-048

Author(s):

Kamal Nabhi ◽

Ajay Chhabra ◽

Varun Jindal ◽

Simran Singh ◽

Keyword(s):

Postoperative Pain ◽

Pain Relief ◽

Root Canal ◽

The Other ◽

Root Canal Treatment ◽

Single Visit ◽

On Demand ◽

Group 2 ◽

Irreversible Pulpitis ◽

Group 1

Abstract Purpose: Prevention and management of postendodontic pain (PEP) is an integral part of endodontic treatment. NSAIDs such as Ibuprofen, Ketorolac are the most common medications used for managing pain after root canal treatment. So the purpose of this study was to compare the effect of pain relief on regular versus on demand prescription of ibuprofen after single-visit root canal treatment in teeth with irreversible pulpitis. Materials & Methodology: The study was performed on twenty patients. Root canal treatment was performed and all the patients were given a ‘‘rescue bag’’ that contained 8 tablets of 400 mg ibuprofen and then divided into two groups. In the group 1- patients were instructed to use ibuprofen tablets if they felt pain and in the group 2- patients were instructed to take ibuprofen regularly after every 6 hours for at least three days. Patients were instructed to complete a form to rate their pain at 24 and 48 hours after the root canal treatment and were also asked to record the number of analgesic tablets they had taken. Records were collected and statistically analysed. Results: The patients’ pain levels in groups 1 and 2 were not significantly different at 24 and 48 hours after root canal treatment. The number of analgesic medications used by the patients in group 2 was significantly higher than the other group. Conclusion: Regular prescription of ibuprofen had no significant effect on postoperative pain compared with on-demand use of ibuprofen in teeth with irreversible pulpitis

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Two Canals in Palatal Root of Maxillary Molar: Case Series

Pakistan Journal of Medicine and Dentistry ◽

10.36283/pjmd9-1/020 ◽

2020 ◽

Author(s):

Muhammad Ali

Keyword(s):

Case Report ◽

Root Canal ◽

Case Series ◽

The Other ◽

Root Canal Treatment ◽

Canal System ◽

Other Hand ◽

Maxillary Molar ◽

Root Canal System

Evaluating morphology of a root canal is important in determination of a successful endodontic therapy. This article highlights the need to be aware of different morphologies, which can exist in the root canal system of upper molars. This is usually associated with buccal root and has been documented in several studies in literature. On the other hand, it is not often that we come across variations in the palatal roots. These cases discuss such a case where two canals were discovered in palatal root during root canal treatment of maxillary first molar. It is essential to evaluate pre-operative radiographs and have proper knowledge of anatomy of the root canal system before initiating the treatment. All roots must be explored carefully to ensure that all canals are negotiated, debrided and obturated to ensure successful endodontic outcome. This case report shows a case series in endodontic management of a maxillary first molar with two palatal canals.

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Comparison of the Effects of a Bioceramic and Conventional Resin-Based Sealers on Postoperative Pain after Nonsurgical Root Canal Treatment: A Randomized Controlled Clinical Study

Materials ◽

10.3390/ma14102661 ◽

2021 ◽

Vol 14 (10) ◽

pp. 2661

Author(s):

Kiche Shim ◽

Young-Eun Jang ◽

Yemi Kim

Keyword(s):

Postoperative Pain ◽

Postoperative Period ◽

Root Canal ◽

Continuous Wave ◽

Root Canal Treatment ◽

Root Canals ◽

Anterior Teeth ◽

Significant Difference ◽

Ah Plus ◽

Group 2

Background: This clinical trial aimed to compare the effects of bioceramic sealer and resin-based sealer on the incidence and intensity of postoperative pain. Methods: Patients with anterior teeth or premolars requiring root canal treatment were assigned to group 1 (n = 51). Those with molars requiring treatment were assigned to group 2 (n = 57). In groups 1En and 2En, root canals were obturated with Endoseal MTA using the single-cone technique. In groups 1AH and 2AH, the sealer used was AH Plus with the continuous wave technique. On the day of canal filling, each patient was instructed to indicate their pain intensity over the 7 day postoperative period, at rest and, while biting, using a visual analog scale. Results: There was no significant difference in the incidence or intensity of postoperative pain between the Endoseal MTA and AH Plus groups during the 7 day postoperative period (p > 0.05). Less time was needed to seal the root canals with Endoseal MTA, especially in group 2 (p < 0.05). Conclusions: Endoseal MTA and AH Plus had similar effects on the incidence and intensity of postoperative pain. The obturation time was shorter when using Endoseal MTA compared to AH Plus.

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Effectiveness of Virtual Resilience Training on Assertiveness in Student Girls Aged 9–10 Years: A 1-Month Follow-Up

The Journal of School Nursing ◽

10.1177/10598405211013522 ◽

2021 ◽

pp. 105984052110135

Author(s):

Shima Gadari ◽

Jamile Farokhzadian ◽

Parvin Mangolian Shahrbabaki

Keyword(s):

Experimental Study ◽

Internal Stress ◽

Intervention Group ◽

The Other ◽

Hormonal Changes ◽

Emotional Instability ◽

Other Hand ◽

Significant Difference ◽

Resilience Training

Girls between the ages of 9 and 10 begin to experience physical, physiological, and hormonal changes that may lead to internal stress. At this age, children are struggling for autonomy; on the other hand, they may experience emotional instability, and for these reasons, they may be vulnerable in many ways. This experimental study aimed to investigate the effect of resilience training on assertiveness in student girls aged 9–10. Data were collected before, immediately after, and 1 month after the intervention in the control ( n = 40) and intervention ( n = 37) groups. There was a significant difference between the assertiveness of the intervention immediately (26.80 ± 3.73) and 1 month after the intervention (27.05 ± 3.73), and assertiveness significantly increased in the intervention group ( p = .0001). Resilience training leads to improvements in assertiveness in student girls aged 9–10.

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