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

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

scholarly journals Frequency and nature of pain following single visit root canal treatment

2018 ◽  
Vol 11 (4) ◽  
pp. 274-277
Author(s):  
Md. Abdul Hannan Sheikh ◽  
Golam Mohiuddin Chowdhury ◽  
Sultana Parveen ◽  
Kamrunnahar Shanta ◽  
Farzana Hoque Tanmi
Keyword(s):  
Root Canal ◽  
Severe Pain ◽  
The Other ◽  
Root Canal Treatment ◽  
Moderate Pain ◽  
Single Visit ◽  
Other Hand ◽  
Significant Difference

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.

scholarly journals Management of periradicular pathosis by single visit endodontic treatment using calcium hydroxide and mineral trioxide aggregate based sealer

2020 ◽  
Vol 10 (2) ◽  
pp. 10-13
Author(s):  
Md Abdul Hannan Sheikh ◽  
Eyad Al Khalifa ◽  
Mozammal Hossain ◽  
Md Faruk Hossain ◽  
Nazneen Karim ◽  
...  
Keyword(s):  
Calcium Hydroxide ◽  
Statistical Methods ◽  
Root Canal ◽  
Mineral Trioxide Aggregate ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Radiological Evaluation ◽  
Root Canal Therapy ◽  
Radiological Investigation ◽  
Single Visit

In this study, 120 teeth having periradicular pathosis were treated with single visit root canal treatment and then obturated with either calcium hydroxide containing sealer or mineral trioxide aggregate based sealer. The healing of periradicular pathosis was examined at 3, 6, and 12 months by clinical and radiological evaluation. Collected data were analyzed with standard statistical methods by using SPSS version- 20. The results showed that at 3 and 6 months, the differences between calcium hydroxide containing sealer or mineral trioxide aggregate based sealer were not statistically significant. However, the healing capability of periapical radiolucency at 12 months between two groups was statistically significant (P=0.03). The final outcome of the clinical and radiological investigation showed successful results of 96.6% and 98.1% in calcium hydroxide and mineral trioxide aggregate group, respectively. In conclusion, both calcium hydroxide and mineral trioxide aggregate based sealers are almost equally effective in single visit root canal therapy for the management of periradicular pathosis. Update Dent. Coll. j: 2020; 10 (2): 10-13

scholarly journals Postoperative pain after primary endodontic treatment and retreatment of asimptomatic teeth

2011 ◽  
Vol 58 (2) ◽  
pp. 75-81 ◽  
Author(s):  
Violeta Petrovic ◽  
Vanja Opacic-Galic ◽  
Slavoljub Zivkovic
Keyword(s):  
Postoperative Pain ◽  
Calcium Hydroxide ◽  
Root Canal ◽  
Severe Pain ◽  
Endodontic Treatment ◽  
Fisher Exact Test ◽  
Exact Test ◽  
Root Canals ◽  
Significant Difference ◽  
Low Incidence

Introduction. Postoperative pain may develop after chemomechanical preparation during endodontic treatment or retreatment. It is associated with acute apical periodontitis caused by bacteria penetrated from the root canal into the periapical tissue. The purpose of this study was to evaluate the incidence of postoperative pain during endodontic treatment after intracanal medication performed with calcium hydroxide (CH) paste or 1% chlorhexidine gel (CHX). Material and Methods. The study included 22 asymptomatic teeth in both male and female patients. Fourteen teeth had the diagnosis of pulp necrosis and the other eight were retreatment cases. The root canals were prepared by crown-down technique using K files and copious irrigation with 0.5% sodium hypochlorite (NaOCl). Intracanal dressing was performed using either calcium hydroxide paste or 1% CHX gel. Each medicament was placed in the root canals of eleven randomly selected teeth. The teeth were restored with temporary filling. Postoperative pain was registered during the seven day period between two appointments. The level of pain was rated as follows: no pain, mild pain, moderate pain and severe pain (flare-up). The obtained data was analyzed using Fisher exact test. The level of significance was ?=0.05. Results. Postoperative pain was absent in 77.3% of total number of treated teeth. Severe pain (flare-up) was registered in 2 cases (9%). There was no significant difference in pain incidence between the CH paste and CHX gel group (p=0.610). Conclusion. Endodontic procedure used in this study which considered root canal instrumentation and irrigation followed by intracanal medication with CH and CHX resulted in low incidence of postoperative pain.

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

2013 ◽  
Vol 12 (3) ◽  
pp. 16-19 ◽  
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

scholarly journals APEXIFICATION WITH BIODENTINE - A CASE REPORT

2013 ◽  
Vol 5 (2) ◽  
pp. 3-5
Author(s):  
R.S. Bassvanna ◽  
Chitra Gohil
Keyword(s):  
Case Report ◽  
Calcium Hydroxide ◽  
Root Canal ◽  
Endodontic Treatment ◽  
Clinical Scenario ◽  
Root Canal Obturation ◽  
Single Visit ◽  
Dental Practitioners ◽  
New Material ◽  
Open Apices

ABSTRACT Management of non vital teeth with open apices isa challenge to the dental practitioners. In this clinical scenario, it is difficult to maintain the obturating material confine within the root canal without encroaching into periapical area. These kinds of cases cannot be managed by conventional endodontic treatment, and treatment of such cases with calcium hydroxide may take longer time for apical closure. But with this new material called BIODENTINE (Septodont) same treatment can be done in single visit with predictable result. Hence this case report present the use ofbiodentine to form an apical plug in open apex followed by complete root canal obturation using thermoplasticized guttapercha.

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

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

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

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.

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

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.

scholarly journals Removal efficacy of propolis/calcium hydroxide medicaments from the root canal

2021 ◽  
Vol 37 (7) ◽  
Author(s):  
Muhammad Adeel Ahmed
Keyword(s):  
Calcium Hydroxide ◽  
Sodium Hypochlorite ◽  
Root Canal ◽  
Controlled Trial ◽  
P Value ◽  
Creative Commons ◽  
Anterior Teeth ◽  
Significant Difference ◽  
The Difference ◽  
Group B

Objective: To compare the removal efficacy of propolis and calcium hydroxide medicaments from the root canal using manual irrigation with sodium hypochlorite. Methods: A randomized controlled trial was conducted at the Department of Restorative Dentistry and Endodontics, College of Dentistry, King Faisal University for two months. Thirty single-rooted upper or lower permanent anterior teeth with sound root and closed apex were selected. After cleaning and shaping of canal by protaper rotary, teeth were randomly divided into two groups. In group “A,” propolis paste was placed while calcium hydroxide was placed inside root canals in group “B,” followed by temporary restoration. After seven days, intracanal medicament was removed using 25 # K file and irrigated canal by 5 ml of 3.0% sodium hypochlorite. A final irrigation of 2-ml of 17% EDTA for three minutes followed by 1-ml of normal saline was performed. A diamond disc was used to cut the crowns of the teeth from cemento-enamel junction and divide the roots into two halves. These sectioned halves were then observed under a stereomicroscope at 7X magnification and analyzed using Adobe Photoshop. Magnetic lasso tool was used to calculate the percentage of residual medicament in the canals by comparing the pixel proportion of the medicament with the total pixel proportion of the canal. Paired t-test was used to see the difference in the number of remaining remnants between propolis and calcium hydroxide. A p-value of less than 0.5 was considered statistically significant. Results: A statistically significant difference (p-value < 0.001) was observed in the percentage of remaining remnants between propolis (23.22%) and calcium hydroxide (38.58%) after thorough irrigation with sodium hypochlorite. Conclusion: Propolis is superior to calcium hydroxide in terms of their removal potency from the root canal after thorough irrigation with sodium hypochlorite. doi: https://doi.org/10.12669/pjms.37.7.4241 How to cite this:Ahmed MA. Removal efficacy of propolis/calcium hydroxide medicaments from the root canal. Pak J Med Sci. 2021;37(7):---------. doi: https://doi.org/10.12669/pjms.37.7.4241 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Incidence of Postoperative Pain after Single- and Multi-Visit Endodontic Treatment in Teeth with Vital and Non-Vital Pulp

2009 ◽  
Vol 03 (04) ◽  
pp. 273-279 ◽  
Author(s):  
Bayram Ince ◽  
Ertugrul Ercan ◽  
Mehmet Dalli ◽  
Coruh Turksel Dulgergil ◽  
Yahya Orcun Zorba ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Root Canal ◽  
Severe Pain ◽  
Endodontic Treatment ◽  
Treatment Groups ◽  
Significant Difference ◽  
Chisquare Test ◽  
Group 2 ◽  
Root Canal Instrumentation ◽  
Group 1

ABSTRACTObjectives: To assess the incidence of postoperative pain after single- and multi-visit endodontic treatment of teeth with vital and non-vital pulp.Methods: In total, 306 patients with teeth requiring endodontic treatment were identified and were included in this study. Two experienced clinicians treated the patients, who were randomly assigned to two groups. While the teeth of patients in group 1 were obturated, group 2 were temporarily sealed and obturated after one week. Three days after the root canal instrumentation of each tooth, the patients were asked whether they experienced any postoperative pain and to rate the level of discomfort as no, mild, moderate, or severe pain. Data were analyzed statistically using the chisquare test.Results: No significant difference in postoperative pain was found between vital and non-vital teeth (P>.01). Mild, moderate, and severe pain occurred in 31.4, 13.7, and 4.6% of vital teeth, respectively. Postoperative pain occurred in 107 (69.9%) and 106 (69.3%) teeth in the single- and multi-visit treatment groups, respectively. There was no significant difference in postoperative pain between the two groups (P>.01).Conclusions: The prevalence of postoperative pain did not differ between vital and non-vital teeth. The majority of patients in either groups reported no or only mild pain. (Eur J Dent 2009;3:273-279)

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