Severity of Post-Operative Pain after Instrumentation of Root Canals by XP-Endo and SAF Full Sequences Compared to Manual Instrumentation: A Randomized Clinical Trial
This investigation aimed to examine the post-operative pain experienced following single-visit root canal treatment using the XP-endo shaper sequence (XPS), full-sequence self-adjusting file (SAF), and manual K-files (HKF). A randomized equivalence parallel design, double-blinded clinical study was...
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MDPI AG
2022-12-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/23/7251 |
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| author | Ajinkya M. Pawar Anuj Bhardwaj Alessio Zanza Dian Agustin Wahjuningrum Suraj Arora Alexander Maniangat Luke Mohmed Isaqali Karobari Rodolfo Reda Luca Testarelli |
| author_facet | Ajinkya M. Pawar Anuj Bhardwaj Alessio Zanza Dian Agustin Wahjuningrum Suraj Arora Alexander Maniangat Luke Mohmed Isaqali Karobari Rodolfo Reda Luca Testarelli |
| author_sort | Ajinkya M. Pawar |
| collection | DOAJ |
| description | This investigation aimed to examine the post-operative pain experienced following single-visit root canal treatment using the XP-endo shaper sequence (XPS), full-sequence self-adjusting file (SAF), and manual K-files (HKF). A randomized equivalence parallel design, double-blinded clinical study was conducted on 120 patients with symptomatic irreversible pulpitis, with or without clinical signs of apical periodontitis. Only teeth with fully formed roots and no periapical lesions were incorporated in the study. Patients were apportioned to one of three groups (<i>n</i> = 40) randomly: Group 1—XPS, Group 2—SAF, and Group 3—HKF. Pre- and post-instrumentation pain was rated utilizing Visual Analog Scale (VAS) with a spectrum of 0–100 mm. The descriptive statistics and one-way ANOVA with 95% confidence intervals were used for statistical analysis. The mean VAS scores before instrumentation were consistent in all three groups. At 6, 24, 48, and 72 h, patients with root canals instrumented by SAF had the lowest post-instrumentation mean VAS score, followed by XPS. For all time intervals, the patients in the HKF group had the highest VAS score. The full-sequence SAF instrumentation resulted in less post-operative pain than the XP-endo plus protocol, while manual instrumentation with K-files resulted in the highest post-operative pain. |
| first_indexed | 2024-03-09T17:42:18Z |
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| institution | Directory Open Access Journal |
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| language | English |
| last_indexed | 2024-03-09T17:42:18Z |
| publishDate | 2022-12-01 |
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| series | Journal of Clinical Medicine |
| spelling | doaj.art-1d683458a1b24080a750e732f825d8512023-11-24T11:25:31ZengMDPI AGJournal of Clinical Medicine2077-03832022-12-011123725110.3390/jcm11237251Severity of Post-Operative Pain after Instrumentation of Root Canals by XP-Endo and SAF Full Sequences Compared to Manual Instrumentation: A Randomized Clinical TrialAjinkya M. Pawar0Anuj Bhardwaj1Alessio Zanza2Dian Agustin Wahjuningrum3Suraj Arora4Alexander Maniangat Luke5Mohmed Isaqali Karobari6Rodolfo Reda7Luca Testarelli8Department of Conservative Dentistry and Endodontics, Nair Hospital Dental College, Mumbai 400008, IndiaDepartment of Conservative Dentistry and Endodontics, College of Dental Sciences & Hospital, Rau, Indore 453331, IndiaDepartment of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, Via Caserta 06, 00161 Rome, ItalyDepartment of Conservative Dentistry, Faculty of Dental Medicine, Universitas Airlangga, Surabaya 60132, IndonesiaDepartment of Restorative Dental Sciences, King Khalid University, Abha 61421, Saudi ArabiaDepartment of Surgical Sciences, College of Dentistry, Ajman University, Al-Jurf, Ajman 346, United Arab EmiratesDepartment of Restorative Dentistry & Endodontics, Faculty of Dentistry, University of Puthisastra, Phnom Penh 12211, CambodiaDepartment of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, Via Caserta 06, 00161 Rome, ItalyDepartment of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, Via Caserta 06, 00161 Rome, ItalyThis investigation aimed to examine the post-operative pain experienced following single-visit root canal treatment using the XP-endo shaper sequence (XPS), full-sequence self-adjusting file (SAF), and manual K-files (HKF). A randomized equivalence parallel design, double-blinded clinical study was conducted on 120 patients with symptomatic irreversible pulpitis, with or without clinical signs of apical periodontitis. Only teeth with fully formed roots and no periapical lesions were incorporated in the study. Patients were apportioned to one of three groups (<i>n</i> = 40) randomly: Group 1—XPS, Group 2—SAF, and Group 3—HKF. Pre- and post-instrumentation pain was rated utilizing Visual Analog Scale (VAS) with a spectrum of 0–100 mm. The descriptive statistics and one-way ANOVA with 95% confidence intervals were used for statistical analysis. The mean VAS scores before instrumentation were consistent in all three groups. At 6, 24, 48, and 72 h, patients with root canals instrumented by SAF had the lowest post-instrumentation mean VAS score, followed by XPS. For all time intervals, the patients in the HKF group had the highest VAS score. The full-sequence SAF instrumentation resulted in less post-operative pain than the XP-endo plus protocol, while manual instrumentation with K-files resulted in the highest post-operative pain.https://www.mdpi.com/2077-0383/11/23/7251post-operative painendodontic instrumentationSAF systemXPS systemK-files |
| spellingShingle | Ajinkya M. Pawar Anuj Bhardwaj Alessio Zanza Dian Agustin Wahjuningrum Suraj Arora Alexander Maniangat Luke Mohmed Isaqali Karobari Rodolfo Reda Luca Testarelli Severity of Post-Operative Pain after Instrumentation of Root Canals by XP-Endo and SAF Full Sequences Compared to Manual Instrumentation: A Randomized Clinical Trial Journal of Clinical Medicine post-operative pain endodontic instrumentation SAF system XPS system K-files |
| title | Severity of Post-Operative Pain after Instrumentation of Root Canals by XP-Endo and SAF Full Sequences Compared to Manual Instrumentation: A Randomized Clinical Trial |
| title_full | Severity of Post-Operative Pain after Instrumentation of Root Canals by XP-Endo and SAF Full Sequences Compared to Manual Instrumentation: A Randomized Clinical Trial |
| title_fullStr | Severity of Post-Operative Pain after Instrumentation of Root Canals by XP-Endo and SAF Full Sequences Compared to Manual Instrumentation: A Randomized Clinical Trial |
| title_full_unstemmed | Severity of Post-Operative Pain after Instrumentation of Root Canals by XP-Endo and SAF Full Sequences Compared to Manual Instrumentation: A Randomized Clinical Trial |
| title_short | Severity of Post-Operative Pain after Instrumentation of Root Canals by XP-Endo and SAF Full Sequences Compared to Manual Instrumentation: A Randomized Clinical Trial |
| title_sort | severity of post operative pain after instrumentation of root canals by xp endo and saf full sequences compared to manual instrumentation a randomized clinical trial |
| topic | post-operative pain endodontic instrumentation SAF system XPS system K-files |
| url | https://www.mdpi.com/2077-0383/11/23/7251 |
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