Comparative Evaluation of Postoperative Pain after using Open Ended, Closed Ended Endodontic Needles and Endoactivator during Final Root Canal Irrigation Procedure: A Randomised Controlled Trial
Introduction: Apart from manual activation methods of irrigants during final irrigation procedure, multiple irrigant activation devices have been introduced which can influence the postoperative pain. Aim: To evaluate postoperative pain after final irrigation with open and closed-ended endodont...
Main Authors: | , |
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Format: | Article |
Language: | English |
Published: |
JCDR Research and Publications Private Limited
2020-12-01
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Series: | Journal of Clinical and Diagnostic Research |
Subjects: | |
Online Access: | https://jcdr.net/articles/PDF/14342/45945_CE[Ra1]_F(KM)_PF1_(AA_OM)_PFA(OM)_PN(SL).pdf |
Summary: | Introduction: Apart from manual activation methods of
irrigants during final irrigation procedure, multiple irrigant
activation devices have been introduced which can influence
the postoperative pain.
Aim: To evaluate postoperative pain after final irrigation with
open and closed-ended endodontic needles and Endoactivator
during root canal treatment.
Materials and Methods: This randomised controlled trial
was conducted in Department of Conservative Dentistry and
Endodontics, Bapuji Dental College and Hospital, Davangere,
from June 2018 to August 2018. Total of 75 symptomatic
irreversible pulpitis patients were randomly assigned into three
groups. In group EN-1, final irrigation protocol was performed
with 30-gauge notched tip needle (Pac-Dent, India), group
EN-2 using side-vented, closed 30-gauge needle (Max-i-Probe,
Dentsply, USA) and in group EA using Endoactivator (Dentsply,
USA). Pain using Visual Analog Scale (VAS) was evaluated at 8,
24 and 48 hours. Participants were prescribed Non-steroidal
Anti-Inflammatory Drugs (NSAIDs) as an escape medication.
Comparison between the three groups at each time interval
was done using Kruskal Wallis test followed by Mann-Whitney
U test as post-hoc test. Change in VAS score over different time
intervals (8, 24 and 48 hours) in each group was compared using
Kruskal Wallis test and Mann-Whitney U test. The p-value less
than 0.05 was considered statistically significant. SPSS version
20 was used for statistical analysis.
Results: Mann-Whitney U test revealed significant difference
between EN-1 and EN-2 (p=0.002) and between EN-1 and EA
(p<0.001) at 8-hour time interval; between EN-1 and EA (p=0.002)
at 24 hour time interval and between EN-1 and EN-2 (p=0.01) as
well as between EN-1 and EA (p=0.002) at 48 hour time. MannWhitney U test showed significant difference (p<0.05) in number
of NSAIDs taken at 8 hour between EN-1 and EA (p=0.04) and
between EN-2 and EA (p=0.01); at 8-24 hour between EN-1
and EA and between EN-1 and EN-2 (p<0.001); at 24-48 hour
between EN-1 and EA and between EN-1 and EN-2 (p<0.001).
Conclusion: Number of NSAIDS taken by patients was
significantly higher in open-ended needle irrigation group
compared to side-vented needle and Endoactivator group in
all the three time intervals along with postoperative pain. Thus,
during final irrigant activation, application of Endoactivator or
side-vented needle can be more beneficial in decreasing the
incidence of postendodontic pain. |
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ISSN: | 2249-782X 0973-709X |