Effect of Passive Ultrasonic Irrigation and Laser Disinfection in Single Visit Root Canal Therapy on Postoperative Pain
Introduction: Postoperative pain is an unwanted common sensation after endodontic treatment. Postoperative discomfort affects anywhere from 3 to 58% of patients. Complete elimination of bacteria in the form of biofilm from the canals is very difficult. But there is no one unique irrigant that ca...
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JCDR Research and Publications Private Limited
2021-11-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/15693/50892_CE[Ra1]_F_(SHU)_PF1(SC_SS)_PFA(SC_KM)_PN(KM).pdf |
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| author | Meetkumar S Dedania Nimisha C Shah Ruchi Shah Dhaval Bhadra Namrata Bajpai Nidhi Pisal Dipen Bhatt |
| author_facet | Meetkumar S Dedania Nimisha C Shah Ruchi Shah Dhaval Bhadra Namrata Bajpai Nidhi Pisal Dipen Bhatt |
| author_sort | Meetkumar S Dedania |
| collection | DOAJ |
| description | Introduction: Postoperative pain is an unwanted common sensation
after endodontic treatment. Postoperative discomfort affects
anywhere from 3 to 58% of patients. Complete elimination of
bacteria in the form of biofilm from the canals is very difficult. But
there is no one unique irrigant that can meet all the requirements
of ideal irrigant.
Aim: To compare and evaluate the effect of Passive Ultrasonic
Irrigation (PUI) and laser disinfection for postoperative pain and
discomfort after a single visit root canal therapy in non vital
single rooted teeth.
Materials and Methods: This randomised clinical study was
conducted on 44 patients, in the Department of Conservative
Dentistry and Endodontics, KM Shah Dental College and
Hospital, Vadodara, Gujarat, India, from July 2018 to December
2018. Administration of local anaesthetic agent (1:2,00,000
lignocaine with adrenaline) followed by isolation with rubber
dam and access cavity preparation was done. Cleaning and
shaping of the teeth were done. The patients were randomised
into two groups using a flip coin procedure. In Group A, laser
disinfection was done using 810 nm diode laser, 2 W power. In
Group B, ultrasonic agitation with 5.25% of sodium hypochlorite
(NaOCl) was done. Final irrigation with normal saline was done
followed by obturation and postendodontic restoration using
composite resin. Postendodontic evaluation was done by the
blinded evaluator with help of modified verbal rating scale for
6 hours, 24 hours, 48 hours and 7 days. After evaluation, the
data was collected and statistically analysed using Pearson’s
Chi-square test with 5% level of significance using Statistical
Package for the Social Sciences (SPSS) version 20.0.
Results: Among 44 patients, 25 were male and 19 were female.
The age of 10 patients was between 40-60 years, age of 28
patients was 30-40 years, while age of remaining 6 patients
was between 18-29 years. The results showed no statistically
significant difference in the postoperative pain and discomfort
of PUI and laser disinfection when used for disinfection in a
single visit root canal therapy (p-value= 0.086).
Conclusion: Both PUI and laser disinfection are equally effective
in reducing postoperative pain and discomfort after single visit
root canal treatment. In the initial hours, laser disinfection has
slightly higher edge over PUI. |
| first_indexed | 2024-12-23T14:03:58Z |
| format | Article |
| id | doaj.art-9b714c351c1547bf938fdafecd2d72f8 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-23T14:03:58Z |
| publishDate | 2021-11-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-9b714c351c1547bf938fdafecd2d72f82022-12-21T17:44:14ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2021-11-011511ZC33ZC3610.7860/JCDR/2021/50892.15693Effect of Passive Ultrasonic Irrigation and Laser Disinfection in Single Visit Root Canal Therapy on Postoperative PainMeetkumar S Dedania0Nimisha C Shah1 Ruchi Shah2Dhaval Bhadra3Namrata Bajpai4Nidhi Pisal5Dipen Bhatt6Senior Lecturer, Department of Conservative Dentistry and Endodontics, K.M. Shah Dental College and Hospital, Sumandeep Vidyapeeth Deemed to be University, Vadodara, Gujarat, India.Professor and Head, Department of Conservative Dentistry and Endodontics, K.M. Shah Dental College and Hospital, Sumandeep Vidyapeeth Deemed to be University, Vadodara, Gujarat, India.Senior Lecturer, Department of Conservative Dentistry and Endodontics, K.M. Shah Dental College and Hospital, Sumandeep Vidyapeeth Deemed to be University, Vadodara, Gujarat, India.Private Practitioner, Department of Conservative Dentistry and Endodontics, K.M. Shah Dental College and Hospital, Sumandeep Vidyapeeth Deemed to be University, Vadodara, Gujarat, India.Senior Lecturer, Department of Conservative Dentistry and Endodontics, K.M. Shah Dental College and Hospital, Sumandeep Vidyapeeth Deemed to be University, Vadodara, Gujarat, India.Postgraduate Student, Department of Conservative Dentistry and Endodontics, K.M. Shah Dental College and Hospital, Sumandeep Vidyapeeth Deemed to be University, Vadodara, Gujarat, India.Postgraduate Student, Department of Conservative Dentistry and Endodontics, K.M. Shah Dental College and Hospital, Sumandeep Vidyapeeth Deemed to be University, Vadodara, Gujarat, India.Introduction: Postoperative pain is an unwanted common sensation after endodontic treatment. Postoperative discomfort affects anywhere from 3 to 58% of patients. Complete elimination of bacteria in the form of biofilm from the canals is very difficult. But there is no one unique irrigant that can meet all the requirements of ideal irrigant. Aim: To compare and evaluate the effect of Passive Ultrasonic Irrigation (PUI) and laser disinfection for postoperative pain and discomfort after a single visit root canal therapy in non vital single rooted teeth. Materials and Methods: This randomised clinical study was conducted on 44 patients, in the Department of Conservative Dentistry and Endodontics, KM Shah Dental College and Hospital, Vadodara, Gujarat, India, from July 2018 to December 2018. Administration of local anaesthetic agent (1:2,00,000 lignocaine with adrenaline) followed by isolation with rubber dam and access cavity preparation was done. Cleaning and shaping of the teeth were done. The patients were randomised into two groups using a flip coin procedure. In Group A, laser disinfection was done using 810 nm diode laser, 2 W power. In Group B, ultrasonic agitation with 5.25% of sodium hypochlorite (NaOCl) was done. Final irrigation with normal saline was done followed by obturation and postendodontic restoration using composite resin. Postendodontic evaluation was done by the blinded evaluator with help of modified verbal rating scale for 6 hours, 24 hours, 48 hours and 7 days. After evaluation, the data was collected and statistically analysed using Pearson’s Chi-square test with 5% level of significance using Statistical Package for the Social Sciences (SPSS) version 20.0. Results: Among 44 patients, 25 were male and 19 were female. The age of 10 patients was between 40-60 years, age of 28 patients was 30-40 years, while age of remaining 6 patients was between 18-29 years. The results showed no statistically significant difference in the postoperative pain and discomfort of PUI and laser disinfection when used for disinfection in a single visit root canal therapy (p-value= 0.086). Conclusion: Both PUI and laser disinfection are equally effective in reducing postoperative pain and discomfort after single visit root canal treatment. In the initial hours, laser disinfection has slightly higher edge over PUI.https://jcdr.net/articles/PDF/15693/50892_CE[Ra1]_F_(SHU)_PF1(SC_SS)_PFA(SC_KM)_PN(KM).pdfnecrosed teethphotodynamic therapysodium hypochlorite |
| spellingShingle | Meetkumar S Dedania Nimisha C Shah Ruchi Shah Dhaval Bhadra Namrata Bajpai Nidhi Pisal Dipen Bhatt Effect of Passive Ultrasonic Irrigation and Laser Disinfection in Single Visit Root Canal Therapy on Postoperative Pain Journal of Clinical and Diagnostic Research necrosed teeth photodynamic therapy sodium hypochlorite |
| title | Effect of Passive Ultrasonic Irrigation and Laser Disinfection in Single Visit Root Canal Therapy on Postoperative Pain |
| title_full | Effect of Passive Ultrasonic Irrigation and Laser Disinfection in Single Visit Root Canal Therapy on Postoperative Pain |
| title_fullStr | Effect of Passive Ultrasonic Irrigation and Laser Disinfection in Single Visit Root Canal Therapy on Postoperative Pain |
| title_full_unstemmed | Effect of Passive Ultrasonic Irrigation and Laser Disinfection in Single Visit Root Canal Therapy on Postoperative Pain |
| title_short | Effect of Passive Ultrasonic Irrigation and Laser Disinfection in Single Visit Root Canal Therapy on Postoperative Pain |
| title_sort | effect of passive ultrasonic irrigation and laser disinfection in single visit root canal therapy on postoperative pain |
| topic | necrosed teeth photodynamic therapy sodium hypochlorite |
| url | https://jcdr.net/articles/PDF/15693/50892_CE[Ra1]_F_(SHU)_PF1(SC_SS)_PFA(SC_KM)_PN(KM).pdf |
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