The effect of different irrigation and disinfection methods on post-operative pain in mandibular molars: a randomised clinical trial

Abstract Background To examine post-operative pain (PP) after conventional irrigation and sonic activation methods, with and without laser disinfection in mandibular molars. Methods Eighty patients with symptomatic apical periodontitis were included in this randomized clinical study. There were four...

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Main Authors: Tuna Kaplan, Sema Sönmez Kaplan, Güzide Pelin Sezgin
Format: Article
Language:English
Published: BMC 2022-12-01
Series:BMC Oral Health
Subjects:
Online Access:https://doi.org/10.1186/s12903-022-02651-y
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author Tuna Kaplan
Sema Sönmez Kaplan
Güzide Pelin Sezgin
author_facet Tuna Kaplan
Sema Sönmez Kaplan
Güzide Pelin Sezgin
author_sort Tuna Kaplan
collection DOAJ
description Abstract Background To examine post-operative pain (PP) after conventional irrigation and sonic activation methods, with and without laser disinfection in mandibular molars. Methods Eighty patients with symptomatic apical periodontitis were included in this randomized clinical study. There were four study groups. In group 1, conventional irrigation only was applied. In group 2, a sonic irrigation activation system (EDDY (VDW, Munich, Germany)), was applied. In groups 3 and 4, irradiation with a 980-nm diode laser was performed, following irrigation with the conventional method and sonic irrigation activation system, respectively. The patients were instructed to record their PP and analgesic intake using a numerical rating scale 8, 24, 48 h and 7 days post-procedure. A chi-square test, Fisher’s exact chi-square test and Fisher–Freeman–Halton exact test were used to assess qualitative data. Inter-group and intra-group parameters were assessed using the Kruskal–Wallis test and Wilcoxon’s test at a significance level of p < 0.05. Results There was no statistically significant difference among the groups in terms of age, sex, pre-operative pain, PP and analgesic intake (p > 0.05). Conclusions The use of sonic irrigation activation system in the final irrigation protocol and irradiation with the 980-nm diode laser did not significantly reduce PP levels and analgesic intake.
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spelling doaj.art-d20eb7a36f444336a0f6cdcbc8c1f02e2022-12-22T03:54:25ZengBMCBMC Oral Health1472-68312022-12-012211910.1186/s12903-022-02651-yThe effect of different irrigation and disinfection methods on post-operative pain in mandibular molars: a randomised clinical trialTuna Kaplan0Sema Sönmez Kaplan1Güzide Pelin Sezgin2Department of Endodontics, Faculty of Dentistry, Biruni UniversityDepartment of Endodontics, Faculty of Dentistry, Biruni UniversityDepartment of Endodontics, Faculty of Dentistry, Biruni UniversityAbstract Background To examine post-operative pain (PP) after conventional irrigation and sonic activation methods, with and without laser disinfection in mandibular molars. Methods Eighty patients with symptomatic apical periodontitis were included in this randomized clinical study. There were four study groups. In group 1, conventional irrigation only was applied. In group 2, a sonic irrigation activation system (EDDY (VDW, Munich, Germany)), was applied. In groups 3 and 4, irradiation with a 980-nm diode laser was performed, following irrigation with the conventional method and sonic irrigation activation system, respectively. The patients were instructed to record their PP and analgesic intake using a numerical rating scale 8, 24, 48 h and 7 days post-procedure. A chi-square test, Fisher’s exact chi-square test and Fisher–Freeman–Halton exact test were used to assess qualitative data. Inter-group and intra-group parameters were assessed using the Kruskal–Wallis test and Wilcoxon’s test at a significance level of p < 0.05. Results There was no statistically significant difference among the groups in terms of age, sex, pre-operative pain, PP and analgesic intake (p > 0.05). Conclusions The use of sonic irrigation activation system in the final irrigation protocol and irradiation with the 980-nm diode laser did not significantly reduce PP levels and analgesic intake.https://doi.org/10.1186/s12903-022-02651-yDiode laserSonic irrigation activationPost-operative painSymptomatic apical periodontitis
spellingShingle Tuna Kaplan
Sema Sönmez Kaplan
Güzide Pelin Sezgin
The effect of different irrigation and disinfection methods on post-operative pain in mandibular molars: a randomised clinical trial
BMC Oral Health
Diode laser
Sonic irrigation activation
Post-operative pain
Symptomatic apical periodontitis
title The effect of different irrigation and disinfection methods on post-operative pain in mandibular molars: a randomised clinical trial
title_full The effect of different irrigation and disinfection methods on post-operative pain in mandibular molars: a randomised clinical trial
title_fullStr The effect of different irrigation and disinfection methods on post-operative pain in mandibular molars: a randomised clinical trial
title_full_unstemmed The effect of different irrigation and disinfection methods on post-operative pain in mandibular molars: a randomised clinical trial
title_short The effect of different irrigation and disinfection methods on post-operative pain in mandibular molars: a randomised clinical trial
title_sort effect of different irrigation and disinfection methods on post operative pain in mandibular molars a randomised clinical trial
topic Diode laser
Sonic irrigation activation
Post-operative pain
Symptomatic apical periodontitis
url https://doi.org/10.1186/s12903-022-02651-y
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