Post-Operative Pain after Single-Visit Endodontic Treatment Using Different Root Canal Irrigation Activating Techniques | ||||
Egyptian Dental Journal | ||||
Article 6, Volume 67, Issue 4 - Serial Number 5, October 2021, Page 3719-3730 PDF (324.95 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/edj.2021.82422.1690 | ||||
View on SCiNiTO | ||||
Authors | ||||
Ahmed Salim 1; Abeer Darrag2; Walaa Ghoneim 3 | ||||
1Instructor, Endodontics, Faculty of Dentistry, Tanta University | ||||
2Professor, Endodontic Department, Faculty of Dentistry, Tanta University | ||||
3Assistant Professor, Endodontic Department, Faculty of Dentistry, Tanta University | ||||
Abstract | ||||
Aim: To clinically evaluate the effect of different irrigation activation techniques (needle irrigation, passive ultrasonic irrigation (PUI) and EndoVac) on post-operative pain after single-visit endodontic treatment. Materials and methods: Thirty patients aged between 16 and 40 years requiring endodontic therapy of asymptomatic vital/non vital maxillary central or canine teeth were selected for this study. In all cases, root canal treatment was done is single-visit in which root canals were prepared using nickel-titanium ProTaper Universal rotary system in crown down manner up to master apical file size F4 or F5 according to the initial apical canal size. Irrigation was done using 2.5% NaOCl. Patients were randomly assigned into three groups according to the final irrigation activation method, group 1 (control group) needle irrigation, group 2 PUI and group 3 EndoVac system. Obturation was done using cold lateral compaction technique. Post-operative pain was assessed after 6, 12, 24, 48 hours, one week and two weeks respectively. Post-operative pain evaluation was done using Visual Analogue Scale (VAS). Results: EndoVac group showed the least post-operative pain values while needle irrigation group showed the highest values. This was statistically significant at 6 and 48 hours time intervals. PUI group showed lower pain values than needle group and this was significant at 48 hours time interval. In all groups the intensity of post-operative pain decreased over time. Conclusion: EndoVac system and PUI reduce post-operative pain after single-visit endodontic treatment than needle irrigation in the first 48 hours. | ||||
Keywords | ||||
EndoVac; Needle irrigation; Passive ultrasonic irrigation; Post-operative pain; Single-visit | ||||
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