Influence of Working Length on Post-operative Pain after Single or Two-visit Endodontic Treatment: A Randomised Clinical Trial
Journal Title: Journal of Clinical and Diagnostic Research - Year 2018, Vol 12, Issue 10
Abstract
ABSTRACT Introduction: Microorganisms in the cemental canal can lead to the development of periapical lesions and its mechanical removal by means of overinstrumentation may be more favourable for the success of endodontic treatment. However, instrumentation of the apical foramen remains a controversial issue because it can be a traumatic procedure to the periapical tissues. Aim: Considering that post-operative pain is an essential feature of symptomatic periradicular inflammation, this clinical trial evaluated the influence of two different foraminal working lengths on post-operative pain and mechanical allodynia after endodontic treatment completed in single-visit or two-visit. Materials and Methods: Forty eight adult patients indicated for primary endodontic treatment of tooth with asymptomatic apical periodontitis were randomly assigned to 4 groups (n = 12): SV0 – single-visit and instrumentation up to the apical foramen; SV+1 – single-visit and instrumentation 1 mm beyond the apical foramen; TV0 – two-visit and instrumentation up to the apical foramen; TV+1 – two-visit and instrumentation 1 mm beyond the apical foramen. All participants received a visual analog scale to record their assessment of pain at 3 hours to 7 days and data were analysed statistically by Kruskal-Wallis test (α = 5%). For mechanical allodynia evaluation, bite force measurement was performed using a digital gnathodynamometer just before and 7 days after treatment and data were analysed statistically by ANOVA and Tukey’s test (α = 5%). Results: No statistically significant difference was found among the 4 groups in relation to post-operative pain at all time points assessed. Bite force values were significantly higher 7 days after endodontic treatment, indicating that there was a significant reduction of mechanical pain in all groups, with no significant difference among them. Conclusion: All groups exhibited the same rate of post-operative pain at the time points assessed and endodontic treatment effectively increased the mechanical pain thresholds.
Authors and Affiliations
Alessandra Manchini Cardoso Tarallo, Felipe de Souza Matos, Eduardo Bresciani, Luiz Renato Paranhos, Carlos Henrique Ribeiro Camargo
Keywords
Related Articles
- EP ID EP529776
- DOI 10.7860/JCDR/2018/35913.12114
- Views 78
- Downloads 0
Concomitant Presence of Carcinoma of Breast in a Patient with EarlyOnset Cataract: First Case Report of a Potential Association
A recent nation-wide population based retrospective cohort study from Taiwan in 2014 suggested a propensity of developing breast cancer in young females with early-onset cataract. We report here a case of a young non-obe...
Correspondence: Level of Motivation during Cardiac Efficiency Test; A Confounding Factor to Consider
Letter to Editor
A1 and A2 Sub-Types of Blood Group ‘A’: A Reflection of their Prevalence in North Karnataka Region
Introduction: Landsteiner ABO system of blood groups is most important for transfusion medicine and has subtypes of A Antigen, A1 and A2, upon which further groups of A and AB have been classified. Of individuals with A...
Antimicrobial Resistance in Clinical Isolates of Streptococcus Pneumoniae: Mechanisms and Association with Serotype Patterns
ABSTRACT Introduction: Serotypes and antimicrobial resistance patterns of pneumococcus are dynamic and need close monitoring. The present study describes serotypes and antimicrobial resistance of pneumococcus from clinic...
Potential Advantages of Bone Marrow Sparing IMRT in Cancer Cervix: A Dosimetric Evaluation
ABSTRACT Introduction: Concurrent Chemoradiation (CRT) is the standard of care for locally advanced cervical cancer patients. Addition of chemotherapy to pelvic radiotherapy augments Haematological Toxicity (HT). Whether...