Acta Scientific Dental Sciences (ASDS)(ISSN: 2581-4893)

Review Article Volume 5 Issue 2

Influence of Periapical Pathosis Upon Postoperative Pain Following Primary Root Canal Treatment in a Single Session Approach

Mostafa I Negm*

Lecturer of Endodontics, Faculty of Oral and Dental Medicine, Ahram Canadian University, Egypt

*Corresponding Author: Mostafa I Negm, Lecturer of Endodontics, Faculty of Oral and Dental Medicine, Ahram Canadian University, Egypt.

Received: December 21, 2020; Published: January 18, 2021

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Abstract

Introduction: This clinical study examined the influence of periapical pathosis of pulpal origin upon postoperative pain following root canal treatment in a single session approach in comparison to those with irreversible pulpal diseases and healthy periodontium.

Methods: Thirty patients, between 20-65 years old with thirty molars indicated for primary non-surgical root canal treatment were divided into two groups; group I with irreversible pulpal inflammation and group II with periapical pathosis of pulpal origin. Access cavity preparation performed followed by chemo-mechanical disinfection through hybridization in preparation technique and irriga-tion protocol. Obturation performed using Resin sealer and cold lateral compaction technique. The primary outcome was postopera-tive pain which was recorded using a verbal rating scale (VRS) with well-defined categories at the 2-time intervals after root canal treatment: 12 hours and 24 hours. The secondary outcome was analgesics intake. Data was analyzed using the Mann-Whitney U, Fisher’s exact, Chi-square tests, and Student’s t-test (P ≤ 0.05).

Result: There was no statistically significant difference between median pain scores after 12 (P-value = 0.307) and 24 hours (P-value = 0.630) for both groups. There was no statistically significant difference in the intake of analgesics between the two groups (P-value = 1.000). There was a statistically significant decrease in pain scores after 12 hours followed by non-statistically significant change in pain scores from 12 to 24 hours in both groups.

Conclusion: Neither postoperative pain nor analgesics intake were influenced by presence of periapical pathosis. However single session root canal treatment resulted in a dramatic decrease in pain intensity irrespective to presence or absence of periapical pa-thosis.

Keywords: Postoperative Pain; Root Canal Treatment; Single Session; Pulpal Pathosis; Periapical Pathosis

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References

  1. Kakehashi S., et al. “The effects of surgical exposures of dental pulps in germ free and conventional laboratory rats”. Oral Surgery 20 (1965): 340-349.
  2. Sundqvist G. “Bacteriological studies of necrotic dental pulps [deontological dissertations]”. Umea, Sweden: University of Umea (1976).
  3. Mahmoud Torabinejad., et al. “Inflammatory and immunological aspects of the pathogenesis of human periapical lesions”. Journal of Endodontics 11 (1985): 479-488.
  4. Sjogren U., et al. “Influence of infection at the time of root filling on the outcome of endodontic treatment of teeth with apical periodontitis”. International Endodontic Journal 30 (1997): 297-306.
  5. Shuping GB., et al. “Reduction of intracanal bacteria using nickel-titanium rotary instrumentation and various medications”. Journal of Endodontics 26 (2000): 751-755.
  6. Jorge Paredes-Vieyra., et al. “Success Rate of Single- versus Two-visit Root Canal Treatment of Teeth with Apical Periodontitis: A Randomized Controlled Trial”. Journal of Endodontics 38 (2012): 1164-1169.
  7. Javier Caviedes-Bucheli., et al. “Neuropeptides in Dental Pulp: The Silent Protagonists”. Journal of Endodontics 34 (2008): 773-788.
  8. Sathorn C., et al. “The prevalence of postoperative pain and flare-up in single-and multiple-visit endodontic treatment: a systematic review”. International Endodontic Journal 41 (2008): 91-99.
  9. Mahmoud Torebinejad., et al. “Factors Associated with Endodontic Interappointment Emergencies of Teeth with Necrotic Pulps”. Journal of Endodontics 14 (1988): 261-266.
  10. Huseyin Sinan., et al. “The Effect of Different Irrigation Agitation Techniques on Postoperative Pain in Mandibular Molar Teeth with Symptomatic Irreversible Pulpitis: A Randomized Clinical Trial”. Journal of Endodontics 44 (2018): 1451-1456.
  11. Edward M O'Keefe. “Pain in endodontic therapy: preliminary study”. Journal of Endodontics 2 (1976): 315-319.
  12. Abdel Hameed H., et al. “Postoperative Pain in Multiple-visit and Single-visit Root Canal Treatment”. Journal of Endodontics 36 (2010): 36-39.
  13. Yelda Erdem Hepsenoglu., et al. “Postoperative Pain Intensity after Single- versus Two-visit Nonsurgical Endodontic Retreatment: A Randomized Clinical Trial”. Journal of Endodontics 44 (2018): 1339-1346.
  14. Katsuo Oshima., et al. “Clinical Investigation of Patients Who Develop Neuropathic Tooth Pain After Endodontic Procedures”. Journal of Endodontics 35 (2009): 958-961.
  15. Nagendrababu V and Gutmann JL. “Factors associated with postobturation pain following single-visit nonsurgical root canal treatment: a systematic review”. Quintessence International 48 (2017): 193-208.
  16. Daniel Comparin., et al. “Postoperative Pain after Endodontic Retreatment Using Rotary or Reciprocating Instruments: A Randomized Clinical Trial”. Journal of Endodontics 43 (2017): 1084-1088.
  17. Brannstrom M. “The hydrodynamics of the dental tubule and pulp fluid: its significance in relation to dentinal sensitivity”. American Institute of Oral Biology 23 (1966): 219-223.
  18. Pasqualini D., et al. “Computed micro-tomographic evaluation of glide path with nickel-titanium rotary PathFile in maxillary first molars curved canals”. Journal of Endodontics 38 (2012): 389-393.
  19. Alvaro Henrique Borges., et al. “The Influence of Cervical Preflaring on the Amount of Apically Extruded Debris after Root Canal Preparation Using Different Instrumentation Systems”. Journal of Endodontics 42 (2016): 465-469.
  20. Kyle P Schroeder., et al. “Straight Line Access and Coronal Flaring: Effect on Canal Length”. Journal of Endodontics 28 (2002): 474-476.
  21. Jorge NR Martins., et al. “Clinical Efficacy of Electronic Apex Locators: Systematic Review”. Journal of Endodontics 40 (2014): 759-777.
  22. Castellucci A. Endodontics 2 (2002): 42.
  23. Plotino G., et al. “Ex vivo accuracy of three electronic apex locators: Root ZX, Elements Diagnostic Unit and Apex Locator and ProPex”. International Endodontic Journal 39 (2006): 408-414.
  24. Jorge Vera., et al. “Dynamic Movement of Intracanal Gas Bubbles during Cleaning and Shaping Procedures: The Effect of Maintaining Apical Patency on Their Presence in the Middle and Cervical Thirds of Human Root Canals—An In Vivo Study”. Journal of Endodontics 38 (2012): 200-203.
  25. Alapati SB., et al. “Micro-XRD and temperature-modulated DSC investigation of nickel-titanium rotary endodontic instruments”. Dental Material 25 (2009): 1221-1229.
  26. Gao Y., et al. “Evaluation of the impact of raw material on the fatigue and mechanical properties of ProFile Vortex rotary instruments”. Journal of Endodontics 38 (2012): 398-401.
  27. Elio Berutti., et al. “Energy Consumption of ProTaper Next X1 after Glide Path with PathFiles and ProGlider”. Journal of Endodontics 40 (2014): 2015-2018.
  28. Monica Soares de Albuquerque., et al. “Treatment of an Acute Apical Abscess in a Patient with Autoimmune Hepatitis Taking Alendronate: A Case Report”. Journal of Endodontics 45 (2019): 1550-1555.
  29. Neha Verma., et al. “Effect of Different Concentrations of Sodium Hypochlorite on Outcome of Primary Root Canal Treatment: A Randomized Controlled Trial”. Journal of Endodontics 45 (2019): 357-363.
  30. Indre Graunaite., et al. “Effect of Resin-based and Bioceramic Root Canal Sealers on Postoperative Pain: A Split-mouth Randomized Controlled Trial”. Journal of Endodontics 44 (2018): 689-693.
  31. Herbert Schilder. “Filling Root Canals in Three Dimensions”. Journal of Endodontics 32 (2006): 281-290.
  32. Javier Montero., et al. “Patient-centered Outcomes of Root Canal Treatment: A Cohort Follow-up Study”. Journal of Endodontics 41 (2015): 1456-1461.
  33. Barry J Sessle. “Recent Developments in Pain Research: Central Mechanisms of Orofacial Pain and Its Control”. Journal of Endodontics 12 (1986): 435-443.
  34. Hamasha AA and Hatiwsh A. “Quality of life and satisfaction of patients after nonsurgical primary root canal treatment provided by undergraduate students, graduate students and endodontic specialists”. International Endodontic Journal 46 (2013): 1131-1139.
  35. Watkins CA., et al. “Anticipated and experienced pain associated with endodontic therapy”. Journal of the American Dental Association 133 (2002): 45-54.
  36. Samuel Seltzer. “Pain in Endodontics”. Journal of Endodontics 30 (2004): 501-503.
  37. Donald R Morse., et al. “Endodontic Flare-Ups: The Tape”. Journal of Endodontics 14 (1988): 106-108.
  38. Schein B and Schilder H. “Endotoxin content in endodontically involved teeth”. Journal of Endodontics 1 (1975): 19-21.
  39. Martinho FC and Gomes BP. “Quantification of endotoxins and cultivable bacteria in root canal infection before and after chemomechanical preparation with 2.5% sodium hypochlorite”. Journal of Endodontics 34 (2008): 268-272.
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Citation

Citation: Mostafa I Negm. “Influence of Periapical Pathosis Upon Postoperative Pain Following Primary Root Canal Treatment in a Single Session Approach". Acta Scientific Dental Sciences 5.2 (2021): 52-63.




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