Incidence of postoperative pain after single- and multi-visit endodontic treatment in teeth with vital and non-vital pulp

Bayram Ince, Ertugrul Ercan, Mehmet Dalli, Coruh Turksel Dulgergil, Yahya Orcun Zorba, Hakan Colak, Bayram Ince, Ertugrul Ercan, Mehmet Dalli, Coruh Turksel Dulgergil, Yahya Orcun Zorba, Hakan Colak

Abstract

Objectives: To assess the incidence of postoperative pain after single- and multi-visit endodontic treatment of teeth with vital and non-vital pulp.

Methods: In total, 306 patients with teeth requiring endodontic treatment were identified and were included in this study. Two experienced clinicians treated the patients, who were randomly assigned to two groups. While the teeth of patients in group 1 were obturated, group 2 were temporarily sealed and obturated after one week. Three days after the root canal instrumentation of each tooth, the patients were asked whether they experienced any postoperative pain and to rate the level of discomfort as no, mild, moderate, or severe pain. Data were analyzed statistically using the chi-square test.

Results: No significant difference in postoperative pain was found between vital and non-vital teeth (P>.01). Mild, moderate, and severe pain occurred in 31.4, 13.7, and 4.6% of vital teeth, respectively. Postoperative pain occurred in 107 (69.9%) and 106 (69.3%) teeth in the single- and multi-visit treatment groups, respectively. There was no significant difference in postoperative pain between the two groups (P>.01).

Conclusions: The prevalence of postoperative pain did not differ between vital and non-vital teeth. The majority of patients in either groups reported no or only mild pain.

Keywords: Endodontic treatment; Non-vital teeth; Postoperative pain.

References

    1. Holstein A, Hargreaves KM, Neiderman R. Evaluation of NSAIDs for treating post-endodontic pain. Endod Topics. 2002;3:3–13.
    1. Torabinejad M, Cymerman JJ, Frankson M, Lemon RR, Maggio JD, Schilder H. Effectiveness of various medications on postoperative pain following complete instrumentation. J Endod. 1994;20:345–354.
    1. Albashaireh ZS, Alnegrish AS. Postobturation pain after single and multiple-visit endodontic therapy. J Dent. 1998;26:227–232.
    1. Rogers MJ, Johnson BR, Remeikis NA, BeGole EA. Comparison of effect of intracanal use of ketorolac trometh-amine and dexamethasone with oral ibuprofen on post treatment endodontic pain. J Endod. 1999;25:381–384.
    1. DiRenzo A, Gresla T, Johnson BR, Rogers M, Tucker D, Be-Gole EA. Postoperative pain after 1- and 2-visit root canal therapy. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002;93:605–610.
    1. Torabinejad M, Kettering JD, McGraw JC, Cummings RR, Dwyer TG, Tobias TS. Factors associated with endodontic interappointment emergencies of teeth with necrotic pulps. J Endod. 1988;14:261–266.
    1. Imura N, Zuolo ML. Factors associated with endodontic flare-ups: a prospective study. Int Endod J. 1995;28:261–265.
    1. Morse DR, Koren LZ, Esposito JV, Goldberg JM, Sinai IH, Furst ML. Asymptomatic teeth with necrotic pulps and associated periapical radiolucencies: relationship of flare-ups to endodontic instrumentation, antibiotic usage and stress in three separate practices at three different time periods. Parts 1–5. Int J Psychosom. 1986;33:5–87.
    1. Siqueira JF, Jr, Rocas IN, Favieri A, Machado AG, Gahyva SM, Oliveira JC, Abad EC. Incidence of postoperative pain after intracanal procedures based on an antimicrobial strategy. J Endod. 2002;28:457–460.
    1. Seltzer S, Naidorf IJ. Flare-ups in endodontics: I. Etiological factors. J Endod. 1985;11:472–478.
    1. Walton R, Fouad A. Endodontic interappointment flare-ups: a prospective study of incidence and related factors. J Endod. 1992;18:172–177.
    1. Genet JM, Wesselink PR, Thoden Van Velzen SK. Preoperative and operative factors associated with pain after the first endodontic visit. Int Endod J. 1987;20:53–64.
    1. Rahbaran S, Gilthorpe MS, Harrison SV, Gulabivala K. Comparison of clinical outcome of periapical surgery in Endodontic and Oral Surgery units of a teaching Dental Hospital: a retrospective study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001;91:700–709.
    1. Eleazer PD, Eleazer KR. Flare-up rate in pulpally necrotic molars in one-visit versus two-visit endodontic treatment. J Endod. 1998;24:614–616.
    1. Qualtrough AJ, Whitworth JM, Dummer PM. Preclinical endodontology: an international comparison. Int Endod J. 1999;32:406–414.
    1. Oginni A, Udoye C. Endodontic flare-ups: comparison of incidence between single and multiple visit procedures in patients attending a Nigerian teaching hospital. BMC Oral Health. 2004;4:4–6.
    1. Inamoto K, Kojima K, Nagamatsu K, Hamaguchi A, Nakata K, Nakamura H. A survey of the incidence of single-visit endodontics. J Endod. 2002;28:371–374.
    1. Pekruhn RB. Single-visit endodontic therapy: a preliminary clinical study. J Am Dent Assoc. 1981;103:875–877.
    1. Jurcak JJ, Bellizzi R, Loushine RJ. Successful single-visit endodontics during Operation Desert Shield. J Endod. 1993;198:412–413.
    1. Welch I. One appointment endodontic treatment. J Can Dent Assoc. 1975;41:613–615.
    1. Fava LR. A comparison of one versus two appointment endodontic therapy in teeth with non-vital pulps. Int Endod J. 1989;22:179–183.
    1. Oliet S. Single-visit endodontics: a clinical study. J Endod. 1983;9:147–152.
    1. Roane JB, Dryden JA, Grimes EW. Incidence of postoperative pain after single- and multiple-visit endodontic procedures. Oral Surg Oral Med Oral Pathol. 1983;55:68–72.
    1. Cohen S, Burns RC. Pathways of the Pulp. 7th ed. St. Louis: CV Mosby; 1998. pp. 73–96.
    1. Field JW, Gutmann JL, Solomon ES, Rakusin H. A clinical radiographic retrospective assessment of the success rate of single-visit root canal treatment. Int Endod J. 2004;37:70–82.
    1. Weiselberg M, Vogelson K. One-visit endodontics: not only could you but should you? J N J Dent Assoc. 1983;54:59–63.
    1. Soltanoff W. A comparative study of the single-visit and the multiple-visit endodontic procedure. J Endod. 1978;11:278–281.
    1. Spångberg LS. Evidence-based endodontics: the one-visit treatment idea [Comment] Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001;91:617–618.
    1. Sathorn C, Parashos P, Messer HH. Effectiveness of single-versus multiple-visit endodontic treatment of teeth with apical periodontitis: a systematic review and meta-analysis. Int Endod J. 2005;38:347–355.
    1. Alaçam T, Tınaz AC. Interappointment emergencies in teeth with necrotic pulps. J Endod. 2002;28:375–377.
    1. Clem WH. Posttreatment endodontic pain. J Am Dent Assoc. 1970;81:1166–1670.
    1. Mor C, Rotstein I, Friedman S. Incidence of interappointment emergency associated with endodontic therapy. J Endod. 1992;18:509–511.
    1. Yesilsoy C, Korzen LZ, Morse DR, Rankow H, Bolanos OR, Furst ML. Post-endodontic obturation pain: a comparative evaluation. Quintessence Int. 1988;19:431–438.
    1. Harrison JW, Baumgartner JC, Svec TA. Incidence of pain associated with clinical factors during and after root canal therapy. Part 2. Postobturation pain. J Endod. 1983;9:434–438.
    1. Fox J, Atkinson JS, Dinin AP, Greenfield E, Hechtman E, Reeman CA, Salkind M, Todaro CJ. Incidence of pain following one-visit endodontic treatment. Oral Surg Oral Med Oral Pathol. 1970;30:123–130.
    1. Smith CS, Setchell DJ, Harty FJ. Factors influencing the success of conventional root canal therapy a 5-year retrospective study. Int Endod J. 1993;26:321–333.
    1. Jenkins SM, Hayes SJ, Dummer PMH. A study of endodontic treatment carried out in dental practice within the UK. Int Endod J. 2001;34:16–22.

Source: PubMed

Sponsorit ja yhteistyökumppanit

Sairaudet

Huumeiden interventiot

3
Tilaa