Journal of Dental Anesthesia and Pain Medicine

The Korean Dental Society of Anesthsiology (대한치과마취과학회)
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Incidence of postoperative pain after using single continuous, single reciprocating, and full sequence continuous rotary file system: a prospective randomized clinical trial

  • Umesh Kumar (Unit of Conservative Dentistry & Endodontics, Oral Health Sciences Centre, Post Graduate Institute of Medical Education & Research (PGIMER)) ;
  • Pragnesh Parmar (Unit of Conservative Dentistry & Endodontics, Oral Health Sciences Centre, Post Graduate Institute of Medical Education & Research (PGIMER)) ;
  • Ruchi Vashisht (Unit of Conservative Dentistry & Endodontics, Oral Health Sciences Centre, Post Graduate Institute of Medical Education & Research (PGIMER)) ;
  • Namita Tandon (Unit of Conservative Dentistry & Endodontics, Oral Health Sciences Centre, Post Graduate Institute of Medical Education & Research (PGIMER)) ;
  • Charan Kamal Kaur (Unit of Conservative Dentistry & Endodontics, Oral Health Sciences Centre, Post Graduate Institute of Medical Education & Research (PGIMER))
  • Received : 2023.02.06
  • Accepted : 2023.03.21
  • Published : 2023.04.01
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Abstract

Background: Extrusion of debris is a major factor that results in postoperative pain during root canal treatment with various instruments and instrumentation techniques. Therefore, instrumentation techniques that extrude minimal debris into the periapical area while reducing pain are desirable. This study aimed to compare the incidence of postoperative pain and intake of analgesic medication (frequency and quantity) after endodontic treatment of mandibular posterior teeth using two single files and full-sequence continuous rotary systems with different kinematic motions. Methods: Thirty-five of 105 patients were assigned equally to three groups according to the instrumentation system used: ProTaper Next (PN) X2, 25/06 (Dentsply, Maillefer, Ballaigues, Switzerland), One Shape (OS), #0.25/06 (Micro Mega, Besancon, France), and Wave One Gold (WG), Red - #0.25, 0.07 (Dentsply, Maillefer, Ballaigues, Switzerland). Five specialists were included in this study design; each professional prepared 21 teeth, and randomly selected 7 per instrument system. The VAS sheet ranging from 0 to 10 was used to record the initial and postoperative pains at 24, 48, and 72 h, and 7th day after single visit endodontic treatment in mandibular premolars and molars with a diagnosis of asymptomatic irreversible pulpitis with or without apical periodontitis. Postoperatively, an analgesic, ibuprofen 400 mg was administered for intolerable pain at a dose of 1 tablet for 6 h. The patients were asked over the telephone regarding postoperative pain at intervals of 24, 48, and 72 h, and 7th day using a visual analogue scale. Result: There were no statistically significant differences among the PN, OS, and WG systems (P > 0.05) with regard to the incidence of postoperative pain at any of the four time points assessed. Conclusion: The intensity of postoperative pain, frequency, and analgesic intake were similar across all three types of instrument systems; however, the reciprocating single file (WG) was associated with less postoperative pain than the full sequence continuous rotary file.

Keywords

References

  1. Iqbal A. The factors responsible for endodontic treatment failure in the permanent dentitions of the patients reported to the college of dentistry, the university of Aljouf, Kingdom of Saudi Arabia. J Clin Diagn Res 2016; 10: 146-8. https://doi.org/10.7860/JCDR/2016/14272.7884
  2. Gotler M, Bar-Gil B, Ashkenazi M. Postoperative pain after root canal treatment: a prospective cohort study. Int J Dent 2012; 2012: 310467.
  3. Seltzer S, Naidorf IJ. Flare-ups in endodontics: I. Etiological factors. J Endod 2004; 30: 476-81. https://doi.org/10.1097/00004770-200407000-00005
  4. Sadaf D, Ahmad MZ. Factors associated with postoperative pain in endodontic therapy. Int J Biomed Sci 2014; 10: 243-7. https://doi.org/10.59566/IJBS.2014.10243
  5. Reddy SA, Hicks ML. Apical extrusion of debris using two hand and two rotary instrumentation techniques. J Endod 1998; 24: 180-3. https://doi.org/10.1016/S0099-2399(98)80179-9
  6. Cicek E, Kocak MM, Kocak S, Saglam BC, Turker SA. Postoperative Pain intensity after using different instrumentation techniques: a randomized clinical study. J Appl Oral Sci 2017; 25: 20-6. https://doi.org/10.1590/1678-77572016-0138
  7. Keskin C, Sivas Yilmaz O, Inan U, Ozdemir O. Postoperative pain after glide path preparation using manual, reciprocating and continuous rotary instruments: a randomized clinical trial. Int Endod J 2019; 52: 579-87. https://doi.org/10.1111/iej.13053
  8. Kherlakian D, Cunha RS, Ehrhardt IC, Zuolo ML, Kishen A, da Silveira Bueno CE. Comparison of the incidence of postoperative pain after using 2 reciprocating systems and a continuous rotary system: a prospective randomized clinical trial. J Endod 2016; 42: 171-6. https://doi.org/10.1016/j.joen.2015.10.011
  9. Yared G. Canal preparation using only one Ni-Ti rotary instrument: preliminary observations. Int Endod J 2008; 41: 339-44. https://doi.org/10.1111/j.1365-2591.2007.01351.x
  10. Capar ID, Arslan H. A review of instrumentation kinematics of engine-driven nickel-titanium instruments. Int Endod J 2016; 49: 119-35. https://doi.org/10.1111/iej.12432
  11. Ince B, Ercan E, Dalli M, Dulgergil CT, Zorba YO, Colak H. Incidence of postoperative pain after single- and multi-visit endodontic treatment in teeth with vital and non-vital pulp. Eur J Dent 2009; 3: 273-9. https://doi.org/10.1055/s-0039-1697444
  12. DiRenzo A, Gresla T, Johnson BR, Rogers M, Tucker D, BeGole EA. Postoperative pain after 1‑ and 2‑visit root canal therapy. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002; 93: 605-10. https://doi.org/10.1067/moe.2002.121900
  13. Levin L, Amit A, Ashkenazi M. Post-operative pain and use of analgesic agents following various dental procedures. Am J Dent 2006; 19: 245-7.
  14. Arslan H, Khalilov R, Doganay E, Karatas E. The effect of various kinematics on postoperative pain after instrumentation: a prospective, randomized clinical study. J Appl Oral Sci 2016; 24: 503-8. https://doi.org/10.1590/1678-775720160136
  15. Dincer AN, Guneser MB, Arslan D. Apical extrusion of debris during root canal preparation using a novel nickel-titanium file system: WaveOne gold. J Conserv Dent 2017; 20: 322-5. https://doi.org/10.4103/JCD.JCD_407_16
  16. Bijur PE, Silver W, Gallagher EJ. Reliability of the visual analog scale for measurement of acute pain. Acad Emerg Med 2001; 8: 1153-7. https://doi.org/10.1111/j.1553-2712.2001.tb01132.x
  17. Becker DE. Pain management: Part 1: Managing acute and postoperative dental pain. Anesth Prog 2010; 57: 67-78. https://doi.org/10.2344/0003-3006-57.2.67
  18. Derry C, Derry S, Moore RA, McQuay HJ. Single dose oral ibuprofen for acute postoperative pain in adults. Cochrane Database Syst Rev 2009; 2009: CD001548.
  19. El Mubarak AH, Abu-bakr NH, Ibrahim YE. Postoperative pain in multiple visit and single visit root canal treatment. J Endod 2010; 36: 36-9. https://doi.org/10.1016/j.joen.2009.09.003
  20. Ali SG, Mulay S, Palekar A, Sejpal D, Joshi A, Gufran H. Prevalence of and factors affecting post-obturation pain following single visit root canal treatment in Indian population: a prospective, randomized clinical trial. Contemp Clin Dent 2012; 3: 459-63. https://doi.org/10.4103/0976-237X.107440
  21. Wong AW, Zhang S, Li SK, Zhu X, Zhang C, Chu CH. Incidence of post-obturation pain after single visit versus multiple-visit non-surgical endodontic treatments. BMC Oral Health 2015; 15: 96.
  22. Pak JG, White SN. Pain prevalence and severity before, during, and after root canal treatment: a systematic review. J Endod 2011; 37: 429-38. https://doi.org/10.1016/j.joen.2010.12.016
  23. Tinoco JM, De-Deus G, Tinoco EM, Saavedra F, Fidel RA, Sassone LM. Apical extrusion of bacteria when using reciprocating single-file and rotary multifile instrumentation systems. Int Endod J 2014; 47: 560-6. https://doi.org/10.1111/iej.12187
  24. Eliasz W, Czarnecka B, Surdacka A. Apical extrusion of debris during root canal preparation with ProTaper Next, WaveOne Gold and Twisted Files. Materials (Basel) 2021; 14: 6254.
  25. Ehsani M, Farhang R, Harandi A, Tavanafar S, Raoof M, Galledar S. Comparison of apical extrusion of debris by using single-file, full-sequence rotary and reciprocating systems. J Dent (Tehran) 2016; 13: 394-9.
  26. Burklein S, Schafer E. Apically extruded debris with reciprocating single-file and full-sequence rotary instrumentation systems. J Endod 2012; 38: 850-2. https://doi.org/10.1016/j.joen.2012.02.017
  27. Lu Y, Wang R, Zhang L, Li HL, Zheng QH, Zhou XD et al. Apically extruded debris and irrigant with two Ni-Ti systems and hand files when removing root fillings: a laboratory study. Int Endod J 2013; 46: 1125-30. https://doi.org/10.1111/iej.12104
  28. Adiguzel M, Isken I, Pamukcu II. Comparison of cyclic fatigue resistance of XP-endo Shaper, HyFlex CM, FlexMaster and Race instruments. J Dent Res Dent Clin Dent Prospects 2018; 12: 208-12. https://doi.org/10.15171/joddd.2018.032
  29. Shaik RP, Chukka RS, Bandlapally A, Vemuri S, Bolla N, Basam RC, et al. Assessment of postoperative pain after single-visit root canal treatment using rotary and reciprocating file systems: an in vivo study. J Dent Anesth Pain Med 2022; 22: 267-75. https://doi.org/10.17245/jdapm.2022.22.4.267
  30. Jose J, Kasaragadda A, Siddique R. Comparison of postoperative pain reduction using continuous rotation glide path system with other methods of glide path creation - a systematic review. Braz Dent Sci 2022; 25: e2633.
  31. Mollashahi NF, Saberi EA, Havaei SR, Sabeti M. Comparison of postoperative pain after root canal preparation with two reciprocating and rotary single-file systems: a randomized clinical trial. Iran Endod J 2017; 12: 15-9.
  32. Adiguzel M, Yilmaz K, Tufenkci P. Comparison of postoperative pain intensity after using reciprocating and continuous rotary glide path systems: a randomized clinical trial. Restor Dent Endod 2019; 44: e9.
  33. Neelakantan P, Sharma S. Pain after single-visit root canal treatment with two single-file systems based on different kinematics--a prospective randomized multicenter clinical study. Clin Oral Investig 2015; 19: 2211-7. https://doi.org/10.1007/s00784-015-1448-x
  34. Oliveira PS, Ferreira MC, Paula NGN, Loguercio AD, Grazziotin-Soares R, da Silva GR, et al. Postoperative pain following root canal instrumentation using ProTaper Next or Reciproc in asymptomatic molars: a randomized controlled single-blind clinical Trial. J Clin Med 2022; 11: 3816.