Saudi Journal of Oral and Dental Research (SJODR)
Volume-2 | Issue-04 | 102-109
Original Research Article
Incidence of post endodontic pain after single visit root canal treatment with manual, rotary and rotary instruments with ultrasonic cleaning: a comparative study
Dr Atul Jain, Dr Rachana Bahuguna, Dr Shruti Kashyap, Dr Ashiq Ali
Published : April 30, 2017
Abstract
Amongst the various complications reported for single visit endodontics, incidence of post endodontic pain
(PEP) is the most common. To evaluate and compare the incidence, duration, intensity and nature of post endodontic
pain (PEP) in single visit endodontic treatment, following biomechanical preparation (BMP), using K files with Step
Back Technique, Protaper Next with Crown down Technique and Passive Ultrasonic Instrumentation (PUI) along with
Protaper Next. 75 patients, with asymptomatic irreversible pulpitis in Maxillary anterior teeth were selected and treated
with single sitting root canal treatment, by a single operator. Patients were randomly divided into 3 groups, Control (K
files using step back technique), Experimental 1 (Protaper Next using crown down technique) and Experimental 2
(Protaper Next along with PUI). Patients were recalled, examined and asked to fill up questionnaire after 3hrs, 24 hrs, 48
hrs and 7 days of wearing-off of anaesthesia. On the basis of response given in the feedback forms, PEP was evaluated
for incidence, duration, intensity and nature. Statistical analysis of the data was carried out using Chi square test and level
of significance (p < 0.05) was evaluated. Incidence of PEP was identical in the two experimental groups, which was
lower than the control group. Statistically, difference in the incidence of pain, amongst the three groups was found to be
non-significant. The duration of pain was longest in Control group, with more patients, experiencing pain, whereas it was
least in Experimental group 2. Across the groups, maximum patients experienced mild, continuous pain. Majority of
patients experience PEP that is mild, continuous, localised and precipitated by trigger factors. It lasts longer, with hand
instruments.