Postoperative pain after different irrigation activation techniques : a randomized, clinical trial

[Abstract] The aim of this study was to assess the effectiveness of irrigation activation techniques on postoperative pain (PP) in mandibular premolar teeth with irreversible pulpitis after single-visit endodontic treatment. A total of 160 patients with symptomatic irreversible pulpitis were include...

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Bibliographic Details
Published in:Odontology 2021-04, Vol.109 (2), p.385-392
Main Authors: Gündoğar, Mustafa, Sezgin, Güzide Pelin, Kaplan, Sema Sönmez, Özyürek, Hande, Uslu, Gülşah, Özyürek, Taha
Format: Article
Language:English
Subjects:
Analgesics
Bicuspid
Dentistry
Humans
Irrigation
Lavage
Mandible
Medicine
Oral and Maxillofacial Surgery
Original Article
Pain
Pain, Postoperative - prevention & control
Patients
Postoperative period
Prospective Studies
Pulpitis
Teeth
Ultrasonics
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Summary:[Abstract] The aim of this study was to assess the effectiveness of irrigation activation techniques on postoperative pain (PP) in mandibular premolar teeth with irreversible pulpitis after single-visit endodontic treatment. A total of 160 patients with symptomatic irreversible pulpitis were included in this prospective randomized clinical study. Four different activation methods were used in mandibular premolar teeth. In group 1, teeth were irrigated with side-port endodontic needles (NI) without any agitation; in groups 2 and 3, sonic activation was performed using EDDY and EndoActivator (EA), respectively; and in group 4, passive ultrasonic irrigation (PUI) was used. Patients' analgesic intake - as well as pain intensity during and after treatment - were recorded at 8, 24, 48h and 7 days. The data relating to age, sex and analgesic intake was evaluated using the Chi-square test and the preoperative pain and PP intensity at different time intervals was evaluated with the Kruskal - Wallis test at a 5% significance level. Highest PP was recorded at 8h, pain intensity decreased in all groups by the time. Pain in the NI group was found higher than that of EDDY group at 24h (P0.05). No statistically difference was found among the groups with regard to analgesic intake (P>0.05). Although there were slight differences in PP levels between the groups at 24h, pain levels decreased in all groups after 24h. Activation of the irrigation solution did not make any difference in terms of PP after 24h.
ISSN:1618-1247
1618-1255
DOI:10.1007/s10266-020-00553-5