Comparison of postoperative pain intensity after using reciprocating and continuous rotary glide path systems: a randomized clinical trial
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Objectives: The aim of this study was to compare postoperative pain intensity after root canal treatment with One G (OG) vs. R-Pilot (RP) files used for glide path preparation. Materials and Methods: Ninety-three single-canaled mandibular premolar teeth with asymptomatic non-vital pulp were randomly assigned into 3 groups ( n = 31): OG, RP, or without glide path (WGP). After creating the glide path, the root canals were prepared using sequential Mtwo rotary files to size 30/0.05. One endodontic specialist carried out single-visit endodontic treatment. The patients were asked to rate the severity of postoperative pain on a visual analogue scale at 24, 48, and 72 hours after the visit. They were also asked to record their intake of prescribed analgesics taken. The data were analyzed using the χ2, Friedman, Kruskal-Wallis, and Mann-Whitney U tests. Results: In all 3 groups, postoperative pain decreased significantly at each time interval ( p < 0.05). At 24 hours, the OG group had less postoperative pain than the WGP group ( p < 0.05). However, no significant difference was found between the RP group and the others. No statistically significant difference was found among the WGP, OG, and RP groups in postoperative pain intensity at 48 or 72 hours or in analgesic tablet intake at the 3 assessed time intervals. Conclusions: The OG group had less postoperative pain than the WGP group in the first 24 hours. The OG and RP systems were similar regarding postoperative pain intensity and analgesic intake.
Abstract
Objectives: The aim of this study was to compare postoperative pain intensity after root canal treatment with One G (OG) vs. R-Pilot (RP) files used for glide path preparation. Materials and Methods: Ninety-three single-canaled mandibular premolar teeth with asymptomatic non-vital pulp were randomly assigned into 3 groups ( n = 31): OG, RP, or without glide path (WGP). After creating the glide path, the root canals were prepared using sequential Mtwo rotary files to size 30/0.05. One endodontic specialist carried out single-visit endodontic treatment. The patients were asked to rate the severity of postoperative pain on a visual analogue scale at 24, 48, and 72 hours after the visit. They were also asked to record their intake of prescribed analgesics taken. The data were analyzed using the χ2, Friedman, Kruskal-Wallis, and Mann-Whitney U tests. Results: In all 3 groups, postoperative pain decreased significantly at each time interval ( p < 0.05). At 24 hours, the OG group had less postoperative pain than the WGP group ( p < 0.05). However, no significant difference was found between the RP group and the others. No statistically significant difference was found among the WGP, OG, and RP groups in postoperative pain intensity at 48 or 72 hours or in analgesic tablet intake at the 3 assessed time intervals. Conclusions: The OG group had less postoperative pain than the WGP group in the first 24 hours. The OG and RP systems were similar regarding postoperative pain intensity and analgesic intake.
참고문헌 (26)
- Kherlakian D, "Comparison of the incidence of postoperative pain after using 2 reciprocating systems and a continuous rotary system : a prospective randomized clinical trial", J Endod, 42, pp.171~176 (2016)
- Sathorn C, "The prevalence of postoperative pain and flare-up in single-and multiple-visit endodontic treatment : a systematic review", Int Endod J, 41, pp.91~99 (2008)
- Çiçek E, "Postoperative pain intensity after using different instrumentation techniques : a randomized clinical study", J Appl Oral Sci, 25, pp.20~26 (2017)
- Keskin C, "Postoperative pain after glide path preparation using manual, reciprocating and continuous rotary instruments: a randomized clinical trial", Int Endod J (2018)
- Comparin D, "Postoperative pain after endodontic retreatment using rotary or reciprocating instruments : a randomized clinical trial", J Endod, 43, pp.1084~1088 (2017)
- Dincer AN, "Evaluation of apically extruded debris during root canal retreatment with several NiTi systems", Int Endod J, 48, pp.1194~1198 (2015)
- Gungor OE, "Evaluation of apically extruded debris using two NiTi systems associated with two irrigation techniques in primary teeth", J Clin Pediatr Dent, 40, pp.490~495 (2016)
- Berutti E, "Influence of manual preflaring and torque on the failure rate of ProTaper rotary instruments", J Endod, 30, pp.228~230 (2004)
- Patiño PV, "The influence of a manual glide path on the separation rate of NiTi rotary instruments", J Endod, 31, pp.114~116 (2005)
- Koray Yılmaz, "In vitro comparison of the cyclic fatigue resistance of HyFlex EDM, One G, and ProGlider nickel titanium glide path instruments in single and double curvature canals", Restorative Dentistry and Endodontics, 42(4), pp.282~289 (2017), 대한치과보존학회
- Coelho MS, "Effects of glide path on the centering ability and preparation time of two reciprocating instruments", Iran Endod J, 11, pp.33~37 (2016)
- Paleker F, "Comparison of canal transportation and centering ability of K-files, ProGlider File, and G-Files : a micro-computed tomography study of curved root canals", J Endod, 42, pp.1105~1109 (2016)
- Keskin C, "Cyclic fatigue resistance of R-Pilot, WaveOne Gold Glider, and ProGlider glide path instruments", Clin Oral Investig, 22, pp.3007~3012 (2018)
- Arora M, "Effect of maintaining apical patency on endodontic pain in posterior teeth with pulp necrosis and apical periodontitis : a randomized controlled trial", Int Endod J, 49, pp.317~324 (2016)
- Attar S, "Evaluation of pretreatment analgesia and endodontic treatment for postoperative endodontic pain", J Endod, 34, pp.652~655 (2008)
- Parirokh M, "Effect of occlusal reduction on postoperative pain in teeth with irreversible pulpitis and mild tenderness to percussion", J Endod, 39, pp.1~5 (2013)
- Arslan H, "The effect of various kinematics on postoperative pain after instrumentation : a prospective, randomized clinical study", J Appl Oral Sci, 24, pp.503~508 (2016)
- Pasqualini D, "Postoperative pain after manual and mechanical glide path : a randomized clinical trial", J Endod, 38, pp.32~36 (2012)
- Uslu G, "Comparison of cyclic fatigue resistance of ProGlider and One G glide path files", J Endod, 42, pp.1555~1558 (2016)
- Garcia-Font M, "Postoperative pain after removal of gutta-percha from root canals in endodontic retreatment using rotary or reciprocating instruments : a prospective clinical study", Clin Oral Investig, 22, pp.2623~2631 (2018)
- Gundogdu EC, "Effects of various cryotherapy applications on postoperative pain in molar teeth with symptomatic apical periodontitis : a preliminary randomized prospective clinical trial", J Endod, 44, pp.349~354 (2018)
- Pak JG, "Pain prevalence and severity before, during, and after root canal treatment : a systematic review", J Endod, 37, pp.429~438 (2011)
- Nekoofar MH, "Comparison of the effect of root canal preparation by using WaveOne and ProTaper on postoperative pain : a randomized clinical trial", J Endod, 41, pp.575~578 (2015)
- Bürklein S, "Quantitative evaluation of apically extruded debris with different single-file systems : Reciproc, F360 and OneShape versus Mtwo", Int Endod J, 47, pp.405~409 (2014)
- Lu Y, "Apically extruded debris and irrigant with two Ni-Ti systems and hand files when removing root fillings : a laboratory study", Int Endod J, 46, pp.1125~1130 (2013)
- Üstün Y, "Evaluation of apically extruded debris associated with several Ni-Ti systems", Int Endod J, 48, pp.701~704 (2015)