E-ISSN 2548-0839
Volume : 9 Issue : 3 Year : 2024

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Journal Citation Reports (Clarivate, 2024)(Dentistry, Oral Surgery & Medicine (Science))
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The Effect of Final Irrigation Agitation Techniques on Postoperative Pain after Single Visit Root Canal Treatment of Symptomatic Irreversible Pulpitis: A Randomised Clinical Trial [Eur Endod J]
Eur Endod J. 2023; 8(3): 187-193 | DOI: 10.14744/eej.2022.39200

The Effect of Final Irrigation Agitation Techniques on Postoperative Pain after Single Visit Root Canal Treatment of Symptomatic Irreversible Pulpitis: A Randomised Clinical Trial

Ahmed Ali1, Ahmed Abdel Rahman Hashem2, Nehal Nabil Roshdy3, Adel Abdelwahed1
1Department of Endodontics, Future University in Egypt, Cairo, Egypt
2Department of Endodontics, Ain Shams University, Cairo, Egypt
3Department of Endodontics, Cairo University, Cairo, Egypt

Objective: To evaluate the degree of postoperative pain and rate of analgesic intake in patients with symptomatic irreversible pulpitis in mandibular first molar teeth at 6 h, 12 h, 24 h, 48 h, and 72 h after using different irrigation activation techniques in single-visit endodontic treatment.
Methods: A total of 78 patients with symptomatic irreversible pulpitis with no signs of periapical pathology were randomly divided into 3 groups according to the final irrigation activation technique; Group XP-endo Finisher, Group Ultra X ultrasonic device, and Group side-vented needle. The teeth underwent standardised single-visit root canal treatment procedures using 2.5% sodium hypochlorite for irrigation. Each patient was
given a chart to record postoperative pain at 6, 12, 24, 48 and 72 hours intervals. Ibuprofen, 400 mg tablets, was prescribed to be taken when the pain was unbearable. The incidence and number of analgesic tablets taken were recorded. Data were analysed using a Kruskal-Wallis test followed by a pairwise Mann-Whitney U test with Bonferroni correction for intergroup comparisons and Freidman’s test followed by Dunn’s post hoc test for intragroup comparisons.
Results: No statistically significant difference was found between all groups regarding the incidence and intensity of pain at different time intervals (p>0.05). There was no significant difference in analgesic intake between different groups, with most cases in all groups not taking analgesics (p>0.05).
Conclusion: Adding XP-endo Finisher or passive ultrasonic irrigation to the final irrigation protocol in singlevisit endodontic treatment had no significant effect on postoperative pain or analgesic intake. (EEJ-2021-11-185)

Keywords: Postoperative pain, pulpitis, root canal therapy, sodium hypochlorite, ultrasonic

Ahmed Ali, Ahmed Abdel Rahman Hashem, Nehal Nabil Roshdy, Adel Abdelwahed. The Effect of Final Irrigation Agitation Techniques on Postoperative Pain after Single Visit Root Canal Treatment of Symptomatic Irreversible Pulpitis: A Randomised Clinical Trial. Eur Endod J. 2023; 8(3): 187-193

Corresponding Author: Ahmed Ali
Manuscript Language: English
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