Postoperative pain after the application of two different irrigation devices in a prospective randomized clinical trial

Journal of Endodontics
Eudes GondimSyngcuk Kim

Abstract

The extrusion of irrigation solutions beyond the apical constriction may result in postoperative pain. Sodium hypochlorite can cause severe tissue irritation and necrosis outside the root canal system if extruded into the periodontal ligament (PDL) space. Different delivery techniques were discussed to reduce this potential risk. The aim of this study was to compare the postoperative level of pain after root canal therapy using either endodontic needle irrigation or a negative apical pressure device. In a prospective randomized clinical trial, 110 asymptomatic single-rooted anterior and premolar teeth were treated endodontically with two different irrigation techniques. The teeth were randomly assigned to two groups. In the MP group (n = 55), procedures were performed using an endodontic irrigating syringe (Max-i-Probe; Dentsply Rinn, Elgin, IL). The EV group (n = 55) used an irrigation device based on negative apical pressure (EndoVac; Discus Dental, Culver City, CA). Postoperatively, the patients were prescribed ibuprofen 200 mg to take every 8 hours if required. Pain levels were assessed by an analog scale questionnaire after 4, 24, and 48 hours. The amount of ibuprofen taken was recorded at the same time intervals. During t...Continue Reading

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Citations

Feb 11, 2012·Medicina oral, patología oral y cirugía bucal·Luis-O Alonso-EzpeletaJuan-J Segura-Egea
May 3, 2012·Medicina oral, patología oral y cirugía bucal·Jenifer Martín-GonzálezJuan-Jose Segura-Egea
Nov 22, 2011·Journal of Endodontics·Ross P MitchellChristine M Sedgley
Jul 6, 2011·Dental Clinics of North America·Rory E Mortman
May 29, 2013·International Endodontic Journal·J Tanalp, T Güngör
Sep 10, 2014·Australian Endodontic Journal : the Journal of the Australian Society of Endodontology Inc·Surendar RamamoorthiMadras Jeyaprakash Divyanand
Jul 23, 2014·Journal of Investigative and Clinical Dentistry·Jeffrey W W ChangGary S P Cheung
Jul 6, 2015·Journal of Endodontics·Ross A YostKent A Sabey
Oct 24, 2014·Clinical Oral Investigations·Nestor CohencaPaulo Nelson-Filho
Oct 5, 2016·Australian Endodontic Journal : the Journal of the Australian Society of Endodontology Inc·Cangül KeskinBuğra Güler
Aug 28, 2015·Brazilian Dental Journal·Emel UzunogluMelahat Görduysus
Sep 14, 2012·The Cochrane Database of Systematic Reviews·Zbys FedorowiczMarc Heft
Apr 18, 2019·International Endodontic Journal·N V BallalM Zehnder
Apr 12, 2020·International Journal of Paediatric Dentistry·Gamze TopçuoğluSeçil Çalışkan
Jul 23, 2020·Brazilian Oral Research·Nadia de Souza FerreiraEmmanuel João Nogueira Leal da Silva
Apr 11, 2019·Brazilian Dental Journal·Sidinéia Feitoza de JesusLéa Assed Bezerra da Silva
Feb 16, 2021·Journal of Dental Anesthesia and Pain Medicine·Alpa GuptaNishant Chauhan
Mar 9, 2021·Restorative Dentistry & Endodontics·Amelia Wan Tin CheungGary Shun Pan Cheung
Jul 15, 2015·The Journal of Contemporary Dental Practice·Denise Ramos Silveira AlvesCarlos Estrela

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