The Effect of Different Irrigation Agitation Techniques on Postoperative Pain in Mandibular Molar Teeth with Symptomatic Irreversible Pulpitis: A Randomized Clinical Trial

Journal of Endodontics
Hüseyin Sinan TopçuoğluHakan Arslan

Abstract

This study compared the effect of several final irrigation agitation techniques (sonic agitation, passive ultrasonic irrigation, and manual dynamic agitation [MDA]) in comparison with needle irrigation on postoperative pain in mandibular molar teeth with symptomatic irreversible pulpitis. One hundred sixty-eight patients with a single tooth diagnosed as symptomatic irreversible pulpitis were selected. Teeth were randomly assigned to 4 groups based on the final irrigation methods. In group 1 (needle irrigation), irrigation was conducted without agitation with a side-port needle; in group 2, sonic agitation was used; in group 3, passive ultrasonic irrigation was used; and in group 4, MDA was used. Teeth were then obturated with gutta-percha and a resin-based sealer using the cold lateral compaction technique. The presence of postoperative pain was assessed after 6, 24, 48, and 72 hours and 1 week. At the 6- and 24-hour time intervals, group 4 patients reported more intense postoperative pain than those patients in groups 1, 2, and 3 (P < .05). There was no significant difference among the groups at the other time intervals (P > .05), and in all groups the intensity of postoperative pain decreased over time. MDA caused greater pos...Continue Reading

Citations

Mar 9, 2021·Restorative Dentistry & Endodontics·Amelia Wan Tin CheungGary Shun Pan Cheung
Aug 19, 2021·Journal of Applied Oral Science : Revista FOB·Esin OzlekElif Akkol

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