INTRODUCTION: The aim of this randomized, controlled, prospective clinical study was to determine if foraminal enlargement instrumentation during endodontic treatment is associated with more postoperative pain compared with standard nonenlargement instrumentation. METHODS:Forty volunteers with a single root canal were diagnosed with asymptomatic necrosis with apical periodontitis and randomized into 2 experimental groups (ie, the control group and the foraminal enlargement group). Endodontic treatment was performed in a single visit, and volunteers were instructed to record pain intensity (ie, none, slight, moderate, and severe). Scores from 1 to 4 were attributed to each kind of pain after 12, 24, and 48 hours. The Kolmogorov-Smirnov and Student's t tests were used to determine significant differences at P < .05. RESULTS: No statistically significant age difference was found between the groups (P > .05, Student's t test). Postoperative pain showed no statistically significant difference between the groups at any observation period (P > .05). Also, no significant difference was observed in the mean number of analgesic tablets used between the groups (P > .05). CONCLUSIONS: The foraminal enlargement and nonenlargement techniques resulted in the same postoperative pain and necessity for analgesic medication. This may suggest that the use of foraminal enlargement should be performed for endodontic treatment previsibility without increasing postoperative pain.
RCT Entities:
INTRODUCTION: The aim of this randomized, controlled, prospective clinical study was to determine if foraminal enlargement instrumentation during endodontic treatment is associated with more postoperative pain compared with standard nonenlargement instrumentation. METHODS: Forty volunteers with a single root canal were diagnosed with asymptomatic necrosis with apical periodontitis and randomized into 2 experimental groups (ie, the control group and the foraminal enlargement group). Endodontic treatment was performed in a single visit, and volunteers were instructed to record pain intensity (ie, none, slight, moderate, and severe). Scores from 1 to 4 were attributed to each kind of pain after 12, 24, and 48 hours. The Kolmogorov-Smirnov and Student's t tests were used to determine significant differences at P < .05. RESULTS: No statistically significant age difference was found between the groups (P > .05, Student's t test). Postoperative pain showed no statistically significant difference between the groups at any observation period (P > .05). Also, no significant difference was observed in the mean number of analgesic tablets used between the groups (P > .05). CONCLUSIONS: The foraminal enlargement and nonenlargement techniques resulted in the same postoperative pain and necessity for analgesic medication. This may suggest that the use of foraminal enlargement should be performed for endodontic treatment previsibility without increasing postoperative pain.
Authors: Marc Garcia-Font; F Durán-Sindreu; S Morelló; S Irazusta; F Abella; M Roig; J G Olivieri Journal: Clin Oral Investig Date: 2018-02-02 Impact factor: 3.573
Authors: Marc García-Font; Fernando Duran-Sindreu; Carmen Calvo; Juan Basilio; Fransesc Abella; Akram Ali; Miguel Roig; Juan-Gonzalo Olivieri Journal: J Clin Exp Dent Date: 2017-07-01
Authors: Bruno Barciela; Ana Grasiela da Silva Limoeiro; Carlos Eduardo Bueno; Samuel Lucas Fernandes; Danilo Rodrigues Mandarini; Nilton Cesar Boer; Karina Gonzalez Camara Fernandes; Daniel Guimarães Rocha Journal: J Conserv Dent Date: 2019 Jul-Aug