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Incidence of Post-Operative Pain following a Single-Visit Pulpectomy in Primary Molars Employing Adaptive, Rotary, and Manual Instrumentation: A Randomized Clinical Trial.
Thakur, Bhagyashree; Bhardwaj, Anuj; Wahjuningrum, Dian Agustin; Luke, Alexander Maniangat; Shetty, Krishna Prasad; Pawar, Ajinkya M; Reda, Rodolfo; Seracchiani, Marco; Zanza, Alessio; Testarelli, Luca.
Afiliação
  • Thakur B; Department of Dentistry, Division of District Early Intervention Centre, Thane Civil Hospital, Thane 400601, Maharashtra, India.
  • Bhardwaj A; Department of Conservative Dentistry, Faculty of Dental Medicine, Universitas Airlangga, Surabaya City 60132, East Java, Indonesia.
  • Wahjuningrum DA; Department of Conservative Dentistry, Faculty of Dental Medicine, Universitas Airlangga, Surabaya City 60132, East Java, Indonesia.
  • Luke AM; Department of Conservative Dentistry and Endodontics, College of Dental Sciences & Hospital, Rau 453331, Indore, India.
  • Shetty KP; Department of Conservative Dentistry, Faculty of Dental Medicine, Universitas Airlangga, Surabaya City 60132, East Java, Indonesia.
  • Pawar AM; Department of Clinical Science, College of Dentistry, Ajman University, Al-Jurf, Ajman P.O. Box 346, United Arab Emirates.
  • Reda R; Centre of Medical and Bio-Allied Health Sciences Research, Ajman University, Al-Jurf, Ajman P.O. Box 346, United Arab Emirates.
  • Seracchiani M; Department of Clinical Science, College of Dentistry, Ajman University, Al-Jurf, Ajman P.O. Box 346, United Arab Emirates.
  • Zanza A; Centre of Medical and Bio-Allied Health Sciences Research, Ajman University, Al-Jurf, Ajman P.O. Box 346, United Arab Emirates.
  • Testarelli L; Department of Conservative Dentistry and Endodontics, Nair Hospital Dental College, Mumbai 400008, Maharashtra, India.
Medicina (Kaunas) ; 59(2)2023 Feb 13.
Article em En | MEDLINE | ID: mdl-36837556
Background and Objectives. To differentiate the intensity of postoperative pain after primary molar pulpectomy employing manual instrumentation versus two single-file systems with different kinetics (the XP-Endo shaper file with adaptive instrumentation vs. the Kedo-SG blue file with continuous rotation instrumentation). Materials and Methods. This three-arm, single-blind, randomized clinical trial included assessing 75 healthy children between 4 to 9 years who required pulpectomy for primary molars (mandibular first and second). The three groups each had an equal number of children. Children in Group 1 had their teeth instrumented with the XP-endo Shaper, children in Group 2 had their teeth instrumented with the Kedo-SG Blue file, and children in Group 3 had their teeth instrumented manually using K-files. The degree of postoperative pain was measured using a four-point pain scale at 6-, 12-, 24-, 48-, and 72-h following therapy. Each participant's parent received five flashcards with four faces and a word characterizing each face. The data were analyzed using Kruskal-Wallis and chi-square tests. The level of significance was set to 5%. Results. During the follow-up period, there was a significant difference in postoperative pain intensity between the three groups. The XP-endo shaper was associated with considerably decreased post operative at the 6- and 12-h interval followed by Kedo-SG. The highest post-operative discomfort across the groups was related to the patients who underwent manual instrumentation. Conclusion. In comparison to rotary and manual instrumentation, postoperative pain severity was reduced with adaptive instrumentation.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pulpectomia / Preparo de Canal Radicular Tipo de estudo: Clinical_trials / Guideline / Incidence_studies / Prognostic_studies / Risk_factors_studies Limite: Child / Humans Idioma: En Revista: Medicina (Kaunas) Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pulpectomia / Preparo de Canal Radicular Tipo de estudo: Clinical_trials / Guideline / Incidence_studies / Prognostic_studies / Risk_factors_studies Limite: Child / Humans Idioma: En Revista: Medicina (Kaunas) Ano de publicação: 2023 Tipo de documento: Article