Incidence and severity of postoperative pain following root canal treatment in nonvital pulps with hand and rotary instrumentation techniques in Chhattisgarh Population
Mahesh Motlani1, P Krishna Prasad2, Ramanpal Singh Makkad3, Rashmi Nair4, Saara Khiyani5, Sushmita Batra6
1 Department Conservative Dentistry and Endodontics, Chhattisgarh Dental College and Research Institute, Rajnandgaon, India 2 Department of Conservative Dentistry and Endodontics, Sree Sai Dental College and Research Institute, Srikakulam, Andhra Pradesh, India 3 Department of Oral Medicine and Radiology, New Horizon Dental College and Research Institute, Bilaspur, India 4 Department of Conservative Dentistry and Endodontics, Rungta College of Dental Science and Research, Bhilai, Chhattisgarh, India 5 Department of Conservative Dentistry and Endodontics, CSMSS Dental College, Aurangabad, Maharashtra, India 6 Department of Oral and Maxillofacial Surgery, Chhattisgarh Dental College and Research Institute, Rajnandgaon, India
Correspondence Address:
Mahesh Motlani Department of Conservative Dentistry and Endodontics, Chhattisgarh Dental College and Research Institute, Rajnandgaon, Chhattisgarh India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/jpbs.JPBS_711_20
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Aim: To evaluate the incidence and severity of postoperative pain following root canal treatment in nonvital pulps with hand and rotary instrumentation techniques in Chhattisgarh population. Materials and Methods: Sixty asymptomatic single-canaled nonvital teeth were selected and were divided into two groups of 30 each. Group I: 30 single-canalled teeth were treated in a single visit and prepared with hand file system. Group II: 30 single-canaled teeth treated in a single visit and prepared with K3-rotary file system. Group I and II were divided into two subgroups of 15 each (Group IA, IB and Group IIA, IIB) which were irrigated with 2% chlorhexidine and 5.25% sodium hypochlorite, respectively. The patients were recalled at 24, 48, and 72 h and at 1 week to record the incidence and severity of postoperative pain by using visual analog scale. Results: Results showed low incidence and severity of postoperative pain following a single-visit treatment with rotary instrumentation when compared to hand instrumentation technique. No statistical significant difference was observed between the groups at different time intervals, i.e., at 24, 48, and 72 h and at 1 week. The use of recent endodontic techniques and devices reduces the postoperative pain. Conclusions: Postoperative pain after root canal treatment ranged from mild to severe and it can happen even after high-standard root canal treatment. There is low incidence and severity of postoperative pain following a single-visit treatment with rotary instrumentation when compared to hand instrumentation technique.
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