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ORIGINAL ARTICLE
Year : 2021  |  Volume : 13  |  Issue : 6  |  Page : 1149-1154

Comparative evaluation of the effectiveness of rotary instrumentation over manual instrumentation with ultrasonic irrigation on incidence, duration, and intensity of postendodontic pain: An In vivo study


1 Department of Conservative Dentistry and Endodontics, Government Dental College, Raipur, Chhattisgarh, India
2 Department of Conservative Dentistry and Endodontics, Hi Tech Dental College and Hospital, Bhbaneshwar, Odisha, India
3 Department of Conservative Dentistry and Endodontics, SCB Dental College, Cuttack, Odisha, India
4 Department of Conservative Dentistry and Endodontics, People's College of Dental Science, Bhopal, Madhya Pradesh, India
5 Department of Conservative Dentistry and Endodontics, P.D.M Dental College and Research Institute, Bahadurgarh, Haryana, India

Correspondence Address:
Ashutosh Shandilya
H. No. S4/83, Sector-03, Road No - 04, Professor Colony, Raipur - 492 001, Chhattisgarh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jpbs.jpbs_208_21

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Aim: The aim of this study was to compare the effectiveness of rotary instrumentation over manual instrumentation with ultrasonic irrigation on incidence, duration, and intensity of postendodontic pain (PEP). Subjects and Methods: Eighty patients, with asymptomatic irreversible pulpitis in maxillary anterior teeth, were selected and treated with single-visit endodontic treatment. Patients were randomly divided into 2 groups (40 each), Group A (K files using step-back technique) and Group B (ProTaper Next using crown-down technique) along with passive ultrasonic irrigation. Patients were recalled, examined, and asked to fill up questionnaire after 24 h, 48 h, and 7 days. On the basis of response given in the feedback forms, incidence, duration, and intensity of PEP were evaluated. Results: Statistical analysis of the data was carried out using Chi-square test, and level of significance (P < 0.05) was evaluated. More incidence of pain was noticed in Group A when compared with Group B. Significant difference found between two groups (χ2 = 22.759; P = 0.001). There was also statistically significant difference between two groups at different time intervals. Conclusion: Both instrumentation techniques under investigation cause PEP. The incidence of pain was more in manual technique than rotary technique. The duration of pain was higher in manual group than rotary group at different time intervals.


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