Effect of Different Final Irrigation Protocols on Postoperative Endodontic Pain in Devital Teeth
Condition: Postoperative Pain; Endodontically Treated Teeth
MeSH terms: Tooth, Nonvital; Pain, Postoperative
Study type: Interventional

Summary: 
      The purpose of this randomized clinical trial was to evaluate the incidence of postoperative
      pain after root canal treatment using different final irrigation protocols. Patients whom
      need root canal treatment for first time were included. The presence of postoperative pain
      was assessed after root canal treatment cases at 12, 24, 48, 72 hrs and 1 week.
    

Detailed description: 
      The aim of this clinical study was to evaluate the intensity and duration of postoperative
      pain following different final irrigation procedures. Patients who have asymptomaticdevital
      teeth required endodontic treatment were included in this study and routine root canal
      treatment procedure was applied to these teeth. All of the patients have been recruited from
      the Istanbul Medipol University Dental Clinics in Istanbul. Ninety asymptomatic teeth were
      randomly participated into 3 treatment groups in terms of intracanal medicament applied. The
      presence of postoperative pain was assessed after 12, 24, 48, 72 hrs and 1 week.
      Postoperative pain was recorded by each patient by using visual analogue pain scale. Before
      the treatments, the nature of the study, complications and associated risks were totally
      explained and written informed consent was obtained from all study participants. The patients
      were offered local anesthetic before the treatment start. The routine root canal treatment
      procedure was applied. Different final irrigation solutions applied in accordance to the
      manufacturers' instructions. At the end of treatment, each patient was given an evaluation
      sheet, explained the treatment procedure and using of visual analogue pain scales, and
      informed to be returned during the following one week. After one week the teeth was examined
      according to for pain intensity, percussion & palpation sensitivity, swelling, analgesic
      intake and clinical status.
    

Intervention name(s): EDTA and CHX Solution; EDTA Solution; CHX Solution
Intervention type(s): Procedure; Procedure; Procedure
Intervention description(s): The teeth in this group were treated according to the guidelines for root canal treatment in single-session. The filling was removed and cavity was opened. After standart irrigation protocol, root canals were irrigated with Qmix 2in1 solution and obturated with gutta percha. Coronal restoration was complete using composite and/or fully crown if necessary.; The teeth in this group were treated according to the guidelines for root canal treatment in single-session. The filling was removed and cavity was opened. After standart irrigation protocol, root canals were irrigated with EDTA solution and obturated with gutta percha. Coronal restoration was complete using composite and/or fully crown if necessary.; The teeth in this group were treated according to the guidelines for root canal treatment in single-session. The filling was removed and cavity was opened. After standart irrigation protocol, root canals were irrigated with CHX solution and obturated with gutta percha. Coronal restoration was complete using composite and/or fully crown if necessary.
Intervention MeSH terms: Edetic Acid; Pharmaceutical Solutions; Pentetic Acid
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Parallel Assignment The patients were assigned to 3 medication groups randomly with an equal allocation rate between groups.The patients in the groups had same characteristics.
Masking: Double (Participant, Outcomes Assessor)
Primary purpose: Treatment
Keywords: Endodontics; Postoperative Pain; Visual Analogue Pain Scale