Postoperative Pain Endodontic Retreatment
Study Details
Study Description
Brief Summary
To compare the incidence of post-operative pain after single-visit versus two-visit non-surgical endodontic retreatment.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
Post treatment failure could be treated by two options including orthograde retreatment and apical surgery . In a previous study, orthograde retreatments presented a success rate of 81 % classified as healed and 93 % as no symptoms and fully functional. In a systematic review, it has also been concluded that endodontic surgery offers more favorable initial success but orthograde retreatment yields to a better long-term outcome . Although early results of single-visit treatments are contradictory ; Completing the treatment in a single appointment reduces the treatment time and cost, decreases micro leakage risk and avoids recontamination of root canals between appointments in multiple-visit treatments . Again, reviewing the literature concerning primary treatment showed that, no significant differences were observed in healing of periapical radiolucency between teeth treated in single-visit and those treated in two-visits. Even, after using calcium hydroxide for four weeks . The presence of a positive bacterial culture at the time of filling did not influence the outcome of treatment .
Thorough online search revealed that, few studies are found concerning post- operative pain after single visit retreatment . The present study is designed to compare the effects of single-visit and two-visit root canal treatments on postoperative pain in retreatment cases. The primary outcome measure of this study is proposed to be whether single-visit root canal retreatment influenced the occurrence of postoperative pain as compared to two-visit treatment.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: group 1 Non-surgical endodontic retreatment in single visit Single visit treatments have gained more popularity. Completing the treatment in a single appointment has many advantages including reduction in treatment time and cost, lower risk of micro leakage and recontamination of root canals between appointments |
Other: Non-surgical endodontic retreatment in single visit
Full medical and dental history using a schematic dental chart, will be obtained from all patients treated during this study.
Other Names:
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| Active Comparator: group 2 Non-surgical endodontic retreatment in Two-visit Two-visit endodontic treatment with intra-canal medication was traditionally found to be effective in decreasing the number of flare-up in all retreatment cases and in reducing postoperative pain of previously symptomatic teeth |
Other: Non-surgical endodontic retreatment in single visit
Full medical and dental history using a schematic dental chart, will be obtained from all patients treated during this study.
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Incidence and intensity of postoperative [At one week after each visit]
Evaluate incidence and intensity of postoperative pain at 6,12,24, 48hours , and one week using numerical visual scale (NRS) after each visit endodontic retreatment
Secondary Outcome Measures
- Number of analgesic tablets [baseline]
Number of analgesic tablets taken by the patient after endodontic retreatment
Eligibility Criteria
Criteria
Inclusion Criteria:
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Clinically asymptomatic.
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Previously treated teeth in need of retreatment due to leakage and/or improper filling.
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No periapical radiolucency.
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No percussion pains.
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Age 20 - 45.
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Premolar teeth.
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Male & female.
Exclusion Criteria:
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Complicating compromised patient.
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Tenderness to percussion and acute apical abscess.
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Presence of an associated sinus tract.
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Presence of swelling in adjacent soft tissue.
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Teeth with periodontal pathologies or mobility.
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Teeth representing root fracture.
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Pregnant women.
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If analgesics or antibiotics have been administrated by the patient during the past 24 hours.
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Cairo University
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
- pop rct