The effect of sonic activation of irrigant on postoperative pain after root canal treatment in primary molar teeth: a ra

  • PDF / 584,357 Bytes
  • 8 Pages / 595.276 x 790.866 pts Page_size
  • 44 Downloads / 161 Views

DOWNLOAD

REPORT


ORIGINAL ARTICLE

The effect of sonic activation of irrigant on postoperative pain after root canal treatment in primary molar teeth: a randomized, clinical study Hüsniye Gümüş 1 & Ebru Delikan 2 Received: 22 June 2020 / Accepted: 6 November 2020 # Springer-Verlag GmbH Germany, part of Springer Nature 2020

Abstract Purpose Postoperative pain following root canal treatment is a concern for pediatric patients and pediatric dentists. The purpose of this study was to evaluate the effect of using sonic activation (SA) on postoperative pain levels after root canal therapy of primary molars. Methods A total of 110 patients aged 5–9 years with symptomatic irreversible pulpitis involving primary molars were included in the study and were randomly divided into two groups according to agitation methods: SA and no sonic activation (NSA). Root canal treatments were completed, and the teeth were restored permanently. Postoperative pain levels were evaluated using the five-face scale at 8, 24, 48, and 72 h and 1 week after treatment. Pain levels and frequency of analgesic intake were recorded and analyzed. Results Postoperative pain values were lower in the SA group than in the NSA group at 8, 24, and 48 h after treatment (p < 0.05). No significant difference was observed between the groups in terms of postoperative pain values at 72 h and 1 week after treatment (p > 0.05). Conclusions It was determined that the use of SA reduces postoperative pain level significantly after root canal treatment in primary molar teeth. Clinical relevance The use of SA can be recommended to clinicians since it is effective in the successful management of postoperative pain of root canal treatment in primary molar teeth. Trial registration ClinicalTrials.gov ID: NCT04197531 Keywords EndoActivator . Postoperative pain . Primary teeth . Sonic activation

Introduction Primary teeth play a vital role in eating, phonetics, esthetics, and as space maintainers for permanent teeth [1]. Therefore, preservation of primary teeth is of great importance. In children with inadequate nutrition and oral hygiene habits, deep dentinal caries, pain, and swelling can occur frequently. In such cases, root canal treatment is often necessary after clinical and radiographic evaluation. Complete removal of pulp * Ebru Delikan [email protected] 1

Department of Pediatric Dentistry, Faculty of Dentistry, Erciyes University, Kayseri, Turkey

2

Department of Pediatric Dentistry, Faculty of Dentistry, Nuh Naci Yazgan University, Kayseri, Turkey

tissue or necrotic material and proper irrigation are important for good prognosis of root canal treatment. Postoperative pain is an undesirable, but unfortunately, widespread sequela (incidence ranging from 3 to 58%) after endodontic treatment. One of the most important goals of root canal treatment is to control postoperative pain, the cause of which may be related to the extent of the spread of microbial infection and the apically extruded debris during mechanical canal preparation [2, 3]. Moreover, extruded irrigants can irritate