Influence of Instrument design on Post endodontic pain in Single visit Root canal treatment using PTN and MTWO Rotary systems in Asymptomatic irreversible pulpitis of Multirooted teeth- A Randomized Clinical Trial
Keywords:
Protaper Next, M two, post operative pain, single visit root canal treatment, modified verbal descriptor pain scaleAbstract
Aim: The aim and objective of the present randomized clinical trial is to evaluate the incidence of post operative pain after single-visit root canal treatment using two different rotary systems namely Protaper Next and M two in multi rooted teeth.
Materials and Methods: 40 adult subjects with multi rooted teeth diagnosed as asymptomatic irreversible pulpitis were randomly assigned into two groups. The teeth were instrumented using Protaper Next and M two rotary systems. Post operative pain was evaluated using Modified Verbal Descriptor Pain Scale at 8hr, 24hr, 48hr and 72hr.
Results: Data analysis was carried out using the Statistical Package for Social Sciences (SPSS version21). Pair wise comparisons at different intervals was made using Mann-Whitney test. There is lower incidence of post operative pain in both the groups and the difference was not statistically significant (p>0.05).
Conclusion: Both Protaper Next and M two do not cause post operative pain while treating asymptomatic irreversible pulpitis in multirooted teeth. Both the files can be used for single visit endodontic procedures effectively
Downloads
Metrics
References
Harrison JW, Baumgartner IC, Zielke DR. Analysis of inter appointment pain associated with the combined use of endodontic irrigants and medicaments. Journal of Endodontics 1981;7:272–6.
Liesinger A, Marshall FJ, Marshall JG. Effect of variable doses of dexamethasone on posttreatment endodontic pain.Journal of Endodontics 1993;19:35–9.
.Glassman G, Krasner P, Morse DR, Rankow H, Lang J, Furst ML. A prospective randomized double-blind trial on efficacy of dexamethasone for endodontic interappointment pain in teeth with asymptomatic inflamed pulps. Oral Surgery Oral Medicine Oral Pathology Oral Radiology & Endodontics 1989;67:96–100.
Oliet S. Single-visit endodontics: a clinical study. Journal of Endodontics 1983;9:147–52.
Walton R, Fouad A. Endodontic interappointment flare-ups:a prospective study of incidence and related factors. Journal of Endodontics 1992;18:172–7.
Jostes JL, Holland GR. The effect of occlusal reduction after canal preparation on patient comfort. Journal of Endodontics 1984;10:34–7
Ng YL, Mann V, Gulabivala K. A prospective study of the factors affecting outcomes of nonsurgical root canal treatment: part 1: periapical health. International Endodontic Journal 2011;44:583–609.
Alves VDO. Endodontic flare-ups: a prospective study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;110:e68–72.
Cunningham CJ, Mullaney TP. Pain control in endodontics.Dental Clinics of North America 1992;36:393–408.
Tinoco JM, De-Deus G, Tinoco EMB, Saavedra F, Fidel RAS, Sassone LM. Apical extrusion of bacteria when using reciprocating single-file and rotary multifile instrumentation systems. International Endodontic Journal 2013.
Reddy SA, Hicks ML. Apical extrusion of debris using two hand and two rotary instrumentation techniques. Journal of Endodontics 1998;24:180–3.
.Singla M, Aggarwal V, Logani A, Shah N. Comparative evaluation of rotary ProTaper, ProFile, and conventional stepback technique on reduction in Enterococcus faecalis colony-forming units and vertical root fracture resistance of root canals. Oral Surgery Oral Medicine Oral Pathology Oral Radiology and Endodontology 2010;109: e105–10.
Figini, L., G. Lodi, F. Gorni and M. Gagliani, 2007. Single versus multiple visits for endodontic treatment of permanent teeth. Cochrane Database Syst. Rev., Vol. 4.
Kuzekanani M, Walsh LJ, Yousefi MA. Cleaning and shaping curved root canals: Mtwo® vs ProTaper® instruments, a lab comparison. Indian J Dent Res. 2009; 20:268-70.
Alapati SB, Brantley WA, Iijma M. Metallurgical characterization of a new nickel-titanium wire for rotary endodontic instruments. Journal of Endodontics 2009; 35:1589-93. 14.
Zhou H, Peng B, Zheng YF. An overview of the mechanical properties of nickel-titanium endodontic instruments. Endodontic Topics 2013; 29:42-54.
Matusow RJ. The flare-up phenomenon in endodontics: a clinical perspective and review. Oral Surg Oral Med Oral Pathol. 1988 Jun;65(6):750-3
Harrington GW, Natkin E. Mid treatment flare-ups. Dent Clin North Am. 1992 Apr;36(2):409-23.
Hargreaves MK, Keiser K, Bryne BE. Analgesics in endodontics in Pathways of the pulp. In Cohen S, Hargreaves KE, editors. 9th ed. Mosby, MO: Elsevier 2006.
Tanalp J, Kaptan F, Sert S, Kayahan B, Bayirli G. Quantitative evaluation of the amount of apically extruded debris using 3 different rotary instrumentation systems. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006;101:250–7.
Reddy SA, Hicks ML. Apical extrusion of debris using two hand and two rotary instru-mentation techniques. J Endod. 1998 Mar;24(3):180-3.
McKendry DJ. Comparison of balanced forces, endosonic and step-back filing instru-mentation techniques: quantification of ex-truded apical debris. J Endod. 1990 Jan;16(1):24-7.
Seltzer S, Naidorf IJ. Flare-ups in endodontics: II. Therapeutic measures 1985. J Endod. 2004; 30(7):482–8. discussion 75
Azar NG, Ebrahimi G. Apically-extruded debris using the ProTaper system. Aust Endod J 2005;31:21-3.
Tinaz AC, Alacam T, Uzun O, Maden M, Kayaoglu G. The effect of disruption of apical constriction on periapical extrusion. J Endod 2005;31:533-5.
Eleazer PD, Eleazer KR. Flare-up rate in pulpally necrotic molars in one-visit versus two-visit endodontic treatment. J Endod 1998;24:614–16.
Mohamad Kashefinejad, Azade Harandi, Saeed Eram, and Ali Bijani. Comparison of Single Visit Post Endodontic Pain Using Mtwo Rotary and Hand K-File Instruments: A Randomized Clinical Trial. J Dent (Tehran). 2016 Jan; 13(1): 10–17.
Jogikalmat Krithikadatta, Vadhana Sekar, Paramanantham Sudharsan, and Natanasabapathy Velumurugan Influence of three Ni–Ti cleaning and shaping files on postinstrumentation endodontic pain: A triple-blinded, randomized, controlled trial. J Conserv Dent. 2016 Jul-Aug; 19(4): 311–316.
Ahmad H. Oubaid Ahmad H. Oubaid and Jamal A. Mehdi Clinical Research Incidence and severity of pain following the usage of three different root canal instrumentation systems. JODR Volume 1, Issue 1 2016.
Froughreyhani M, Lotfi M, Rahimi S, Shahi S, Milani AS, Mehanfar N. Evaluation of the amount of apically extruded debris using Mtwo and RaCe systems–An in vitro study. African Journal of Biotechnology. 2011;10(84):19637–40.
Tasdemir T, Er K, Celik D, Aydemir H. An in vitro comparison of apically extruded debris using three rotary nickel-titanium instruments. J Dent Sci 2010;5:121-5.
.A Ghobashy, MM Nagy, MF Obeid. Shaping ability of single versus multi file rotary Ni-Ti systems in curved root canals : 2016 | Volume : 13 | Issue : 2 | Page : 68-72
E. Scha ¨fer, M. Erler & T. Dammaschke ,Comparative study on the shaping ability and cleaning efficiency of rotary Mtwo instruments.Part 1. Shaping ability in simulated curved canals. International Endodontic Journal, 39, 196–202, 2006.
Carlos Menezes Aguiar; Fernanda Araujo Donida; Andréa Cruz Câmara; Marco Frazão. Changes in root canal anatomy using three nickel-titanium rotary system - a cone beam computed tomography analysis Braz. J. Oral Sci. vol.12 no.4 Piracicaba Oct./Dec. 2013.
Hin ES, Wu MK, Wesswlink PR, Shemesh H. Effects of self-adjusting file, Mtwo, and ProTaper. J Endod. 2013; 39: 262-4.
Pratik Mavani, Madhu Pujar, Veerendra uppin, Hemant Vagarali, Chetan Patil, Viraj Yalagi. Comparative Evaluation of root micro cracks by different rotary and reciprocating endodontic file systems. IOSR Journal of Dental and Medical Sciences.Volume 14, Issue 9 Ver. II (Sep. 2015), PP 18-22.
..
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
Terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
