Intraoperative Pain During Glide Path Creation with the Use of a Rotary or Reciprocating System
Abstract
Objectives: The objective of this study was to compare the intraoperative pain levels of patients caused from using different glide path systems in creating the glide path before the root canal shaping the teeth with asymptomatic irreversible pulpitis.
Materials and Methods: The study included 88 patient with asymptomatic irreversible pulpitis in mandibular molar tooth. The teeth were randomly assigned to four groups according to use of glide path files: R-pilot (RP), WaveOne Gold Glider (WOG G), One G (OG), Proglider (PG). In all the groups, the patients were asked to specify the pain level by using Visual Analogue Scale (VAS). Kruskall-Wallis and Mann-Whitney U was used to determine significant differences at p< 0.05.
Results: In the present study, it was determined that the lowest intraoperative pain level was observed in PG, followed by OG, RP, and WOG G. Statistically significant differences were observed between PG and RP and between PG and WOG G groups (p<.05).
Conclusion: All of the file systems used in creating the glide path in root canal treatment caused intraoperative pain. The minimum intraoperative pain was found with PG glide path file, whereas RP and WOG G caused higher level of intraoperative pain.
Keywords
References
- [1] López-López J, Jané-Salas E, Estrugo-Devesa A, et al. Frequency and distribution of root filled teeth and apical periodontitis in an adult population of Barcelona, Spain. Int Dent J. 2012;62:40-46.
- [2] Hargreaves KM, Keiser K. New advances in the management of endodontic pain emergencies. J Calif Dent Assoc. 2004;32:469-473.
- [3] Subbiya A, Cherkas PS, Vivekanandhan P, et al. Effect of three different rotary instrumentation systems on postinstrumentation pain: A randomized clinical trial. J Conserv Dent. 2017;20:467-473.
- [4] Gale EN, Ayer WA. Treatment of dental phobias. J Am Dent Assoc. 1969;78:1304-1307.
- [5] Kayaoglu G, Gürel M, Saricam E, Ilhan MN, et al. Predictive Model of Intraoperative Pain during Endodontic Treatment: Prospective Observational Clinical Study. J Endod. 2016;42:36-41.
- [6] Martín-González J, Echevarría-Pérez M, Sánchez-Domínguez B, et al. Influence of root canal instrumentation and obturation techniques on intra-operative pain during endodontic therapy. Med Oral Patol Oral Cir Bucal. 2012;17:e912-918.
- [7] Çapar ID, Arslan H. A review of instrumentation kinematics of engine-driven nickel-titanium instruments. Int Endod J. 2016;49:119-135.
- [8] Kherlakian D, Cunha RS, Ehrhardt IC, et al. Comparison of the Incidence of Postoperative Pain after Using 2 Reciprocating Systems and a Continuous Rotary System: A Prospective Randomized Clinical Trial. J Endod. 2016;42:171-176.
Details
Primary Language
English
Subjects
Health Care Administration
Journal Section
Research Article
Authors
Pelin Tufenkci
*
0000-0001-9881-5395
Türkiye
Mehmet Adıguzel
0000-0002-9363-6264
Türkiye
Koray Yılmaz
0000-0001-6096-7385
Türkiye
Publication Date
March 13, 2019
Submission Date
December 5, 2018
Acceptance Date
February 6, 2019
Published in Issue
Year 2019 Volume: 22 Number: 1
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