Research Article
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Year 2022, Volume: 56 Issue: 2, 102 - 109, 27.05.2022
https://doi.org/10.26650/eor.2022873271

Abstract

References

  • 1. Mohammadi Z, Shalavi S, Giardino L, Palazzi F, Asgary S. Impact of ultrasonic activation on the effectiveness of sodium hypochlorite: A review. Iran Endod J 2015;10:216–220.
  • 2. Nixdorf D R, Moana-Filho E J, Law A S, McGuire L A, Hodges J S, John M T. Frequency of persistent tooth pain after root canal therapy: a systematic review and meta-analysis. J Endod 2010;36:224–230.
  • 3. Walton R, Fouad A. Endodontic interappointment flare-ups: a prospective study of incidence and related factors. J Endod 1992;18:172–177.
  • 4. Wang C, Xu P, Ren L, Dong G, Ye L. Comparison of post-obturation pain experience following one-visit and two-visit root canal treatment on teeth with vital pulps:a randomized controlled trial. Int Endod J 2010;43:692–697.
  • 5. Ali A, Olivieri J G, Duran-Sindreu F, Abella F, Roig M, Garcia-Font M. Influence of preoperative pain intensity on postoperative pain after root canal treatment: A prospective clinical study. J Dent 2016;45:39–42.
  • 6. Siqueira J F, Barnett F. Interappointment pain: mechanisms, diagnosis and treatment. Endod Topics 2004;7:93–109.
  • 7. De-Deus G, Belladonna F G, Souza E M, Vde O A, Silva E J, Rodrigues E, Versiani M A, Bueno C E. Scouting ability of 4 pathfinding instruments in moderately curved molar canals. J Endod 2016;42:1540–1544.
  • 8. Blicher B, Lucier Pryles R. Endodontic pain management: preoperative, perioperative, and postoperative strategies. Compend Contin Educ Dent. 2020;41:242-243. 9. Gambarini G. The K3 rotary nickel titanium instrument system. Endod Topics 2005;10:179–182.
  • 10. Peters O A. Current challenges and concepts in the preparation of root canal systems: a review. J Endod 2004;30:559–567.
  • 11. Pereira E S J, Gomes R O, Leroy A M, Singh R, Peters O A, Bahia M G, Buono V T. Mechanical behavior of M-Wire and conventional NiTi wire used to manufacture rotary endodontic instruments. Dent Mater J 2013;29:318–324.
  • 12. Adıgüzel M, Capar I D. Comparison of cyclic fatigue resistance of WaveOne and WaveOne gold small, primary, and large instruments. J Endod 2017;43:623–627.
  • 13. Keskin C, İnan U, Demiral M, Keleş A. Cyclic fatigue resistance of Reciproc Blue, Reciproc, and WaveOne Gold reciprocating instruments. J Endod 2017;43:1360–1363.
  • 14. De-Deus G, Silva E J, Vieira V T, Belladonna F G, Elias C N, Plotino G, Grande N M. Blue thermomechanical treatment optimizes fatigue resistance and flexibility of the Reciproc files. J Endod 2017;43:462–466.
  • 15. Caviedes-Bucheli, J, Moreno J O, Carreño C P, Delgado R, Garcia D J, Solano J, Diaz E, Munoz H R. The effect of single-file reciprocating systems on Substance P and Calcitonin gene-related peptide expression in human periodontal ligament. Int Endod J 2013;46:419–426.
  • 16. Gambarini, G, Testarelli L, De Luca M, Milana V, Plotino G, Grande N M, Rubini A G, Al Sudani D, Sannino G. The influence of three different instrumentation techniques on the incidence of postoperative pain after endodontic treatment. Ann Stomatol (Roma) 2013;4:152–155.
  • 17. Arslan H, Khalilov R, Doğanay E, Karatas E. The effect of various kinematics on postoperative pain after instrumentation: a prospective, randomized clinical study. J Appl Oral Sci 2016;24:503–508.
  • 18. Hou X, Su Z, Hou B. Post endodontic pain following single-visit root canal preparation with rotary vs reciprocating instruments: a meta-analysis of randomized clinical trials. BMC Oral Health 2017;17:86.
  • 19. Shokraneh A, Ajami M, Farhadi N, Hosseini M, Rohani B. Postoperative endodontic pain of three different instrumentation techniques in asymptomatic necrotic mandibular molars with periapical lesion: a prospective, randomized, double-blind clinical trial. Clin Oral Invest 2017;21:413–418.
  • 20. Neelakantan P, Sharma S. Pain after single-visit root canal treatment with two single-file systems based on different kinematics—a prospective randomized multicenter clinical study. Clin Oral Invest 2015;19:2211–2217.
  • 21. Kherlakian D, Ehrhardt I C, Zuolo M L, Kishen A, da Silveira Bueno C E. 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.
  • 22. Burklein S, Schafer E. Apically extruded debris with reciprocating single-file and full-sequence rotary instrumentation systems. J Endod 2012;38:850-852. 23. Yared G. Reciproc blue: the new generation of reciprocation. G Ital Endod. 2017;31:96–101.
  • 24. Topçuoğlu H S, Zan R, Akpek F, Topçuoğlu G, Ulusan Ö, Aktı A, Düzgün S, Ağırnaslıgil M. Apically extruded debris during root canal preparation using Vortex Blue, K3XF, ProTaper Next and Reciproc instruments. Int Endod J 2016;49:1183–1187.
  • 25. Arslan H, Doğanay E, Alsancak M, Çapar I D, Karataş E, Gündüz H A. Comparison of apically extruded debris after root canal instrumentation using Reciproc instruments with various kinematics. Int Endod J 2016;49:307–310.
  • 26. De-Deus G, Brandao M C, Barino B, Di Giorgi K, Fidel R A, Luna A S. Assessment of apically extruded debris produced by the single-file ProTaper F2 technique under reciprocating movement. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;110:390–394.
  • 27. Gambarini G, Di Nardo D, Miccoli G, Guerra F, Di Giorgio R, Di Giorgio G, Glassman G, Piasecki L, Testarelli L. The influence of a new clinical motion for endodontics instruments on the incidence of postoperative pain. Clin Ter 2017;168:e23–e27.
  • 28. Kashefinejad M, Harandi A, Eram S, Bijani A. Comparison of single visit post endodontic pain using mtwo rotary and hand k-file ınstruments: A randomized clinical trial. J Dent (Tehran, Iran) 2016;13:10–17.
  • 29. Mollashahi N F, Saberi E A, Havaei S R, Sabeti M. Comparison of postoperative pain after root canal preparation with two reciprocating and rotary single-file systems: A randomized clinical trial. Iran Endod J 2017;12:15–19.
  • 30. Jain N, Pawar A M, Naganath M, Gupta A, Daryani H. Incidence and severity of postoperative pain after canal instrumentation with reciprocating system, continuous rotary single file system, versus SAF system. Endo Pract (Lond Engl) 2016;10:153–160.
  • 31. Keskin C, Sıvas Yılmaz O, İnan U, Özdemir Ö. Postoperative pain after glide path preparation using manual, reciprocating and continuous rotary instruments: a randomized clinical trial. Int Endod J 2019;52:579–582.
  • 32. Oliveira PS, da Costa KNB, Carvalho CN, Ferreira MC. Impact of root canal preparation performed by ProTaper Next or Reciproc on the quality of life of patients: a randomized clinical trial. Int Endod J 2019;52:139–148.
  • 33. Oguntebi B R, DeSchepper E J, Taylor T S, White C L, Pink F E. Postoperative pain incidence related to the type of emergency treatment of symptomatic pulpitis. Oral Surg Oral Med Oral Pathol 1992;73:479–483.
  • 34. Karataş E, Ersoy İ, Gündüz H A, Uygun A D, Kol E, Çakıcı F. Influence of instruments used in root canal preparation on amount of apically extruded debris. Artif Organs 2016;40:774–777.
  • 35. Yaylali IE, Demirci GK, Kurnaz S, Celik G, Kaya BU, Tunca YM. Soes maintaining apical patency during instrumentation increase postoperative pain or flare-up rate after nonsurgical root canal treatment? A systematic review of randomized controlled trials. J Endod 2018;44:1228-1236.
  • 36. Abdulrab S, Rodrigues JC, Al-Maweri SA, Halboub E, Alqutaibi AY, Alhadainy H. Effect of apical patency on postoperative pain: A meta-analysis. J Endod 2018;44:1467-1473.
  • 37. Nagendrababu V, Gutmann J L. Factors associated with postobturation pain following single-visit nonsurgical root canal treatment: a systematic review. Quintessence Int 2017;48:193–208.
  • 38. Siqueira J F, Rôças I N, Favieri A, Machado A G, Gahyva S M, Oliveira J C, Abad E C. Incidence of postoperative pain after intracanal procedures based on an antimicrobial strategy. J Endod 2002;28:457–460.
  • 39. Williamson A, Hoggart B. Pain: a review of three commonly used pain rating scales. J Clin Nurse 2005;14:798–804.
  • 40. Price D D, Staud R, Robinson M E. How should we use the visual analogue scale (VAS) in rehabilitation outcomes? II: Visual analogue scales as ratio scales. J Rehabil Med 2012;4:800–801.
  • 41. Silva E J, Menaged K, Ajuz N, Monteiro M R, Coutinho-Filho de S. Postoperative pain after foraminal enlargement in anterior teeth with necrosis and apical periodontitis: a prospective and randomized clinical trial. J Endod 2013;39:173–176.
  • 42. Kara Tuncer A, Gerek M. Effect of working length measurement by electronic apex locator or digital radiography on postoperative pain: a randomized clinical trial. J Endod 2014;40:38–41.

Comparison of postoperative pain after the use of different nickel-titanium instrumentation systems: A randomized clinical trial

Year 2022, Volume: 56 Issue: 2, 102 - 109, 27.05.2022
https://doi.org/10.26650/eor.2022873271

Abstract

Purpose: Postoperative pain is a common complication in endodontics contributed by multiple etiological factors, which consist canal preparation instruments and kinematics. The aim of this randomized clinical trial compare the postoperative pain in terms of intensity and incidence after the use of different nickel titanium (NiTi) file systems. Patients and methods: In this randomized clinical trial (NCT03791762), a total of 150 patients were root canal treated by 2 experienced endodontists according to a standardised protocol. The subjects were randomly assigned to 1 of the 3 groups according to preparation instrument used: ProTaper Next (Dentsply Sirona, Ballaigues, Switzerland), Reciproc Blue (VDW, Munich, Germany) and WaveOne Gold (Dentsply Sirona). Following preparation the teeth underwent standardized root canal treatment procedures in a single visit. The patients were contacted to gather information about the incidence of pain and intensity at 6th, 12th, 18th, 24th, 48th, and 72nd hours postoperatively. The data were analysed using chi-square, one-way analysis of variance and post hoc Tukey tests and logistic regression analysis with 5% significance threshold. Results: No significant difference was found among preparation groups in relation to the intensity of postoperative pain. The incidence of postoperative pain was significantly linked with the preoperative pain presence with odds ratio values ranging between 2.06 and 4.08 irrespective of the preparation technique (P<0.05). Conclusion: The effects of reciprocating and the continuous rotary systems on the intenstiy and incidence of postoperative pain were found to be similar.

References

  • 1. Mohammadi Z, Shalavi S, Giardino L, Palazzi F, Asgary S. Impact of ultrasonic activation on the effectiveness of sodium hypochlorite: A review. Iran Endod J 2015;10:216–220.
  • 2. Nixdorf D R, Moana-Filho E J, Law A S, McGuire L A, Hodges J S, John M T. Frequency of persistent tooth pain after root canal therapy: a systematic review and meta-analysis. J Endod 2010;36:224–230.
  • 3. Walton R, Fouad A. Endodontic interappointment flare-ups: a prospective study of incidence and related factors. J Endod 1992;18:172–177.
  • 4. Wang C, Xu P, Ren L, Dong G, Ye L. Comparison of post-obturation pain experience following one-visit and two-visit root canal treatment on teeth with vital pulps:a randomized controlled trial. Int Endod J 2010;43:692–697.
  • 5. Ali A, Olivieri J G, Duran-Sindreu F, Abella F, Roig M, Garcia-Font M. Influence of preoperative pain intensity on postoperative pain after root canal treatment: A prospective clinical study. J Dent 2016;45:39–42.
  • 6. Siqueira J F, Barnett F. Interappointment pain: mechanisms, diagnosis and treatment. Endod Topics 2004;7:93–109.
  • 7. De-Deus G, Belladonna F G, Souza E M, Vde O A, Silva E J, Rodrigues E, Versiani M A, Bueno C E. Scouting ability of 4 pathfinding instruments in moderately curved molar canals. J Endod 2016;42:1540–1544.
  • 8. Blicher B, Lucier Pryles R. Endodontic pain management: preoperative, perioperative, and postoperative strategies. Compend Contin Educ Dent. 2020;41:242-243. 9. Gambarini G. The K3 rotary nickel titanium instrument system. Endod Topics 2005;10:179–182.
  • 10. Peters O A. Current challenges and concepts in the preparation of root canal systems: a review. J Endod 2004;30:559–567.
  • 11. Pereira E S J, Gomes R O, Leroy A M, Singh R, Peters O A, Bahia M G, Buono V T. Mechanical behavior of M-Wire and conventional NiTi wire used to manufacture rotary endodontic instruments. Dent Mater J 2013;29:318–324.
  • 12. Adıgüzel M, Capar I D. Comparison of cyclic fatigue resistance of WaveOne and WaveOne gold small, primary, and large instruments. J Endod 2017;43:623–627.
  • 13. Keskin C, İnan U, Demiral M, Keleş A. Cyclic fatigue resistance of Reciproc Blue, Reciproc, and WaveOne Gold reciprocating instruments. J Endod 2017;43:1360–1363.
  • 14. De-Deus G, Silva E J, Vieira V T, Belladonna F G, Elias C N, Plotino G, Grande N M. Blue thermomechanical treatment optimizes fatigue resistance and flexibility of the Reciproc files. J Endod 2017;43:462–466.
  • 15. Caviedes-Bucheli, J, Moreno J O, Carreño C P, Delgado R, Garcia D J, Solano J, Diaz E, Munoz H R. The effect of single-file reciprocating systems on Substance P and Calcitonin gene-related peptide expression in human periodontal ligament. Int Endod J 2013;46:419–426.
  • 16. Gambarini, G, Testarelli L, De Luca M, Milana V, Plotino G, Grande N M, Rubini A G, Al Sudani D, Sannino G. The influence of three different instrumentation techniques on the incidence of postoperative pain after endodontic treatment. Ann Stomatol (Roma) 2013;4:152–155.
  • 17. Arslan H, Khalilov R, Doğanay E, Karatas E. The effect of various kinematics on postoperative pain after instrumentation: a prospective, randomized clinical study. J Appl Oral Sci 2016;24:503–508.
  • 18. Hou X, Su Z, Hou B. Post endodontic pain following single-visit root canal preparation with rotary vs reciprocating instruments: a meta-analysis of randomized clinical trials. BMC Oral Health 2017;17:86.
  • 19. Shokraneh A, Ajami M, Farhadi N, Hosseini M, Rohani B. Postoperative endodontic pain of three different instrumentation techniques in asymptomatic necrotic mandibular molars with periapical lesion: a prospective, randomized, double-blind clinical trial. Clin Oral Invest 2017;21:413–418.
  • 20. Neelakantan P, Sharma S. Pain after single-visit root canal treatment with two single-file systems based on different kinematics—a prospective randomized multicenter clinical study. Clin Oral Invest 2015;19:2211–2217.
  • 21. Kherlakian D, Ehrhardt I C, Zuolo M L, Kishen A, da Silveira Bueno C E. 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.
  • 22. Burklein S, Schafer E. Apically extruded debris with reciprocating single-file and full-sequence rotary instrumentation systems. J Endod 2012;38:850-852. 23. Yared G. Reciproc blue: the new generation of reciprocation. G Ital Endod. 2017;31:96–101.
  • 24. Topçuoğlu H S, Zan R, Akpek F, Topçuoğlu G, Ulusan Ö, Aktı A, Düzgün S, Ağırnaslıgil M. Apically extruded debris during root canal preparation using Vortex Blue, K3XF, ProTaper Next and Reciproc instruments. Int Endod J 2016;49:1183–1187.
  • 25. Arslan H, Doğanay E, Alsancak M, Çapar I D, Karataş E, Gündüz H A. Comparison of apically extruded debris after root canal instrumentation using Reciproc instruments with various kinematics. Int Endod J 2016;49:307–310.
  • 26. De-Deus G, Brandao M C, Barino B, Di Giorgi K, Fidel R A, Luna A S. Assessment of apically extruded debris produced by the single-file ProTaper F2 technique under reciprocating movement. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;110:390–394.
  • 27. Gambarini G, Di Nardo D, Miccoli G, Guerra F, Di Giorgio R, Di Giorgio G, Glassman G, Piasecki L, Testarelli L. The influence of a new clinical motion for endodontics instruments on the incidence of postoperative pain. Clin Ter 2017;168:e23–e27.
  • 28. Kashefinejad M, Harandi A, Eram S, Bijani A. Comparison of single visit post endodontic pain using mtwo rotary and hand k-file ınstruments: A randomized clinical trial. J Dent (Tehran, Iran) 2016;13:10–17.
  • 29. Mollashahi N F, Saberi E A, Havaei S R, Sabeti M. Comparison of postoperative pain after root canal preparation with two reciprocating and rotary single-file systems: A randomized clinical trial. Iran Endod J 2017;12:15–19.
  • 30. Jain N, Pawar A M, Naganath M, Gupta A, Daryani H. Incidence and severity of postoperative pain after canal instrumentation with reciprocating system, continuous rotary single file system, versus SAF system. Endo Pract (Lond Engl) 2016;10:153–160.
  • 31. Keskin C, Sıvas Yılmaz O, İnan U, Özdemir Ö. Postoperative pain after glide path preparation using manual, reciprocating and continuous rotary instruments: a randomized clinical trial. Int Endod J 2019;52:579–582.
  • 32. Oliveira PS, da Costa KNB, Carvalho CN, Ferreira MC. Impact of root canal preparation performed by ProTaper Next or Reciproc on the quality of life of patients: a randomized clinical trial. Int Endod J 2019;52:139–148.
  • 33. Oguntebi B R, DeSchepper E J, Taylor T S, White C L, Pink F E. Postoperative pain incidence related to the type of emergency treatment of symptomatic pulpitis. Oral Surg Oral Med Oral Pathol 1992;73:479–483.
  • 34. Karataş E, Ersoy İ, Gündüz H A, Uygun A D, Kol E, Çakıcı F. Influence of instruments used in root canal preparation on amount of apically extruded debris. Artif Organs 2016;40:774–777.
  • 35. Yaylali IE, Demirci GK, Kurnaz S, Celik G, Kaya BU, Tunca YM. Soes maintaining apical patency during instrumentation increase postoperative pain or flare-up rate after nonsurgical root canal treatment? A systematic review of randomized controlled trials. J Endod 2018;44:1228-1236.
  • 36. Abdulrab S, Rodrigues JC, Al-Maweri SA, Halboub E, Alqutaibi AY, Alhadainy H. Effect of apical patency on postoperative pain: A meta-analysis. J Endod 2018;44:1467-1473.
  • 37. Nagendrababu V, Gutmann J L. Factors associated with postobturation pain following single-visit nonsurgical root canal treatment: a systematic review. Quintessence Int 2017;48:193–208.
  • 38. Siqueira J F, Rôças I N, Favieri A, Machado A G, Gahyva S M, Oliveira J C, Abad E C. Incidence of postoperative pain after intracanal procedures based on an antimicrobial strategy. J Endod 2002;28:457–460.
  • 39. Williamson A, Hoggart B. Pain: a review of three commonly used pain rating scales. J Clin Nurse 2005;14:798–804.
  • 40. Price D D, Staud R, Robinson M E. How should we use the visual analogue scale (VAS) in rehabilitation outcomes? II: Visual analogue scales as ratio scales. J Rehabil Med 2012;4:800–801.
  • 41. Silva E J, Menaged K, Ajuz N, Monteiro M R, Coutinho-Filho de S. Postoperative pain after foraminal enlargement in anterior teeth with necrosis and apical periodontitis: a prospective and randomized clinical trial. J Endod 2013;39:173–176.
  • 42. Kara Tuncer A, Gerek M. Effect of working length measurement by electronic apex locator or digital radiography on postoperative pain: a randomized clinical trial. J Endod 2014;40:38–41.
There are 40 citations in total.

Details

Primary Language English
Subjects Dentistry
Journal Section Original Research Articles
Authors

Özlem Sivas This is me 0000-0002-5669-8343

Cangül Keskin 0000-0001-8990-4847

Duygu Hazal Acar 0000-0003-4405-1777

Hikmet Aydemir 0000-0001-5750-8831

Publication Date May 27, 2022
Submission Date February 4, 2021
Published in Issue Year 2022 Volume: 56 Issue: 2

Cite

EndNote Sivas Ö, Keskin C, Acar DH, Aydemir H (May 1, 2022) Comparison of postoperative pain after the use of different nickel-titanium instrumentation systems: A randomized clinical trial. European Oral Research 56 2 102–109.