Research Article
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Association Between Pain during Intracanal Diode Laser Application and Demographic and Preoperative Factors

Year 2020, Volume: 6 Issue: 2, 190 - 195, 31.08.2020
https://doi.org/10.19127/mbsjohs.715298

Abstract

Objective: The present study aimed to evaluate the association between pain during intracanal diode laser irradiation in mandibular molar teeth have symptomatic apical periodontitis and factors such as demographic and preoperative factors.
Methods: Fourteen patients who have mandibular molar teeth have symptomatic apical periodontitis were enrolled in this clinical study. All endodontic treatments were performed in one-visit. After final irrigation, root canals were irradiated using a 970 ± 15 nm diode laser with a 14 W maximum power. Pain during laser application, postoperative pain levels at day 1, 3, 5, 7 and 30 and postoperative percussion tenderness levels at day 7 on the visual analog scale were marked. Multiple lineer regression was used for constructing a predictive model for intraoperative pain (P = 0.05).
Results: 11 (78 %) patients reported pain during intracanal diode laser application. Age, gender, tooth type (first molar or second molar), side of the tooth (left or right), preoperative palpation, pulp status, preoperative percussion and preoperative spontaneous pain did not predict intraoperative pain during intracanal diode laser application (F(8, 5) = 2.332, p > .05).
Conclusion: Within the limitations of the present clinical trial, none of the factors predict intraoperative pain during intracanal diode laser application

Supporting Institution

TUBITAK Research Fund

Project Number

114S910

References

  • Alves Vde O. Endodontic flare-ups: a prospective study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;110(5): e68-72.
  • Bago I, Plecko V, Gabric Panduric D, Schauperl Z, Baraba A, Anic I. Antimicrobial efficacy of a high-power diode laser, photo-activated disinfection, conventional and sonic activated irrigation during root canal treatment. Int Endod J 2013;46(4): 339-347.
  • Beer F, Buchmair A, Wernisch J, Georgopoulos A, Moritz A. Comparison of two diode lasers on bactericidity in root canals--an in vitro study. Lasers Med Sci 2012;27(2): 361-364.
  • Coluzzi DJ. An overview of laser wavelengths used in dentistry. Dent Clin North Am 2000;44(4): 753-765.
  • Das M, Kumar GA, Ramesh S, Garapati S, Sharma D. An in vitro evaluation of microtensile bond strength of resin-based sealer with dentin treated with diode and Nd:YAG laser. J Contemp Dent Pract 2013;14(2): 183-187.
  • de Souza EB, Cai S, Simionato MR, Lage-Marques JL. High-power diode laser in the disinfection in depth of the root canal dentin. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008;106(1): e68-72.
  • Garcez AS, Ribeiro MS, Tegos GP, Nunez SC, Jorge AO, Hamblin MR. Antimicrobial photodynamic therapy combined with conventional endodontic treatment to eliminate root canal biofilm infection. Lasers Surg Med 2007;39(1): 59-66.
  • Genc Sen O, Kaya M. Effect of Root Canal Disinfection with a Diode Laser on Postoperative Pain After Endodontic Retreatment. Photobiomodul Photomed Laser Surg 2019;37(2): 85-90.
  • Glennon JP, Ng YL, Setchell DJ, Gulabivala K. Prevalence of and factors affecting postpreparation pain in patients undergoing two-visit root canal treatment. Int Endod J 2004;37(1): 29-37.
  • Kayaoglu G, Gurel M, Saricam E, Ilhan MN, Ilk O. Predictive Model of Intraoperative Pain during Endodontic Treatment: Prospective Observational Clinical Study. J Endod 2016;42(1): 36-41.
  • Lagemann M, George R, Chai L, Walsh LJ. Activation of ethylenediaminetetraacetic acid by a 940 nm diode laser for enhanced removal of smear layer. Aust Endod J 2014;40(2): 72-75.
  • Maenosono RM, Bim Junior O, Duarte MA, Palma-Dibb RG, Wang L, Ishikiriama SK. Diode laser irradiation increases microtensile bond strength of dentin. Braz Oral Res 2015;29: 1-5.
  • Mehrvarzfar P, Saghiri MA, Asatourian A et al. Additive effect of a diode laser on the antibacterial activity of 2.5% NaOCl, 2% CHX and MTAD against Enterococcus faecalis contaminating root canals: an in vitro study. J Oral Sci 2011;53(3): 355-360.
  • Morsy DA, Negm M, Diab A, Ahmed G. Postoperative pain and antibacterial effect of 980 nm diode laser versus conventional endodontic treatment in necrotic teeth with chronic periapical lesions: A randomized control trial. F1000Res 2018;7: 1795.
  • Moura-Netto C, Palo RM, Camargo SE, Jent C, Leonardo Rde T, Marques MM. Influence of prior 810-nm-diode intracanal laser irradiation on hydrophilic resin-based sealer obturation. Braz Oral Res 2012;26(4): 323-329.
  • Murillo-Benitez M, Martin-Gonzalez J, Jimenez-Sanchez MC, Cabanillas-Balsera D, Velasco-Ortega E, Segura-Egea JJ. Association between dental anxiety and intraoperative pain during root canal treatment: a cross-sectional study. Int Endod J 2020;53(4): 447-454.
  • Neelakantan P, Cheng CQ, Mohanraj R, Sriraman P, Subbarao C, Sharma S. Antibiofilm activity of three irrigation protocols activated by ultrasonic, diode laser or Er:YAG laser in vitro. Int Endod J 2015;48(6): 602-610.
  • Saghiri MA, Asgar K, Gutmann JL et al. Effect of laser irradiation on root canal walls after final irrigation with 17% EDTA or BioPure MTAD: X-ray diffraction and SEM analysis. Quintessence Int 2012;43(10): e127-134.
  • Schulte-Lunzum R, Gutknecht N, Conrads G, Franzen R. The Impact of a 940 nm Diode Laser with Radial Firing Tip and Bare End Fiber Tip on Enterococcus faecalis in the Root Canal Wall Dentin of Bovine Teeth: An In Vitro Study. Photomed Laser Surg 2017;35(7): 357-363.
  • Shavit Y, Lewis JW, Terman GW, Gale RP, Liebeskind JC. Opioid peptides mediate the suppressive effect of stress on natural killer cell cytotoxicity. Science 1984;223(4632): 188-190.
  • Siqueira JF, Jr., Rocas IN. Clinical implications and microbiology of bacterial persistence after treatment procedures. J Endod 2008;34(11): 1291-1301 e1293.
  • Sohrabi K, Sooratgar A, Zolfagharnasab K, Kharazifard MJ, Afkhami F. Antibacterial Activity of Diode Laser and Sodium Hypochlorite in Enterococcus Faecalis-Contaminated Root Canals. Iran Endod J 2016;11(1): 8-12.
  • Soukos NS, Chen PS, Morris JT et al. Photodynamic therapy for endodontic disinfection. J Endod 2006;32(10): 979-984.
  • Torabinejad M, Kettering JD, McGraw JC, Cummings RR, Dwyer TG, Tobias TS. Factors associated with endodontic interappointment emergencies of teeth with necrotic pulps. J Endod 1988;14(5): 261-266.
  • Walton R, Fouad A. Endodontic interappointment flare-ups: a prospective study of incidence and related factors. J Endod 1992;18(4): 172-177.
  • Yoo YJ, Shon WJ, Baek SH, Kang MK, Kim HC, Lee W. Effect of 1440-nanometer neodymium:yttrium-aluminum-garnet laser irradiation on pain and neuropeptide reduction: a randomized prospective clinical trial. J Endod 2014;40(1): 28-32.
  • Yucel O, Ekici MA, Ilk O, Ilhan MN, Kayaoglu G. Predicting intraoperative pain in emergency endodontic patients: clinical study. Braz Oral Res 2018;32: e38.
Year 2020, Volume: 6 Issue: 2, 190 - 195, 31.08.2020
https://doi.org/10.19127/mbsjohs.715298

Abstract

Project Number

114S910

References

  • Alves Vde O. Endodontic flare-ups: a prospective study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;110(5): e68-72.
  • Bago I, Plecko V, Gabric Panduric D, Schauperl Z, Baraba A, Anic I. Antimicrobial efficacy of a high-power diode laser, photo-activated disinfection, conventional and sonic activated irrigation during root canal treatment. Int Endod J 2013;46(4): 339-347.
  • Beer F, Buchmair A, Wernisch J, Georgopoulos A, Moritz A. Comparison of two diode lasers on bactericidity in root canals--an in vitro study. Lasers Med Sci 2012;27(2): 361-364.
  • Coluzzi DJ. An overview of laser wavelengths used in dentistry. Dent Clin North Am 2000;44(4): 753-765.
  • Das M, Kumar GA, Ramesh S, Garapati S, Sharma D. An in vitro evaluation of microtensile bond strength of resin-based sealer with dentin treated with diode and Nd:YAG laser. J Contemp Dent Pract 2013;14(2): 183-187.
  • de Souza EB, Cai S, Simionato MR, Lage-Marques JL. High-power diode laser in the disinfection in depth of the root canal dentin. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008;106(1): e68-72.
  • Garcez AS, Ribeiro MS, Tegos GP, Nunez SC, Jorge AO, Hamblin MR. Antimicrobial photodynamic therapy combined with conventional endodontic treatment to eliminate root canal biofilm infection. Lasers Surg Med 2007;39(1): 59-66.
  • Genc Sen O, Kaya M. Effect of Root Canal Disinfection with a Diode Laser on Postoperative Pain After Endodontic Retreatment. Photobiomodul Photomed Laser Surg 2019;37(2): 85-90.
  • Glennon JP, Ng YL, Setchell DJ, Gulabivala K. Prevalence of and factors affecting postpreparation pain in patients undergoing two-visit root canal treatment. Int Endod J 2004;37(1): 29-37.
  • Kayaoglu G, Gurel M, Saricam E, Ilhan MN, Ilk O. Predictive Model of Intraoperative Pain during Endodontic Treatment: Prospective Observational Clinical Study. J Endod 2016;42(1): 36-41.
  • Lagemann M, George R, Chai L, Walsh LJ. Activation of ethylenediaminetetraacetic acid by a 940 nm diode laser for enhanced removal of smear layer. Aust Endod J 2014;40(2): 72-75.
  • Maenosono RM, Bim Junior O, Duarte MA, Palma-Dibb RG, Wang L, Ishikiriama SK. Diode laser irradiation increases microtensile bond strength of dentin. Braz Oral Res 2015;29: 1-5.
  • Mehrvarzfar P, Saghiri MA, Asatourian A et al. Additive effect of a diode laser on the antibacterial activity of 2.5% NaOCl, 2% CHX and MTAD against Enterococcus faecalis contaminating root canals: an in vitro study. J Oral Sci 2011;53(3): 355-360.
  • Morsy DA, Negm M, Diab A, Ahmed G. Postoperative pain and antibacterial effect of 980 nm diode laser versus conventional endodontic treatment in necrotic teeth with chronic periapical lesions: A randomized control trial. F1000Res 2018;7: 1795.
  • Moura-Netto C, Palo RM, Camargo SE, Jent C, Leonardo Rde T, Marques MM. Influence of prior 810-nm-diode intracanal laser irradiation on hydrophilic resin-based sealer obturation. Braz Oral Res 2012;26(4): 323-329.
  • Murillo-Benitez M, Martin-Gonzalez J, Jimenez-Sanchez MC, Cabanillas-Balsera D, Velasco-Ortega E, Segura-Egea JJ. Association between dental anxiety and intraoperative pain during root canal treatment: a cross-sectional study. Int Endod J 2020;53(4): 447-454.
  • Neelakantan P, Cheng CQ, Mohanraj R, Sriraman P, Subbarao C, Sharma S. Antibiofilm activity of three irrigation protocols activated by ultrasonic, diode laser or Er:YAG laser in vitro. Int Endod J 2015;48(6): 602-610.
  • Saghiri MA, Asgar K, Gutmann JL et al. Effect of laser irradiation on root canal walls after final irrigation with 17% EDTA or BioPure MTAD: X-ray diffraction and SEM analysis. Quintessence Int 2012;43(10): e127-134.
  • Schulte-Lunzum R, Gutknecht N, Conrads G, Franzen R. The Impact of a 940 nm Diode Laser with Radial Firing Tip and Bare End Fiber Tip on Enterococcus faecalis in the Root Canal Wall Dentin of Bovine Teeth: An In Vitro Study. Photomed Laser Surg 2017;35(7): 357-363.
  • Shavit Y, Lewis JW, Terman GW, Gale RP, Liebeskind JC. Opioid peptides mediate the suppressive effect of stress on natural killer cell cytotoxicity. Science 1984;223(4632): 188-190.
  • Siqueira JF, Jr., Rocas IN. Clinical implications and microbiology of bacterial persistence after treatment procedures. J Endod 2008;34(11): 1291-1301 e1293.
  • Sohrabi K, Sooratgar A, Zolfagharnasab K, Kharazifard MJ, Afkhami F. Antibacterial Activity of Diode Laser and Sodium Hypochlorite in Enterococcus Faecalis-Contaminated Root Canals. Iran Endod J 2016;11(1): 8-12.
  • Soukos NS, Chen PS, Morris JT et al. Photodynamic therapy for endodontic disinfection. J Endod 2006;32(10): 979-984.
  • Torabinejad M, Kettering JD, McGraw JC, Cummings RR, Dwyer TG, Tobias TS. Factors associated with endodontic interappointment emergencies of teeth with necrotic pulps. J Endod 1988;14(5): 261-266.
  • Walton R, Fouad A. Endodontic interappointment flare-ups: a prospective study of incidence and related factors. J Endod 1992;18(4): 172-177.
  • Yoo YJ, Shon WJ, Baek SH, Kang MK, Kim HC, Lee W. Effect of 1440-nanometer neodymium:yttrium-aluminum-garnet laser irradiation on pain and neuropeptide reduction: a randomized prospective clinical trial. J Endod 2014;40(1): 28-32.
  • Yucel O, Ekici MA, Ilk O, Ilhan MN, Kayaoglu G. Predicting intraoperative pain in emergency endodontic patients: clinical study. Braz Oral Res 2018;32: e38.
There are 27 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Case reports
Authors

Ezgi Doğanay Yıldız 0000-0003-4113-7794

Hakan Arslan 0000-0003-4890-1062

Ertuğrul Karataş 0000-0002-8145-8763

Project Number 114S910
Publication Date August 31, 2020
Published in Issue Year 2020 Volume: 6 Issue: 2

Cite

Vancouver Doğanay Yıldız E, Arslan H, Karataş E. Association Between Pain during Intracanal Diode Laser Application and Demographic and Preoperative Factors. Mid Blac Sea J Health Sci. 2020;6(2):190-5.

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