Journal of Pierre Fauchard Academy (India Section)

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Post-operative Pain after Photo-Active Disinfection (PAD) Supplemented Single Visit Root Canal Treatment in Teeth with Symptomatic Apical Periodontitis


Affiliations
1 Department of Conservative Dentistry and Endodontics Centre for Dental Education and Research, All India Institute of Medical Sciences, Sri Aurobindo Marg, Ansari Nagar, Ansari Nagar East, New Delhi - 110029, Delhi, India
2 Department of Conservative Dentistry and Endodontics, Centre for Dental Education and Research, All India Institute of Medical Sciences, Sri Aurobindo Marg, Ansari Nagar, Ansari Nagar East, New Delhi - 110029, Delhi, India
3 Associate Professor, Department of Conservative Dentistry and Endodontics, Centre for Dental Education and Research, All India Institute of Medical Sciences, Sri Aurobindo Marg, Ansari Nagar, Ansari Nagar East, New Delhi - 110029, Delhi, India
4 Professor, Department of Conservative Dentistry and Endodontics, Centre for Dental Education and Research, All India Institute of Medical Sciences, Sri Aurobindo Marg, Ansari Nagar, Ansari Nagar East, New Delhi - 110029, Delhi, India
     

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Objective: To observe the incidence of post-operative pain after single-visit Non-Surgical Endodontic Therapy (NSET) in teeth with symptomatic apical periodontitis disinfected with Photo-Activated Disinfection (PAD). Methods: Single-ischolar_mained teeth (N=30) with pulp necrosis and symptomatic apical periodontitis were included. Subsequent to chemo mechanical preparation, the teeth were randomly distributed into two groups: group I (n=15) which received calcium hydroxide slurry as an intracanal medicament and group II (n=15) which received PAD and obturation in the same visit. Postoperative pain was recorded at 4, 24, 48 and72 hours using a visual analog pain scale. One-way analysis of variance post hoc Tukey test was used to compare the score. Results: There was a significant reduction in pain after instrumentation in Groups I and II. The pain reduction was more in group I as compared to group II at 4 hours. There was no statistically significant difference seen in both the groups at 24, 48 and 72 hours postoperatively. Conclusion: Application of PAD as an adjunct in single visit NSET has no noticeable difference in pain perception when compared with the use of calcium hydroxide interim dressing in two visits NSET.


Keywords

Calcium Hydroxide, Photoactivated Disinfection, Postoperative Pain, Single-Visit Root Canal Treatment
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  • IASP Terminology. IASP. Available via http://www.iasppain.org/Education/Content.aspx? Item Number=1698#Pain.

  • Gotler M, Bar-Gil B, Ashkenazi M. Postoperative pain after ischolar_main canal treatment: A prospective Cohort study. Int. J. Dent. 2012; 2012:1-5. https://doi.org/10.1155/2012/310467. PMid: 22505897, PMCid: PMC3312224.

  • Siqueira JF. Microbial causes of endodontic flare-ups. Int. Endod. J. 2003; 36(7):453-463. https://doi.org/10.1046/j.1365-2591.2003.00671.x. PMid: 12823700.

  • Shahi S, Asghari V, Rahimi S, Lotfi M, Samiei M, Yavari H, Shakouie S, Nezafati S. Postoperative pain after endodontic treatment of asymptomatic teeth using rotary instruments: A randomized clinical trial. Iran Endod. J. 2016; 11(1): 38-43.

  • Tanalp J, Güngör T. Apical extrusion of debris: A literature review of an inherent occurrence during ischolar_main canal treatment. Int. Endod. J. 2014; 47(3):211-221. https://doi.org/10.1111/iej.12137. PMid: 23711187.

  • Peters OA, Schönenberger K, Laib A. Effects of four Ni-Ti preparation techniques on ischolar_main canal geometry assessed by micro computed tomography. Int. Endod. J. 2001; 34(3): 221-230. https://doi.org/10.1046/j.1365-2591.2001.00373.x. PMid: 12193268.

  • Siqueira Jr JF, Rôças IN. Optimising single-visit disinfection with supplementary approaches: A quest for predictability. Aust. Endod. J. 2011; 37(3):92-98. https://doi.org/10.1111/j.1747-4477.2011.00334.x. PMid: 22117714.

  • Siqueira JF, Rôças IN, Favieri A, Machado AG, Gahyva SM, Oliveira JCM, et al. Incidence of postoperative pain after intracanal procedures based on an antimicrobial strategy. J. Endod. 2002; 28(6):457-460. https://doi.org/10.1097/00004770-200206000-00010. PMid: 12067129.

  • Menakaya IN, Oderinu OH, Adegbulugbe IC, Shaba OP. Incidence of postoperative pain after use of calcium hydroxide mixed with normal saline or 0.2% chlorhexidine digluconate as intracanal medicament in the treatment of apical periodontitis. Saudi Dent. J. 2015; 27(4):187193. https://doi.org/10.1016/j.sdentj.2015.01.007. PMid: 26644753, PMCid: PMC4642190.

  • Ince B, Ercan E, Dalli M, Dulgergil CT, Zorba YO, Colak H. Incidence of postoperative pain after single- and multi-visit endodontic treatment in teeth with vital and non-vital pulp. Eur. J. Dent. 2009; 3(4):273-279. https://doi.org/10.1055/s-0039-1697444. PMid: 19826598, PMCid: PMC2761157.

  • Manfredi M, Figini L, Gagliani M, Lodi G. Single versus multiple visits for endodontic treatment of permanent teeth. Cochrane Database Syst. Rev. 2016; 12:CD005296. https://doi.org/10.1002/14651858.CD005296.pub3. PMid: 27905673, PMCid: PMC6463951.

  • Bago I, Plečko V, Gabrić Pandurić D, Schauperl Z, Baraba A, Anić I. Antimicrobial efficacy of a high power diode laser, photactivated disinfection, conventional and sonic activated irrigation during ischolar_main canal treatment. Int. Endod. J. 2013; 46(4):339-347. https://doi.org/10.1111/j.13652591.2012.02120.x. PMid: 22970886.

  • Bonsor SJ1, Nichol R, Reid TM, Pearson GJ. Microbiological evaluation of photoactivated disinfection in endodontics (an in vivo study). Br. Dent. J. 2006; 200(6):337-341, discussion 329. https://doi.org/10.1038/sj.bdj.4813371. PMid: 16568063.

  • Sonarkar SS, Singh S, Podar R, Kulkarni G, Purba R. An in vivo comparison of the antibacterial efficacy of photoactivated disinfection, diode laser, and 5% sodium hypochlorite in ischolar_main canal disinfection. J. Conserv. Dent. 2018; 21(2):205-209. https://doi.org/10.4103/JCD.JCD_227_17. PMid: 29674826, PMCid: PMC5890414.

  • Barciela B, da Silva Limoeiro AG, Bueno CE, Fernandes SL, Mandarini DR, Boer NC, Camara Fernandes KG, Rocha DG. In vivo evaluation of painful symptomatology after endodontic treatment with or without the use of photodynamic therapy. J. Conserv. Dent. 2019; 22:332-335. https://doi.org/10.4103/JCD.JCD_39_19. PMid: 31802814, PMCid: PMC6873598.

  • endodonticdiagnosisfall2013.pdf. Available at: https://www.aae.org/specialty/wpcontent/uploads/sites/2/2017/07/ endodonticdiagnosisfall2013.pdf.

  • Measurement of pain. The lancet. Available at: https://www.thelancet.com/journals/lancet/article/PIIS01406736(74)90884-8/abstract.

  • Erdem Hepsenoglu, Yelda, et al. Postoperative pain intensity after single- versus two-visit nonsurgical endodontic retreatment: A randomized clinical trial. J. Endo. 2018; 44(9):1339-1346. https://doi.org/10.1016/j.joen.2018.05.017. PMid: 30054099.

  • Ng Y‐L, Mann V, Gulabivala K. A prospective study of the factors affecting outcomes of non‐surgical ischolar_main canal treatment: Part 2: Tooth survival. Int. Endod. J. 2011; 44:610-625. https://doi.org/10.1111/j.1365-2591.2011.01873.x. PMid: 21366627.

  • Sjögren U1, Figdor D, Persson S, Sundqvist G. Influence of infection at the time of ischolar_main filling on the outcome of endodontic treatment of teeth with apical periodontitis. Int. Endod. J. 1997; 30(5):297-306. https://doi.org/10.1111/j.1365-2591.1997.tb00714.x, https://doi.org/10.1046/j.1365-2591.1997.00092.x. PMid: 9477818.

  • Siqueira JF Jr1, Rôças IN. Optimising single-visit disinfection with supplementary approaches: A quest

  • for predictability. Aust. Endod. J. 2011; 37(3):92-98. https://doi.org/10.1111/j.1747-4477.2011.00334.x. PMid: 22117714.

  • Nagata JY1, Hioka N, Kimura E, Batistela VR, Terada RS, Graciano AX, Baesso ML, Hayacibara MF. Antibacterial photodynamic therapy for dental caries: evaluation of the photosensitizers used and light source properties. Photodiagnosis Photodyn. Ther. 2012; 9(2):122-131. https://doi.org/10.1016/j.pdpdt.2011.11.006. PMid: 22594982.

  • Plotino G, Grande NM, Mercade M. Photodynamic therapy in endodontics. Int Endod J. 2019; 52(6):760-774. https://doi.org/10.1111/iej.13057. PMid: 30548497.

  • Law AS, Nixdorf DR, Aguirre AM, et al. Predicting severe pain after ischolar_main canal therapy in the National Dental PBRN. J. Dent. Res. 2015; 94(3 Suppl):37S-43S. https://doi.org/10.1177/0022034514555144. PMid: 25355775, PMCid: PMC4336154.

  • Roane JB, Dryden JA, Grimes EW. Incidence of postoperative pain after single- and multiple-visit endodontic procedures. Oral Surg. Oral Med. Oral Pathol. 1983; 55(1):68-72. https://doi.org/10.1016/0030-4220(83)90308-0.

  • Anjaneyulu K, Nivedhitha MS. Influence of calcium hydroxide on the post-treatment pain in endodontics: A systematic review. J. Conserv. Dent. 2014; 17(3):200207. https://doi.org/10.4103/0972-0707.131775. PMid: 24944439, PMCid: PMC4056387.

  • Romualdo PC, de Oliveira KMH, Nemezio MA, Küchler EC, Silva RAB, Nelson-Filho P, et al. Does apical negative pressure prevent the apical extrusion of debris and irrigant compared with conventional irrigation? A systematic review and meta-analysis. Aust. Endod. J. 2017; 43(3):129137. https://doi.org/10.1111/aej.12162. PMid: 28150896.

  • Braham P, Herron C, Street C, Darveau R. Antimicrobial photodynamic therapy may promote periodontal healing through multiple mechanisms. J. Periodontol. 2009; 80(11):1790-1798. https://doi.org/10.1902/jop.2009.090214. PMid: 19905948.

  • Bago I, Plečko V, Pandurić DG, Schauperl Z, Baraba A, Anić I. Antimicrobial efficacy of a high‐power diode laser, photo‐activated disinfection, conventional and sonic activated irrigation during ischolar_main canal treatment. Int. Endod. J. 2012; 46(4):339-347. https://doi.org/10.1111/j.13652591.2012.02120.x. PMid: 22970886.


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  • Post-operative Pain after Photo-Active Disinfection (PAD) Supplemented Single Visit Root Canal Treatment in Teeth with Symptomatic Apical Periodontitis

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Authors

Vijay Kumar
Department of Conservative Dentistry and Endodontics Centre for Dental Education and Research, All India Institute of Medical Sciences, Sri Aurobindo Marg, Ansari Nagar, Ansari Nagar East, New Delhi - 110029, Delhi, India
Sidhartha Sharma
Department of Conservative Dentistry and Endodontics, Centre for Dental Education and Research, All India Institute of Medical Sciences, Sri Aurobindo Marg, Ansari Nagar, Ansari Nagar East, New Delhi - 110029, Delhi, India
Amrita Chawla
Associate Professor, Department of Conservative Dentistry and Endodontics, Centre for Dental Education and Research, All India Institute of Medical Sciences, Sri Aurobindo Marg, Ansari Nagar, Ansari Nagar East, New Delhi - 110029, Delhi, India
Ajay Logani
Professor, Department of Conservative Dentistry and Endodontics, Centre for Dental Education and Research, All India Institute of Medical Sciences, Sri Aurobindo Marg, Ansari Nagar, Ansari Nagar East, New Delhi - 110029, Delhi, India

Abstract


Objective: To observe the incidence of post-operative pain after single-visit Non-Surgical Endodontic Therapy (NSET) in teeth with symptomatic apical periodontitis disinfected with Photo-Activated Disinfection (PAD). Methods: Single-ischolar_mained teeth (N=30) with pulp necrosis and symptomatic apical periodontitis were included. Subsequent to chemo mechanical preparation, the teeth were randomly distributed into two groups: group I (n=15) which received calcium hydroxide slurry as an intracanal medicament and group II (n=15) which received PAD and obturation in the same visit. Postoperative pain was recorded at 4, 24, 48 and72 hours using a visual analog pain scale. One-way analysis of variance post hoc Tukey test was used to compare the score. Results: There was a significant reduction in pain after instrumentation in Groups I and II. The pain reduction was more in group I as compared to group II at 4 hours. There was no statistically significant difference seen in both the groups at 24, 48 and 72 hours postoperatively. Conclusion: Application of PAD as an adjunct in single visit NSET has no noticeable difference in pain perception when compared with the use of calcium hydroxide interim dressing in two visits NSET.


Keywords


Calcium Hydroxide, Photoactivated Disinfection, Postoperative Pain, Single-Visit Root Canal Treatment

References





DOI: https://doi.org/10.18311/jpfa%2F2021%2F26048