THE EFFECT OF MAINTAINING APICAL PATENCY ON POST OPERATIVE PAIN

Phase 1

Not yet recruiting

Brief Summary: **Background:** The concept of instrumentation beyond the apical foramen i.e. maintaining apical patency(AP) by a small flexible file to prevent blockage is a controversial issue in endodontics. However, maintaining patency might endow postoperative pain, thus the matter of dilemma is to maintain apical patency or not.

**Aim:** Aim of the study is to evaluate pain the association between apical patency and post-operative pain in posterior vital teeth with irreversible pulpitis. The primary objective of the study was to evaluate the incidence and compare intensity of post-operative pain with and without maintaining apical patency in posterior vital teeth with irreversible pulpitis.

**Materials and Methods:** One hundred twelve patients were included in the study. Patients were randomly divided into: Group A (n = 56) contained apical patency maintaining group and Group B (n = 56) contained those treated without maintaining apical patency. Incidence of post-operative pain of patient was recorded on 1st day (24hrs), 2nd day (48hrs), and 7th day using Visual Analog Scale (VAS).

**Results:** There was no statistically significant difference between the pain scores in both the groups on Day 1, Day 2 and Day 7. Pain intensity is maximum in Day 1 and least in Day 7.

**Conclusion:** Maintenance of apical patency during biomechanical preparation had no significant influence on post-operative pain in posterior teeth with vital pulps in irreversible pulpitis cases.

Recruitment & Eligibility

Inclusion Criteria

1)Patients age 21 years and above of either gender.
2)Healthy co-operative adults were taken in the study who were willing to participate.
Only patients requiring endodontic treatment with vital maxillary or mandibular posterior teeth with irreversible pulpitis were included.

Exclusion Criteria

1)Patients with non-vital pulp.
2)Presence of complications during treatment (impossibility to achieve apical patency in any canal, calcified canals).
3)Medically compromised mentally challenged adults.
4)Pregnancy or breast feeding.
5)Cases of grossly decayed teeth where rubber dam isolation was difficult.
6)Re treatment cases.
8)Patients with restricted mouth opening.
9)Patients who have taken medication for pre-operative pain.
10)Failure to obtain patients consent.

Primary Outcome Measures

Name	Time	Method
Incidence of post-operative pain in posterior vital teeth with irreversible pulpitis maintaining apical patency	7 days

Secondary Outcome Measures

Name	Time	Method
To compare the intensity of post-operative pain with and without	maintaining apical patency in posterior vital teeth with irreversible

Locations (1): BHARATI VIDYAPEETH DENTAL COLLEGE
🇮🇳
Mumbai, MAHARASHTRA, India
BHARATI VIDYAPEETH DENTAL COLLEGE
🇮🇳Mumbai, MAHARASHTRA, India
Pooja yadav
Principal investigator
8726162936
poojarocks0806@gmail.com