Postoperative Pain Endodontic Retreatment
- Conditions
- Endodontically Treated Teeth
- Interventions
- Other: Non-surgical endodontic retreatment in single visit
- Registration Number
- NCT04580862
- Lead Sponsor
- Cairo University
- Brief Summary
To compare the incidence of post-operative pain after single-visit versus two-visit non-surgical endodontic retreatment.
- Detailed Description
Post treatment failure could be treated by two options including orthograde retreatment and apical surgery . In a previous study, orthograde retreatments presented a success rate of 81 % classified as healed and 93 % as no symptoms and fully functional. In a systematic review, it has also been concluded that endodontic surgery offers more favorable initial success but orthograde retreatment yields to a better long-term outcome . Although early results of single-visit treatments are contradictory ; Completing the treatment in a single appointment reduces the treatment time and cost, decreases micro leakage risk and avoids recontamination of root canals between appointments in multiple-visit treatments . Again, reviewing the literature concerning primary treatment showed that, no significant differences were observed in healing of periapical radiolucency between teeth treated in single-visit and those treated in two-visits. Even, after using calcium hydroxide for four weeks . The presence of a positive bacterial culture at the time of filling did not influence the outcome of treatment .
Thorough online search revealed that, few studies are found concerning post- operative pain after single visit retreatment . The present study is designed to compare the effects of single-visit and two-visit root canal treatments on postoperative pain in retreatment cases. The primary outcome measure of this study is proposed to be whether single-visit root canal retreatment influenced the occurrence of postoperative pain as compared to two-visit treatment.
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 62
- Clinically asymptomatic.
- Previously treated teeth in need of retreatment due to leakage and/or improper filling.
- No periapical radiolucency.
- No percussion pains.
- Age 20 - 45.
- Premolar teeth.
- Male & female.
- Complicating compromised patient.
- Tenderness to percussion and acute apical abscess.
- Presence of an associated sinus tract.
- Presence of swelling in adjacent soft tissue.
- Teeth with periodontal pathologies or mobility.
- Teeth representing root fracture.
- Pregnant women.
- If analgesics or antibiotics have been administrated by the patient during the past 24 hours.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description group 1 Non-surgical endodontic retreatment in single visit Non-surgical endodontic retreatment in single visit Single visit treatments have gained more popularity. Completing the treatment in a single appointment has many advantages including reduction in treatment time and cost, lower risk of micro leakage and recontamination of root canals between appointments group 2 Non-surgical endodontic retreatment in Two-visit Non-surgical endodontic retreatment in single visit Two-visit endodontic treatment with intra-canal medication was traditionally found to be effective in decreasing the number of flare-up in all retreatment cases and in reducing postoperative pain of previously symptomatic teeth
- Primary Outcome Measures
Name Time Method Incidence and intensity of postoperative At one week after each visit Evaluate incidence and intensity of postoperative pain at 6,12,24, 48hours , and one week using numerical visual scale (NRS) after each visit endodontic retreatment
- Secondary Outcome Measures
Name Time Method Number of analgesic tablets baseline Number of analgesic tablets taken by the patient after endodontic retreatment