Incidence Postoperative Pain After Single Visit Versus Two Visit Nonsurgical Endodontic Retreatment
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Endodontically Treated Teeth
- Sponsor
- Cairo University
- Enrollment
- 62
- Primary Endpoint
- Incidence and intensity of postoperative
- Last Updated
- 5 years ago
Overview
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.
Investigators
Muftah Mohammed Ali Akrym
Principle investigator
Cairo University
Eligibility Criteria
Inclusion Criteria
- •Clinically asymptomatic.
- •Previously treated teeth in need of retreatment due to leakage and/or improper filling.
- •No periapical radiolucency.
- •No percussion pains.
- •Premolar teeth.
- •Male \& female.
Exclusion Criteria
- •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.
Outcomes
Primary Outcomes
Incidence and intensity of postoperative
Time Frame: 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 Outcomes
- Number of analgesic tablets(baseline)