Postoperative Pain After Removal of Gutta-percha From Root Canals in Endodontic Retreatment Using a Solvent
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 90
- 试验地点
- 1
- 主要终点
- Postoperative pain after removal of gutta-percha with or without solvent
研究概览
简要总结
No clinical evidence has been yet published regarding the comparison of postoperative pain after removal of the root canal fillings with or without solvent. The aim of this study was to evaluate the effect of combined usage of ProTaper retreatment instruments and a gutta-percha solvent, on the postoperative pain intensity after retreatment.
详细描述
Scientific literature contains a few studies regarding the amount of apically extruded debris caused by solvent or solvent free use of rotary instruments. It was reported that the use of ProTaper retreatment instruments in combination with gutta-percha solvent reduced the amount of apically extruded debris compared to their solvent free use. Nevertheless,no clinical evidence has been yet published regarding the comparison of postoperative pain after removal of the root canal fillings with or without solvent. The aim of this study was to evaluate the effect of combined usage of ProTaper retreatment instruments and gutta-percha solvent, on the postoperative pain intensity after retreatment. The adult patients (18-59 ages) who referred to Department of Endodontics with a diagnose of failed root canal treatment were examined radiographically and clinically. Endodontically treated, clinically asymptomatic, single-rooted teeth with one canal exhibiting chronic periapical infection were included. A hundred cases who matched the determined criteria were selected and randomly allocated to two groups:
Non-solvent Group (n=50):
ProTaper retreatment instruments were used in combination with with X-Smart electric motor for the removal of root canal fillings.
Solvent Group (n=50):
ProTaper retreatment instruments were used with the abovementioned technique but in combination with a gutta-percha solvent
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Outcomes Assessor)
盲法说明
double-blind
入排标准
- 年龄范围
- 18 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Systemically healthy patient who has a failed root canal treatment.
- •Asymptomatic single rooted teeth that had an initial root canal filling diagnosed with chronic apical periodontitis.
- •Patients agreed to parcitipate in the study
排除标准
- •Overfilled teeth,
- •teeth with intraradicular posts,
- •existence of a sinus tract,
- •consumption of antibiotics or analgesics within one month,
- •pregnancy,
- •history of trauma,
- •traumatic occlusion
研究组 & 干预措施
Non-solvent
Non-solvent use of a rotary retreatment system
干预措施: Non-solvent (Procedure)
Solvent
Solvent use in combination with a rotary retreatment system
干预措施: Solvent (Procedure)
结局指标
主要结局
Postoperative pain after removal of gutta-percha with or without solvent
时间窗: 24 hours postoperatively
Pain intensity was evaluated at 24 hours after retreatment procedures. An 11-item numerical rating scale (NRS) was used to assess the pain. This NRS is a segmented numeric version of the visual analog scale (VAS) in which a respondent selects a whole number (0 -10 integers) that best reflects the intensity of their pain. Number 0 represents 'no pain' whereas number 10 represents 'pain as bad as someone can imagine'.All patients were requested to mark a number corresponding to their average pain.
次要结局
- Postoperative pain after removal of gutta-percha with or without solvent(48 to 72 hours postoperatively)
- Postoperative pain after removal of gutta-percha with or without solvent(24 to 48 hours postoperatively)
研究者
Ozgur Genc Sen
Assistant professor
Yuzuncu Yıl University