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Izvestia Journal of the Union of Scientists - Varna. Medicine and Ecology Series

Postoperative pain after root canal treatment

Natalia Kostadinova-Guneva, Tsvetelina Borisova-Papancheva

Abstract

The main goal of endodontic treatment is biomechanical preparation of the root canal, which includes (cleaning, shaping, disinfection) and its hermetic sealing as well as providing conditions for the healing of periradicular tissues. During the shaping of the root canal space products such as dentinal debris, microorganisms, or pulp residues are extruded into periapical tissues. This leads to irritation of the periodontal tissue, which in turn induces postoperative pain. It can be defined as onset of pain or other discomfort in the area of an endodontically treated tooth that occurs within a few hours or a few days after root canal treatment. The patient may feel slight pain in the tooth when chewing, biting, and local symptoms in the area of the oral mucosa such as redness, or a feeling of dull constant pain in the area of the periapex may be observed. Postoperative pain is defined as an unpleasant condition that often occurs after root canal treatment. It occurrence was found to vary between 3 to 58%. This severe pain was observed in 12% of patients within 24–48 hours after endodontic treatment. If it remains neglected, this sensitivity may cause suffering, compromise the quality of life, have psychosocial consequences, and become a public health problem.


Keywords

postoperative pain, rotary and reciprocal system, debris

Full Text


References

A. E. Saberi, S. Ebrahimipour and M. Saberi Apical Debris Extrusion with Conventional Rotary and Reciprocating Instruments

Al-Omari M, Dummer P. Canal blockage and debris extrusion with eight preparation techniques. J Endod. 1995;21(3):154-8.

Bürklein S, Benten S, Schäfer E. Quantitative evaluation of apically extruded debris with different single‐file systems: R eciproc, F 360 and O ne S hape versus M two. Int Endod J. 2014;47(5):405-9

El Mubarak AH, Abu-bakr NH, Ibrahim YE. Postoperative pain in multiple - visit and single - visit root canal treatment. J Endod 2010;6:36-9.

Fairbourn DR, McWalter GM, Montgomery S. The effect of four preparation techniques on the amount of apically extruded debris. J Endod. 1987;13(3):102-8.

Karataş E, Arslan H, Kırıcı D, Alsancak M, Çapar I. Quantitative evaluation of apically extruded debris with Twisted File Adaptive instruments in straight root canals: reciprocation with different angles, adaptive motion and continuous rotation. Int Endod J. 2016;49(4):382-5

M. Ali, M. A. Ahmed, A. Ul Y. Syed, A. Jamil, S. P. Khan, A. A. AlMokhatieb, A.Abdulwahed, Khulud A. Al-Aali, F. Vohra, T. Abduljabbar. Quantitative Evaluation of Apically Extruded Debris of Root Canal Dentin Layer with WaveOne, ProTaper Next, ProTaper Gold Rotary File Systems

Mollashahi NF, Saberi EA, Havaei SR, Sabeti M. Comparison of Postoperative Pain after Root Canal Preparation with Two Reciprocating and Rotary Single-File Systems: A Randomized Clinical Trial. Iran Endod J. 2017;12(1):15.

Myers, G.L.; Montgomery, S. A comparison of weights of debris extruded apically by conventional filing and Canal Master techniques. J. Endod. 1991, 17, 275–279.

Predin, D.N.; Van der Vyver, P.J.; Vorster, M.; Vally, Z.I. Factors influencing apical debris extrusion during endodontic treatment—A review of the literature. S. Afr. Dent. J. 2021, 76, 28–36.

Reddy SA, Hicks ML. Apical extrusion of debris using two hand and two rotary instrumentation techniques. J Endod. 1998;24(3):180-3

Ruiz-Hubard EE, Gutmann JL, Wagner MJ. A quantitative assessment of canal debris forced periapically during root canal instrumentation using two different techniques. J Endod. 1987;13(12):554-8.

Talebzadeh B, Nezafati S, Rahimi S, Shahi S, Lotfi M, Ghasemi N. Comparison of manual and rotary instrumentation on postoperative pain in teeth with asymptomatic irreversible pulpitis: A randomized clinical trial. Iran Endod J. 2016;11(4):273.

Tanalp, J.; Güngör, T. Apical extrusion of debris: A literature review of an inherent occurrence during root canal treatment. Int. Endod. J. 2014, 47, 211–221

Tinaz AC, Alacam T, Uzun O, Maden M, Kayaouglu G. The effect of disruption of apical constriction on periapical extrusion. J Endod 2005;31:533-5.

U. Kumar, P. Parmar, R. Vashisht, N. Tandon, C. K. Kaur Incidence of postoperative pain after using single continuous, single reciprocating, and full sequence continuous rotary file system: a prospective randomized clinical trial

Vaudt J, Bitter K, Neumann K, Kielbassa A. Ex vivo study on root canal instrumentation of two rotary nickel–titanium systems in comparison to stainless steel hand instruments. Int Endod J. 2009;42(1):22-33




DOI: http://dx.doi.org/10.14748/isuvsme.v28i2.9359

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