Download PDF
CC BY-NC-ND 4.0 · Eur J Dent 2009; 03(04): 273-279
DOI: 10.1055/s-0039-1697444
Original Article
Dental Investigation Society

Incidence of Postoperative Pain after Single- and Multi-Visit Endodontic Treatment in Teeth with Vital and Non-Vital Pulp

Bayram Ince
a   Department of Operative Dentistry, Faculty of Dentistry, Dicle University, Diyarbakir, Turkey
,
Ertugrul Ercan
b   Department of Operative Dentistry, Faculty of Dentistry, University of Kirikkale, Kirikkale, Turkey
,
Mehmet Dalli
a   Department of Operative Dentistry, Faculty of Dentistry, Dicle University, Diyarbakir, Turkey
,
Coruh Turksel Dulgergil
b   Department of Operative Dentistry, Faculty of Dentistry, University of Kirikkale, Kirikkale, Turkey
,
Yahya Orcun Zorba
c   Department of Endodontics, Faculty of Dentistry, University of Kirikkale, Kirikkale, Turkey
,
Hakan Colak
b   Department of Operative Dentistry, Faculty of Dentistry, University of Kirikkale, Kirikkale, Turkey
› Author Affiliations
Further Information

Publication History

Publication Date:
27 September 2019 (online)

Also available at
  PDF Download Permissions and Reprints

ABSTRACT

Objectives: To assess the incidence of postoperative pain after single- and multi-visit endodontic treatment of teeth with vital and non-vital pulp.

Methods: In total, 306 patients with teeth requiring endodontic treatment were identified and were included in this study. Two experienced clinicians treated the patients, who were randomly assigned to two groups. While the teeth of patients in group 1 were obturated, group 2 were temporarily sealed and obturated after one week. Three days after the root canal instrumentation of each tooth, the patients were asked whether they experienced any postoperative pain and to rate the level of discomfort as no, mild, moderate, or severe pain. Data were analyzed statistically using the chisquare test.

Results: No significant difference in postoperative pain was found between vital and non-vital teeth (P>.01). Mild, moderate, and severe pain occurred in 31.4, 13.7, and 4.6% of vital teeth, respectively. Postoperative pain occurred in 107 (69.9%) and 106 (69.3%) teeth in the single- and multi-visit treatment groups, respectively. There was no significant difference in postoperative pain between the two groups (P>.01).

Conclusions: The prevalence of postoperative pain did not differ between vital and non-vital teeth. The majority of patients in either groups reported no or only mild pain. (Eur J Dent 2009;3:273-279)

Key words:

Postoperative pain - Endodontic treatment - Non-vital teeth
 

  • REFERENCES

  • 1 Holstein A, Hargreaves KM, Neiderman R. Evaluation of NSAIDs for treating post-endodontic pain. Endod Topics 2002;3:3-13.
  • 2 Torabinejad M, Cymerman JJ, Frankson M, Lemon RR, Maggio JD, Schilder H. Effectiveness of various medications on postoperative pain following complete instrumentation. J Endod 1994;20:345-354.
  • 3 Albashaireh ZS, Alnegrish AS. Postobturation pain after single and multiple-visit endodontic therapy. J Dent 1998;26:227-232.
  • 4 Rogers MJ, Johnson BR, Remeikis NA, BeGole EA. Comparison of effect of intracanal use of ketorolac tromethamine and dexamethasone with oral ibuprofen on post treatment endodontic pain. J Endod 1999;25:381-384.
  • 5 DiRenzo A, Gresla T, Johnson BR, Rogers M, Tucker D, Be-Gole EA. Postoperative pain after 1- and 2-visit root canal therapy. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002;93:605-610.
  • 6 Torabinejad M, Kettering JD, McGraw JC, Cummings RR, Dwyer TG, Tobias TS. Factors associated with endodontic interappointment emergencies of teeth with necrotic pulps. J Endod 1988;14:261-266.
  • 7 Imura N, Zuolo ML. Factors associated with endodontic flare-ups: a prospective study. Int Endod J 1995;28:261-265.
  • 8 Morse DR, Koren LZ, Esposito JV, Goldberg JM, Sinai IH, Furst ML. Asymptomatic teeth with necrotic pulps and associated periapical radiolucencies: relationship of flareups to endodontic instrumentation, antibiotic usage and stress in three separate practices at three different time periods. Parts 1-Int J Psychosom 1986;33:5-87.
  • 9 Siqueira JF Jr, Rocas IN, Favieri A, Machado AG, Gahyva SM, Oliveira JC, Abad EC. Incidence of postoperative pain after intracanal procedures based on an antimicrobial strategy. J Endod 2002;28:457-460.
  • 10 Seltzer S, Naidorf IJ. Flare-ups in endodontics: I. Etiological factors. J Endod 1985;11:472-478.
  • 11 Walton R, Fouad A. Endodontic interappointment flareups:a prospective study of incidence and related factors. J Endod 1992;18:172-177.
  • 12 Genet JM, Wesselink PR, Thoden Van Velzen SK. Preoperative and operative factors associated with pain after the first endodontic visit. Int Endod J 1987;20:53-64.
  • 13 Rahbaran S, Gilthorpe MS, Harrison SV, Gulabivala K. Comparison of clinical outcome of periapical surgery in Endodontic and Oral Surgery units of a teaching Dental Hospital: a retrospective study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001;91:700-709.
  • 14 Eleazer PD, Eleazer KR. Flare-up rate in pulpally necrotic molars in one-visit versus two-visit endodontic treatment. J Endod 1998;24:614-616.
  • 15 Qualtrough AJ, Whitworth JM, Dummer PM: Preclinical endodontology: an international comparison. Int Endod J 1999,32:406-414.
  • 16 Oginni A, Udoye C. Endodontic flare-ups: comparison of incidence between single and multiple visit procedures in patients attending a Nigerian teaching hospital. BMC Oral Health 2004,4:4-6.
  • 17 Inamoto K, Kojima K, Nagamatsu K, Hamaguchi A, Nakata K, Nakamura H. A survey of the incidence of single-visit endodontics. J Endod 2002;28:371-374.
  • 18 Pekruhn RB. Single-visit endodontic therapy: a preliminary clinical study. J Am Dent Assoc 1981;103:875-877.
  • 19 Jurcak JJ, Bellizzi R, Loushine RJ. Successful singlevisit endodontics during Operation Desert Shield. J Endod 1993;198:412-413.
  • 20 Welch I. One appointment endodontic treatment. J Can Dent Assoc 1975;41:613-615.
  • 21 Fava LR. A comparison of one versus two appointment endodontic therapy in teeth with non-vital pulps. Int Endod J 1989;22:179-183.
  • 22 Oliet S. Single-visit endodontics: a clinical study. J Endod 1983;9:147-152.
  • 23 Roane JB, Dryden JA, Grimes EW. Incidence of postoperative pain after single- and multiple-visit endodontic procedures. Oral Surg Oral Med Oral Pathol 1983;55:68-72.
  • 24 Cohen S, Burns RC. Pathways of the Pulp. 7th ed. St. Louis: CV Mosby, 1998:73-96.
  • 25 Field JW, Gutmann JL, Solomon ES, Rakusin H. A clinical radiographic retrospective assessment of the success rate of single-visit root canal treatment. Int Endod J 2004;37:70-82.
  • 26 Weiselberg M, Vogelson K. One-visit endodontics: not only could you but should you? J N J Dent Assoc 1983;54:59-63.
  • 27 Soltanoff W. A comparative study of the single-visit and the multiple-visit endodontic procedure. J Endod 1978;11:278-281.
  • 28 Spångberg LS. Evidence-based endodontics: the one-visit treatment idea [Comment]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001;91:617-618.
  • 29 Sathorn C, Parashos P, Messer HH. Effectiveness of single-versus multiple-visit endodontic treatment of teeth with apical periodontitis: a systematic review and metaanalysis. Int Endod J 2005;38:347-355.
  • 30 Alaçam T, Tınaz AC. Interappointment emergencies in teeth with necrotic pulps. J Endod 2002;28:375-377.
  • 31 Clem WH. Posttreatment endodontic pain. J Am Dent Assoc 1970;81:1166-1670.
  • 32 Mor C, Rotstein I, Friedman S. Incidence of interappointment emergency associated with endodontic therapy. J Endod 1992;18:509-511.
  • 33 Yesilsoy C, Korzen LZ, Morse DR, Rankow H, Bolanos OR, Furst ML. Post-endodontic obturation pain: a comparative evaluation. Quintessence Int 1988;19:431-438.
  • 34 Harrison JW, Baumgartner JC, Svec TA. Incidence of pain associated with clinical factors during and after root canal therapy. Part 2. Postobturation pain. J Endod 1983;9:434-438.
  • 35 Fox J, Atkinson JS, Dinin AP, Greenfield E, Hechtman E, Reeman CA, Salkind M, Todaro CJ. Incidence of pain following one-visit endodontic treatment. Oral Surg Oral Med Oral Pathol 1970;30:123-130.
  • 36 Smith CS, Setchell DJ, Harty FJ. Factors influencing the success of conventional root canal therapy - a 5-year retrospective study. Int Endod J 1993;26:321-333.
  • 37 Jenkins SM, Hayes SJ, Dummer PMH. A study of endodontic treatment carried out in dental practice within the UK. Int Endod J 2001;34;16-22.