Pain Postoperative
Conditions
Keywords
apical patency, root canal treatment
Brief summary
The purpose of this study is to determine whether maintaining an apical patency causes postoperative pain in posterior teeth with necrotic pulp and apical periodontitis.
Detailed description
Apical patency (AP) is a procedure that prevents accumulation of soft and hard tissue debris within the cement canal. However, some RCTs indicate that maintaining an AP causes postoperative pain, whilst some RCTs pointed out there is no difference in terms of pain when AP has been performed. We, therefore, would like to conduct a RCT to increase the sample size of the previously performed RCTs to do an systematic review.
Interventions
After determining the working length, a small and flexible size 10 K-file was inserted 1 mm beyond the WL.
Sponsors
Study design
Eligibility
Inclusion criteria
* Mature permanent teeth having plural necrosis and apical periodontitis
Exclusion criteria
* Systemic disorders * Diabetes * Pregnancy * Less than 18 years of age * Immunocompromised * Patients who had taken antibiotics in the past 1 month * Patients who had a positive history of analgesic use within the past 3 days * Previously accessed teeth
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 100-mm Visual Analog Scale (VAS). | 7 days. | Pain severity was evaluated as no pain (0-4 mm), mild pain (5-44 mm), moderate pain (45-74 mm) and severe pain (75-100 mm). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The number of patients taking an analgesic following the endodontic treatment. | 7 days. | The patients were asked to take an analgesic in the 7 days of time frame. |
Countries
Turkey (Türkiye)