Post-operative Pain, Apical Periodontitis
Conditions
Keywords
diode laser, EDDY, post-operative pain, sypmtomatic apical periodontitis
Brief summary
Aim: The aim of this study was to examine post-operative pain (PP) severity after conventional irrigation and sonic activation methods, with and without laser disinfection in mandibular molar teeth diagnosed with symptomatic apical periodontitis. Methods: In total, 80 patients with symptomatic apical periodontitis were included in this randomized clinical study. There were four different irrigation and disinfection groups. In group 1, conventional irrigation only was applied. In group 2, EDDY (VDW, Munich, Germany), a sonic irrigation activation system, was applied. In groups 3 and 4, irradiation with a 980-nm diode laser was performed, following irrigation with the conventional method (needle irrigation) and EDDY (VDW) irrigation system, respectively. PP was assessed using a visual analogue scale (VAS). The patients were instructed to record their PP using this scale 8, 24, 48 hours and 7 days post-procedure, in addition to their analgesic intake. A chi-square test, Fisher's exact chi-square test and Fisher-Freeman-Halton exact test were used to assess qualitative data. Inter-group and intra-group parameters were assessed using the Kruskal-Wallis test and Wilcoxon's test at a significance level of p \< 0.05 (for both).
Interventions
DEVICEEDDY
EDDY (VDW) sonic irrigation activation system
DEVICEDiode Laser device
980-nm diode laser device
DEVICEConventional irrigation
Conventional root canal irrigation with 31-guage side port needle
Sponsors
Biruni University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Caregiver)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
1. Healthy adult patients aged between 18 and 65 years 2. Moderate to severe pain (4-10) according to a visual analogue scale (VAS) 3. Mandibular molar teeth diagnosed with symptomatic apical periodontitis (a painful response during mastication and/or percussion or palpation)
Exclusion criteria
1. Pregnancy or lactation 2. Taking analgesics or anti-inflammatory drugs 12 hours before the treatment 3. Taking antibiotics in the month prior to the treatment 4. Teeth with calcified root canals, greater than grade I mobility and a 4 mm pocket depth, non-restorable damage, occlusal trauma and previous root canal treatment or an open apex 5. Allergy to articaine or non-steroid anti-inflammatory drugs
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Post-operative pain | 7 days | Post-operative pain levels in each group were assessed by visual analog scale (VAS) The pain levels were evaluated at 8, 24, 48 hours and 7 days post-procedure |
| Anaglesic intake | 7 days | After the operation nalgesic intake and time intervals were recorded |
Countries
Turkey (Türkiye)
Outcome results
None listed